Titre :

Integrating Clinical Probability into the Diagnostic Approach to Idiopathic Pulmonary Fibrosis: An International Working Group Perspective.

Auteur(s) :

Tomassetti, Sara [Auteur]
Azienda Ospedaliero Universitaria Careggi [Firenze] = Careggi University Hospital [Florence, Italy] [AOUC]
Valenzuela, Claudia [Auteur]
Hospital Universitario de La Princesa
Walsh, Simon F. L. [Auteur]
Imperial College London
Antoniou, Katerina M. [Auteur]
University of Crete [Heraklion] [UOC]
Bonella, Francesco [Auteur]
Ruhrlandklinik University Hospital
Brown, Kevin K. [Auteur]
National Jewish Health [NJH]
Collard, Harold R. [Auteur]
University of California [San Francisco] [UC San Francisco]
Corte, Tamera J. [Auteur]
The University of Sydney
Flaherty, Kevin R. [Auteur]
University of Michigan [Ann Arbor]
Johannson, Kerri A. [Auteur]
University of Calgary
Kolb, Martin [Auteur]
McMaster University [Hamilton, Ontario]
Kreuter, Michael [Auteur]
University of Heidelberg, Medical Faculty
Inoue, Yoshikazu [Auteur]
Kinki University
Jenkins, R. Gisli [Auteur]
Imperial College London
Lee, Joyce S. [Auteur]
University of Colorado Anschutz Medical Campus [Aurora]
Lynch, David A. [Auteur]
National Jewish Health [NJH]
Maher, Toby M. [Auteur]
University of Southern California [USC]
Royal Brompton Hospital
Martinez, Fernando J. [Auteur]
Cornell University [New York]
Molina-Molina, Maria [Auteur]
Institut d'Investigació Biomèdica de Bellvitge = Bellvitge Biomedical Research Institute [IDIBELL]
Myers, Jeff L. [Auteur]
University of Michigan [Ann Arbor]
Nathan, S. D. [Auteur]
Inova Heart and Vascular Institute [Falls Church, VA, USA] [IHVI]
Poletti, Vanerino [Auteur]
Alma Mater Studiorum Università di Bologna = University of Bologna [UNIBO]
Quadrelli, Silvia [Auteur]
Hospital de Clínicas "José de San Martín" [Buenos Aires]
Raghu, Ganesh [Auteur]
University of Washington [Seattle]
Rajan, Sujeet K. [Auteur]
University of Mumbai [MU]
Ravaglia, Claudia [Auteur]
Alma Mater Studiorum Università di Bologna = University of Bologna [UNIBO]
Remy, Martine [Auteur]
Centre Hospitalier Régional Universitaire [CHU Lille] [CHRU Lille]
METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694
Renzoni, Elisabetta [Auteur]
Royal Brompton Hospital
Richeldi, Luca K. [Auteur]
Università cattolica del Sacro Cuore = Catholic University of the Sacred Heart [Roma] [Unicatt]
Spagnolo, Paolo [Auteur]
Università degli Studi di Padova = University of Padua [Unipd]
Wijsenbeek, Marlies [Auteur]
Erasmus University Rotterdam
Wilson, Kevin C. [Auteur]
Boston University [Boston] [BU]
Wuyts, Wim [Auteur]
University Hospitals Leuven [Leuven]
Wells, Athol U. [Auteur]
Imperial College London
Ryerson, Christopher J. [Auteur]

Titre de la revue :

American Journal of Respiratory and Critical Care Medicine

Nom court de la revue :

Am J Respir Crit Care Med

Date de publication :

2022-04-08

ISSN :

1535-4970

Discipline(s) HAL :

Sciences du Vivant [q-bio]

Résumé en anglais : [en]

Background: When considering the diagnosis of idiopathic pulmonary fibrosis (IPF), experienced clinicians integrate clinical features that help to differentiate IPF from other fibrosing interstitial lung diseases, thus ...
Lire la suite >Background: When considering the diagnosis of idiopathic pulmonary fibrosis (IPF), experienced clinicians integrate clinical features that help to differentiate IPF from other fibrosing interstitial lung diseases, thus generating a “pre-test” probability of IPF. The aim of this international working group perspective was to summarize these features using a tabulated approach similar to chest HRCT and histopathologic patterns reported in the international guidelines for the diagnosis of IPF, and to help formally incorporate these clinical likelihoods into diagnostic reasoning to facilitate the diagnosis of IPF. Methods: The committee group identified factors that influence the clinical likelihood of a diagnosis of IPF, which was categorized as a pre-test clinical probability of IPF into “high” (70–100%), “intermediate” (30–70%), or “low” (0–30%). After integration of radiological and histopathological features, the post-test probability of diagnosis was categorized into “definite” (90–100%), “high confidence” (70–89%), “low confidence” (51–69%), or “low” (0–50%) probability of IPF. Findings: A conceptual Bayesian framework was created, integrating the clinical likelihood of IPF (“pre-test probability of IPF”) with the HRCT pattern, the histopathology pattern when available, and/or the pattern of observed disease behavior, into a “post-test probability of IPF.” The diagnostic probability of IPF was expressed using an adapted diagnostic ontology for fibrotic interstitial lung diseases. Interpretation: The present approach will help incorporate the clinical judgment into the diagnosis of IPF, thus facilitating the application of IPF diagnostic guidelines and, ultimately improving diagnostic confidence and reducing the need for invasive diagnostic techniques.Lire moins >

Langue :

Anglais

Audience :

Internationale

Vulgarisation :

Non

Établissement(s) :

Université de Lille
CHU Lille

Collections :

• METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694

Date de dépôt :

2023-11-15T04:23:54Z
2024-01-18T10:36:36Z