Race-Neutral Lung Function Equations Could Transform Pediatric Asthma Care

The Shift Towards Race-Neutral Lung Function Equations

In a significant move towards equity in healthcare, recent research has shown that using race-neutral lung function equations can lead to considerable changes in asthma management for pediatric patients. A study presented at the 2025 American Academy of Allergy, Asthma & Immunology/World Allergy Organization Joint Congress revealed that African American and Latino children experienced reductions in forced expiratory volume (FEV1) and forced vital capacity (FVC) when these new equations were employed, contrasting with white children who saw increases.

Understanding the Importance of Accurate Diagnostics

The challenge of accurately diagnosing asthma in children, particularly among different racial and ethnic groups, has been prevalent due to historical reliance on race-specific lung function equations. As noted by Dr. Lina Mahmood from the University of Arkansas for Medical Sciences, this outdated methodology can mask serious health issues. The use of race-adjusted spirometry has been found to overestimate asthma control in Black children, potentially leading to under-treatment.

A Wake-Up Call for Pediatric Care Providers

The implications of these findings are critical for pediatric care providers, especially in concierge practices where patient relationships are paramount. By recognizing that adjustments based on race are not rooted in physiological differences but reflect systemic biases, practitioners can make informed decisions that enhance patient care and outcomes.

Actionable Steps for Practitioners

To leverage these findings effectively, physicians should adopt race-neutral spirometry equations in their practices. This shift not only aligns with the latest research but also allows for more accurate assessments of lung function among minority children, ultimately leading to better diagnostic accuracy and treatment plans.

In addition, practitioners can foster closer patient connections by engaging families in discussions about treatment plans that account for these insights. Such an approach not only reinforces trust but also empowers families to participate actively in managing their children's health.

Beyond Asthma: The Broader Impact of Structural Racism in Healthcare

This issue extends beyond just asthma management. Research emphasizes that systemic racism in healthcare leads to significant disparities in health outcomes across various conditions. Addressing these disparities should be a top priority for any medical practice aiming for holistic patient care.

Conclusion

By comprehensively understanding the importance of these recent findings on lung function equations, medical concierge practices can significantly enhance their service offerings. As patient advocates, it's essential to recognize and thwart health disparities stemming from outdated models and to embrace updates that promote equality in healthcare.