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Adherence to guidelines in idiopathic pulmonary fibrosis: a follow-up national survey
A new survey coordinated by the French expert centres for rare pulmonary diseases investigated French pulmonologists' diagnostic and therapeutic practice for idiopathic pulmonary fibrosis (IPF) and explored changes since a previous survey in 2011–2012. From May 16 to August 30, 2014, 524 pulmon...
Autores principales: | , , , , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
European Respiratory Society
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5005118/ https://www.ncbi.nlm.nih.gov/pubmed/27730153 http://dx.doi.org/10.1183/23120541.00032-2015 |
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author | Cottin, Vincent Bergot, Emmanuel Bourdin, Arnaud Cadranel, Jacques Camus, Philippe Crestani, Bruno Dalphin, Jean-Charles Delaval, Philippe Dromer, Claire Israel-Biet, Dominique Kessler, Romain Marchand-Adam, Sylvain Marquette, Charles Hugo Prévot, Grégoire Reynaud-Gaubert, Martine Valeyre, Dominique Wallaert, Benoit Bouquillon, Benoit Cordier, Jean-François |
author_facet | Cottin, Vincent Bergot, Emmanuel Bourdin, Arnaud Cadranel, Jacques Camus, Philippe Crestani, Bruno Dalphin, Jean-Charles Delaval, Philippe Dromer, Claire Israel-Biet, Dominique Kessler, Romain Marchand-Adam, Sylvain Marquette, Charles Hugo Prévot, Grégoire Reynaud-Gaubert, Martine Valeyre, Dominique Wallaert, Benoit Bouquillon, Benoit Cordier, Jean-François |
author_sort | Cottin, Vincent |
collection | PubMed |
description | A new survey coordinated by the French expert centres for rare pulmonary diseases investigated French pulmonologists' diagnostic and therapeutic practice for idiopathic pulmonary fibrosis (IPF) and explored changes since a previous survey in 2011–2012. From May 16 to August 30, 2014, 524 pulmonologists were contacted. Those following at least one patient with IPF were invited to complete a questionnaire administered by telephone or e-mail. 166 (31.7%) pulmonologists, 161 (97%) of whom had participated to the first survey, completed the questionnaire. Of those, 46% and 52%, respectively, discussed the cases with radiologists and pathologists. Out of 144 pulmonologists practicing outside of expert centres, 80% indicated referring patients to those centres. The 2013 French practical guidelines for IPF were known by 92% of pulmonologists involved in IPF, 96% of whom considered them appropriate for practice. The multidisciplinary discussion form for IPF diagnosis was known by 74% and considered appropriate by 94%. Diagnosis and management resulted from multidisciplinary discussion in 50% of the cases. About 58% of patients were diagnosed with “mild to moderate IPF” as defined by forced vital capacity ≥50% of the predicted value and diffusing capacity for carbon monoxide ≥35% of predicted. At the time of the survey, 31% of physicians were using pirfenidone to treat patients with “mild-to-moderately severe IPF” and 30% generally prescribed no treatment. Substantial improvement has occurred since the 2011–2012 survey with regard to knowledge of guidelines and proper management of IPF. Early diagnosis still needs to be improved through the network of expert centres. |
format | Online Article Text |
id | pubmed-5005118 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | European Respiratory Society |
record_format | MEDLINE/PubMed |
spelling | pubmed-50051182016-10-11 Adherence to guidelines in idiopathic pulmonary fibrosis: a follow-up national survey Cottin, Vincent Bergot, Emmanuel Bourdin, Arnaud Cadranel, Jacques Camus, Philippe Crestani, Bruno Dalphin, Jean-Charles Delaval, Philippe Dromer, Claire Israel-Biet, Dominique Kessler, Romain Marchand-Adam, Sylvain Marquette, Charles Hugo Prévot, Grégoire Reynaud-Gaubert, Martine Valeyre, Dominique Wallaert, Benoit Bouquillon, Benoit Cordier, Jean-François ERJ Open Res Original Articles A new survey coordinated by the French expert centres for rare pulmonary diseases investigated French pulmonologists' diagnostic and therapeutic practice for idiopathic pulmonary fibrosis (IPF) and explored changes since a previous survey in 2011–2012. From May 16 to August 30, 2014, 524 pulmonologists were contacted. Those following at least one patient with IPF were invited to complete a questionnaire administered by telephone or e-mail. 166 (31.7%) pulmonologists, 161 (97%) of whom had participated to the first survey, completed the questionnaire. Of those, 46% and 52%, respectively, discussed the cases with radiologists and pathologists. Out of 144 pulmonologists practicing outside of expert centres, 80% indicated referring patients to those centres. The 2013 French practical guidelines for IPF were known by 92% of pulmonologists involved in IPF, 96% of whom considered them appropriate for practice. The multidisciplinary discussion form for IPF diagnosis was known by 74% and considered appropriate by 94%. Diagnosis and management resulted from multidisciplinary discussion in 50% of the cases. About 58% of patients were diagnosed with “mild to moderate IPF” as defined by forced vital capacity ≥50% of the predicted value and diffusing capacity for carbon monoxide ≥35% of predicted. At the time of the survey, 31% of physicians were using pirfenidone to treat patients with “mild-to-moderately severe IPF” and 30% generally prescribed no treatment. Substantial improvement has occurred since the 2011–2012 survey with regard to knowledge of guidelines and proper management of IPF. Early diagnosis still needs to be improved through the network of expert centres. European Respiratory Society 2015-11-16 /pmc/articles/PMC5005118/ /pubmed/27730153 http://dx.doi.org/10.1183/23120541.00032-2015 Text en The content of this work is ©the authors or their employers. Design and branding are ©ERS 2015 http://creativecommons.org/licenses/by-nc/4.0/ This article is open access and distributed under the terms of the Creative Commons Attribution Non-Commercial Licence 4.0. |
spellingShingle | Original Articles Cottin, Vincent Bergot, Emmanuel Bourdin, Arnaud Cadranel, Jacques Camus, Philippe Crestani, Bruno Dalphin, Jean-Charles Delaval, Philippe Dromer, Claire Israel-Biet, Dominique Kessler, Romain Marchand-Adam, Sylvain Marquette, Charles Hugo Prévot, Grégoire Reynaud-Gaubert, Martine Valeyre, Dominique Wallaert, Benoit Bouquillon, Benoit Cordier, Jean-François Adherence to guidelines in idiopathic pulmonary fibrosis: a follow-up national survey |
title | Adherence to guidelines in idiopathic pulmonary fibrosis: a follow-up national survey |
title_full | Adherence to guidelines in idiopathic pulmonary fibrosis: a follow-up national survey |
title_fullStr | Adherence to guidelines in idiopathic pulmonary fibrosis: a follow-up national survey |
title_full_unstemmed | Adherence to guidelines in idiopathic pulmonary fibrosis: a follow-up national survey |
title_short | Adherence to guidelines in idiopathic pulmonary fibrosis: a follow-up national survey |
title_sort | adherence to guidelines in idiopathic pulmonary fibrosis: a follow-up national survey |
topic | Original Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5005118/ https://www.ncbi.nlm.nih.gov/pubmed/27730153 http://dx.doi.org/10.1183/23120541.00032-2015 |
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