Interstitial Lung Disease: Benefits from a program for early detection.

Congress:

ECR 2018

Poster Number:

C-2391

Type:

Scientific Exhibit

Keywords:

Education and training, Statistics, Screening, CT-High Resolution, Thorax, Lung

Authors:

A. Dorca Duch¹, P. Rivera Ortega¹, P. Luburich Hernaiz¹, A. Conejero², M. Molina Molina¹, V. Vicens Zygmunt¹, L. Planas Cerezales¹, J. M. Bantulà Pi¹, H. H. J. Jofre¹; ¹Barcelona/ES, ²Tarragona/ES

DOI:

10.1594/ecr2018/C-2391

DOI-Link:

https://dx.doi.org/10.1594/ecr2018/C-2391

Fig. 1: Fig 1: Characteristics of early ILD detection program in primary care...

Fig. 2: Fig. 2: ILD definitive diagnosis

Fig. 3: Fig 3: Fibrotic ILD

Fig. 4: Fig. 4: CTD-related ILD in a 77 year old man with history of rheumatoid...

Aims and objectives

To determine the usefulness of a program for early identification of Interstitial Lung Diseases (ILDs) emphasizing on Idiopathic Pulmonary Fibrosis (IPF), attending to the benefits of an earlier diagnosis and new therapeutic options.

Methods and materials

Retrospective study of all consecutive cases referred through a rapid circuit from Primary Care (PC) centers to the ILD Unit from 2012 to 2015. The PC physicians and PC radiologists were trained in ILD identification during the year before the recruitment started. Patients attending to PC centers were included in our study following two possible paths: the PC physician requested a chest x-ray, and in case of ILD suspicion, the PC radiologist requested a chest high resolution computed tomography (HRCT). the PC physician directly requested...

Results

(The results of our study are shown in figure 1). Our study included a total of 62 patients, with a mean age of 71 years old (standard deviation 11 years). The male-to-female ratio was 1,8:1. Forty patients had smoking history (64,5%), with a median of 40 pack-years. Life-limiting comorbidities (cancer, ischemic cardiopathy, stroke, degenerative disease, history of a high-risk surgery) were present in 21 patients (33,8%). Functionally, the patients had preserved FVC (mean of 93,3% of the expected value) and mild-to-moderate decrease of DLCO (65,8%)....

Conclusion

A program for early ILD identification in primary care centers associates a high rate of diagnosis and optimizing treatment. However, a proportion of patients do not benefit from this program because of advanced age and comorbidities.

Personal information

References

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