Abstract
The Philadelphia Tuberculosis and Health Association surveyed 2,825 adults with a 70-mm photofluorogram, a questionnaire, and ventilatory tests. A selected sample of 71 individuals was carefully evaluated in 1 of 4 pulmonary physiology laboratories by history, physical examination and a battery of pulmonary function tests to evaluate the sensitivity and specificity of the screen. In screening for chronic obstructive lung diseases, if this was defined as expectoration and or a forced vital capacity below 62% of predicted by Baldwin standards and or a one-second forced expiratory volume below 66% of observed vital capacity, the sensitivity was 79% and specificity was 72%. If the one-second forced expiratory volume below 66% was used alone, the sensitivity was only 42%, but the specificity was 96%.

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