Rational Testing

Investigating asthma symptoms in primary care

BMJ 2012; 344 doi: http://dx.doi.org/10.1136/bmj.e2734 (Published 25 April 2012)
Cite this as: BMJ 2012;344:e2734

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Dear Editor

I really enjoyed the Asthma article.

But I wonder can you clarify for me

Fig 2 Implies that if FEV1 improves by >=200mls & >=12% from baseline this is consistent with asthma--modified with permission from Burton, an Australian

My understanding is in the UK we used to use the 1997 BTS guidance of >200mls & 15% in FEV1, but we now use the NICE guidance of >400mls increase in FEV1 to determine reversibility.

It's a small point, but as GPs we seem to be bombarded by conflicting guidance.

Competing interests: None declared

Fergus Donaghy, GP

Dunville Medical Centre, 309 Grosvenor Rd, Belfast BT12 4LP

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