The Impact of Multidisciplinary Discussion (MDD) in the Diagnosis and Management of Fibrotic Interstitial Lung Diseases
المؤلفون المشاركون
Ageely, Ghofran
Souza, Carolina
De Boer, Kaissa
Zahra, Saly
Gomes, Marcio
Voduc, Nha
المصدر
العدد
المجلد 2020، العدد 2020 (31 ديسمبر/كانون الأول 2020)، ص ص. 1-6، 6ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2020-08-17
دولة النشر
مصر
عدد الصفحات
6
التخصصات الرئيسية
الملخص EN
Accurate diagnosis of interstitial lung disease (ILD) is crucial for management and prognosis but can be challenging even for experienced clinicians.
Expert multidisciplinary discussion (MDD) is considered the reference standard for ILD diagnosis; however, there remain concerns regarding lack of validation studies and relative limited information on the impact of MDD in real-life clinical practice.
The goal of this study was to assess the effect of MDD in providing a specific ILD diagnosis, changing the diagnosis provided upon referral, and to determine how often and in which way MDD altered management.
Material and Methods.
Retrospective observational study in an ILD referral tertiary academic center.
MDD diagnoses were categorized as specific, provisional, and unclassifiable ILD.
Pre-MDD and MDD diagnoses were compared for change in diagnosis and concordance rates for specific diagnoses.
Relevant change in management including initiation or change in pharmacological treatment, referral to surgical biopsy, and nonpharmacological management were recorded.
Results.
126 cases were included (79M, 47F, 36–93 years, mean 70 y).
Specific MDD diagnosis was provided in 62% (78/126); 12% (15/126) had provisional diagnosis, and 21% (27/126) was unclassifiable.
Overall agreement for specific pre-MDD and MDD diagnosis was 41% (52/126) and 80% for idiopathic pulmonary fibrosis (IPF) diagnosis.
MDD altered diagnosis in 37% (47/126) and changed management in 39% (50/126).
Amongst concordant diagnoses, management was altered in 46% (24/52).
In summary, MDD provided a specific diagnosis discordant with pre-MDD diagnosis in a significant proportion of cases and was particularly valuable in the diagnosis of non-IPF ILD.
MDD often altered management and had relevant impact on management even in cases with concordant pre-MDD diagnosis.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Ageely, Ghofran& Souza, Carolina& De Boer, Kaissa& Zahra, Saly& Gomes, Marcio& Voduc, Nha. 2020. The Impact of Multidisciplinary Discussion (MDD) in the Diagnosis and Management of Fibrotic Interstitial Lung Diseases. Canadian Respiratory Journal،Vol. 2020, no. 2020, pp.1-6.
https://search.emarefa.net/detail/BIM-1152236
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Ageely, Ghofran…[et al.]. The Impact of Multidisciplinary Discussion (MDD) in the Diagnosis and Management of Fibrotic Interstitial Lung Diseases. Canadian Respiratory Journal No. 2020 (2020), pp.1-6.
https://search.emarefa.net/detail/BIM-1152236
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Ageely, Ghofran& Souza, Carolina& De Boer, Kaissa& Zahra, Saly& Gomes, Marcio& Voduc, Nha. The Impact of Multidisciplinary Discussion (MDD) in the Diagnosis and Management of Fibrotic Interstitial Lung Diseases. Canadian Respiratory Journal. 2020. Vol. 2020, no. 2020, pp.1-6.
https://search.emarefa.net/detail/BIM-1152236
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1152236
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر