Integration and application of clinical ...
Document type :
Article dans une revue scientifique: Article de synthèse/Review paper
PMID :
Permalink :
Title :
Integration and application of clinical practice guidelines for the diagnosis of idiopathic pulmonary fibrosis and fibrotic hypersensitivity pneumonitis.
Author(s) :
Marinescu, D. C. [Auteur]
Raghu, G. [Auteur]
Remy, Martine [Auteur]
METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694
Travis, W. D. [Auteur]
Adegunsoye, A. [Auteur]
Beasley, M. B. [Auteur]
Chung, J. H. [Auteur]
Churg, A. [Auteur]
Cottin, Vincent [Auteur]
Centre de Référence des Maladies Pulmonaires Rares [Hôpital Louis Pradel - HCL]
Egashira, R. [Auteur]
Fernández Pérez, E. R. [Auteur]
Inoue, Y. [Auteur]
Johannson, K. A. [Auteur]
Kazerooni, E. A. [Auteur]
Khor, Y. H. [Auteur]
Lynch, D. A. [Auteur]
Müller, N. L. [Auteur]
Myers, J. L. [Auteur]
Nicholson, A. G. [Auteur]
Rajan, S. [Auteur]
Saito-Koyama, R. [Auteur]
Troy, L. [Auteur]
Walsh, S. L. F. [Auteur]
Wells, A. U. [Auteur]
Wijsenbeek, M. S. [Auteur]
Wright, J. L. [Auteur]
Ryerson, C. J. [Auteur]
Raghu, G. [Auteur]
Remy, Martine [Auteur]
METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694
Travis, W. D. [Auteur]
Adegunsoye, A. [Auteur]
Beasley, M. B. [Auteur]
Chung, J. H. [Auteur]
Churg, A. [Auteur]
Cottin, Vincent [Auteur]
Centre de Référence des Maladies Pulmonaires Rares [Hôpital Louis Pradel - HCL]
Egashira, R. [Auteur]
Fernández Pérez, E. R. [Auteur]
Inoue, Y. [Auteur]
Johannson, K. A. [Auteur]
Kazerooni, E. A. [Auteur]
Khor, Y. H. [Auteur]
Lynch, D. A. [Auteur]
Müller, N. L. [Auteur]
Myers, J. L. [Auteur]
Nicholson, A. G. [Auteur]
Rajan, S. [Auteur]
Saito-Koyama, R. [Auteur]
Troy, L. [Auteur]
Walsh, S. L. F. [Auteur]
Wells, A. U. [Auteur]
Wijsenbeek, M. S. [Auteur]
Wright, J. L. [Auteur]
Ryerson, C. J. [Auteur]
Journal title :
Chest
Abbreviated title :
Chest
Volume number :
162
Pages :
P614-629
Publication date :
2022-06-24
ISSN :
1931-3543
English keyword(s) :
clinical practice guidelines
hypersensitivity pneumonitis
idiopathic pulmonary fibrosis
multidisciplinary discussion
usual interstitial pneumonia
hypersensitivity pneumonitis
idiopathic pulmonary fibrosis
multidisciplinary discussion
usual interstitial pneumonia
HAL domain(s) :
Sciences du Vivant [q-bio]
English abstract : [en]
Recent clinical practice guidelines have addressed the diagnosis of idiopathic pulmonary fibrosis (IPF) and fibrotic hypersensitivity pneumonitis (fHP). These disease-specific guidelines were developed independently, without ...
Show more >Recent clinical practice guidelines have addressed the diagnosis of idiopathic pulmonary fibrosis (IPF) and fibrotic hypersensitivity pneumonitis (fHP). These disease-specific guidelines were developed independently, without clear direction on how to apply their respective recommendations concurrently within a single patient, where discrimination between these two fibrotic interstitial lung diseases represents a frequent diagnostic challenge. The objective of this review, created by an international group of experts, was to suggest a pragmatic approach on how to apply existing guidelines to distinguish IPF and fHP. Key clinical, radiologic, and pathologic features described in previous guidelines are integrated in a set of diagnostic algorithms, which then are placed in the broader context of multidisciplinary discussion to guide the generation of a consensus diagnosis. Although these algorithms necessarily reflect some uncertainty wherever strong evidence is lacking, they provide insight into the current approach favored by experts in the field based on currently available knowledge. The authors further identify priorities for future research to clarify ongoing uncertainties in the diagnosis of fibrotic interstitial lung diseases.Show less >
Show more >Recent clinical practice guidelines have addressed the diagnosis of idiopathic pulmonary fibrosis (IPF) and fibrotic hypersensitivity pneumonitis (fHP). These disease-specific guidelines were developed independently, without clear direction on how to apply their respective recommendations concurrently within a single patient, where discrimination between these two fibrotic interstitial lung diseases represents a frequent diagnostic challenge. The objective of this review, created by an international group of experts, was to suggest a pragmatic approach on how to apply existing guidelines to distinguish IPF and fHP. Key clinical, radiologic, and pathologic features described in previous guidelines are integrated in a set of diagnostic algorithms, which then are placed in the broader context of multidisciplinary discussion to guide the generation of a consensus diagnosis. Although these algorithms necessarily reflect some uncertainty wherever strong evidence is lacking, they provide insight into the current approach favored by experts in the field based on currently available knowledge. The authors further identify priorities for future research to clarify ongoing uncertainties in the diagnosis of fibrotic interstitial lung diseases.Show less >
Language :
Anglais
Audience :
Internationale
Popular science :
Non
Administrative institution(s) :
Université de Lille
CHU Lille
CHU Lille
Submission date :
2023-11-15T03:49:27Z
2024-04-08T12:33:38Z
2024-04-08T12:33:38Z