{
  "abstract": "We assessed agreement between general practitioners (GPs) and central reviewers within a supported primary-care spirometry program in Piedmont, Italy. GP and central-review labels were recorded separately; reviewer blinding was not documented. Among 658 uploads dated 18 May 2022-18 January 2023, 481 from 25 GPs had paired obstruction labels. Confidence intervals (CIs) used 50,000 GP-cluster bootstrap resamples. The obstruction agreement was 92.9% (95% CI 90.3-96.0), and Cohen's κ was 0.855 (0.797-0.918); discordance comprised 28 GP-positive/reviewer-negative and 6 GP-negative/reviewer-positive records. Relative sensitivity was 96.8% and specificity 90.4%. Agreement was 95.0% for possible restriction (κ 0.818), 97.5% for recorded reversibility (κ 0.737), and 86.2% for severity (weighted κ 0.789). Four Global Initiative for Chronic Obstructive Lung Disease categories were available, but no very severe classifications were recorded. One reviewer account contributed 397/481 assessments. Incomplete pairs, the concentration of reviews, possible repeat examinations, and the limited number of GP clusters constrain interpretation. Technical-quality data and the bronchodilator-tested denominator were unavailable. High agreement describes completed pairs within this supported pathway and does not establish diagnostic accuracy or clinical benefit. Hospital-community applications require prospective evaluation.",
  "abstract_shown": true,
  "affiliations": [],
  "article_type": null,
  "arxiv": null,
  "author_total": 7,
  "authors": [
    {
      "name": "Giuseppe Misiano"
    },
    {
      "name": "Daniele Angioni"
    },
    {
      "name": "Andrea Pizzini"
    },
    {
      "name": "Daniela Ferrante"
    },
    {
      "name": "Mirko Parasiliti-Caprino"
    },
    {
      "name": "Vittorio Picottino"
    },
    {
      "name": "Marzio Uberti"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/d8v80x84n4qt2.bib",
  "cited_by": 0,
  "doi": "10.4081/itjm.2026.2657",
  "fulltext_url": "https://www.italjmed.org/ijm/article/view/2657",
  "id": "d8v80x84n4qt2",
  "issns": [
    "1877-9344",
    "1877-9352"
  ],
  "landing_url": "https://doi.org/10.4081/itjm.2026.2657",
  "language": "en",
  "licence": "CC-BY-NC",
  "licence_label": "CC BY-NC",
  "licence_source": "journal",
  "licence_url": "https://creativecommons.org/licenses/by-nc/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "lcc",
      "R"
    ],
    [
      "openalex",
      "2740|Chronic Obstructive Pulmonary Disease (COPD) Research"
    ]
  ],
  "openalex": "W7223282246",
  "pdf_url": "https://www.italjmed.org/ijm/article/download/2657/2070",
  "pmcid": null,
  "pmid": null,
  "published": "2026-10-24",
  "publisher": "PAGEPress Publications",
  "ris": "https://research.draconitic.com/paper/d8v80x84n4qt2.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T13:44:29Z",
      "native_id": "38971ad0f03e4ca190ed7004a63797ff",
      "source": "doaj",
      "url": "https://doi.org/10.4081/itjm.2026.2657"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2740|Chronic Obstructive Pulmonary Disease (COPD) Research",
      "subfield": "general"
    }
  ],
  "title": "Agreement between general practitioners and central reviewers on spirometry interpretation in primary care",
  "title_text": "Agreement between general practitioners and central reviewers on spirometry interpretation in primary care",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T13:44:29Z",
  "url": "https://research.draconitic.com/paper/d8v80x84n4qt2",
  "venue": "Italian Journal of Medicine",
  "versions": []
}