Improving Testing in Primary Care
The Thoracic Society of Australia and New Zealand (TSANZ) introduced new national spirometry standards on 22nd April. These standards aim to improve the accuracy of respiratory disease diagnosis in primary care settings across Australia. They are designed to enhance testing quality and consistency.
Three core documents have been released, covering technical standards, training requirements, and accreditation guidelines for spirometry services. These documents address the variability in training, testing quality, and interpretation, which has been a barrier to accurate diagnosis.
Professor Natasha Smallwood, President of TSANZ, highlighted the importance of consistent spirometry use, stating, “Clear, contemporary standards are essential to support clinicians in delivering high-quality spirometry when it is used in clinical practice.”
Addressing Diagnostic Variability
The updated standards provide clear guidance for clinicians, particularly in primary care settings. Early and accurate diagnosis can significantly improve patient outcomes. The standards align with international guidelines but are tailored to Australian needs.
Inconsistent spirometry has been identified as a barrier to accurate diagnosis. The new standards seek to rectify this issue. Variability in spirometry can lead to delayed or missed diagnoses, inappropriate treatment, and poorer long-term outcomes for patients with chronic respiratory diseases.
Developed through a Commonwealth Department of Health, Disability and Ageing-funded project, these standards provide an evidence-based framework. They support clinicians involved in diagnosing and managing respiratory conditions. Spirometry is a cornerstone diagnostic tool in respiratory medicine.
TSANZ plans to introduce a fourth document later in the year. This will outline a roadmap towards a National Spirometry Programme to support the implementation of these standards. It aims to integrate these standards into local practices effectively.
Vincent So, Chief Executive Officer of TSANZ, mentioned, “Our aim is to support uptake over time. Equipping clinicians with clear, practical guidance is essential so they can have the confidence and the right tools they need to deliver high-quality spirometry.”
TSANZ encourages clinicians and health services to adopt these standards into their local practice. By doing so, they will ensure that patients receive timely and accurate respiratory diagnoses, crucial for effective treatment.
Last updated: 23 April 2026, 1:49 pm

