OCCUPATIONAL DISEASE: Edited by Susan M. Tarlo and Piero MaestrelliLongitudinal assessment of lung function decline in the occupational settingRedlich, Carrie A.; Tarlo, Susan M. Author Information aPulmonary Section and Occupational and Environmental Medicine, Department of Medicine, Yale School of Medicine, New Haven, Connecticut, USA bDepartment of Medicine and Dalla Lana School of Public Health, University of Toronto, Toronto Western Hospital, Toronto, Ontario, Canada Correspondence to Carrie A. Redlich, MD, MPH, Professor of Medicine, Yale Occupational and Environmental Medicine Program, Yale School of Medicine, 135 College Street, Room 366, New Haven, CT 06510, USA. Tel: +1 203 785 6434; fax: +1 203 785 7391; e-mail: [email protected] Current Opinion in Allergy and Clinical Immunology: April 2015 - Volume 15 - Issue 2 - p 145-149 doi: 10.1097/ACI.0000000000000153 Buy Metrics Abstract Purpose of review Spirometry is performed in the work setting as part of medical surveillance of workers with potentially respiratory hazardous work exposures, to identify early disease and evaluate the effectiveness of preventive interventions. However, many clinicians are not familiar with workplace medical surveillance and how to evaluate longitudinal spirometry over time. Recent findings A recent American Thoracic Society technical standards report addressed issues related to performing spirometry in the work setting, including the interpretation of longitudinal lung function. Important considerations in assessing longitudinal lung function are reviewed. Recent studies evaluating the impact of selected occupational exposures on longitudinal lung function are reviewed. Summary Recent longitudinal studies of exposed workers have identified novel occupational respiratory diseases such as flavoring-related lung disease, and advanced our understanding of more familiar exposures such as mineral dusts. Clinicians will increasingly need to be able to evaluate longitudinal spirometry, including thresholds that trigger further evaluation. Copyright © 2015 Wolters Kluwer Health, Inc. All rights reserved.