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Related Concept Videos

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Oxygen Therapy for Interstitial Lung Disease: Physicians' Perceptions and Experiences.

Yet H Khor1,2,3,4, Nicole S L Goh1,2,4, Christine F McDonald1,2,3

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Respiratory physicians primarily prescribe domiciliary oxygen therapy (DOT) for symptom relief in interstitial lung disease (ILD), despite limited evidence. Supports and infrastructure for DOT in ILD patients vary significantly.

Keywords:
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Area of Science:

  • Pulmonary Medicine
  • Respiratory Care

Background:

  • Domiciliary oxygen therapy (DOT) is frequently prescribed for interstitial lung disease (ILD) patients with hypoxemia.
  • Evidence supporting the benefits of DOT in ILD is currently limited.

Purpose of the Study:

  • To explore Australian respiratory physicians' perspectives on prescribing DOT for patients with ILD.
  • To understand the rationale, challenges, and perceived patient experiences associated with DOT in ILD.

Main Methods:

  • A qualitative study design was employed.
  • Interviews were conducted with 26 respiratory physicians in Australia.
  • Verbatim transcripts were independently coded, and themes were established by consensus.

Main Results:

  • Symptomatic relief was the primary reason for prescribing DOT in ILD.
  • Physicians noted a lower threshold for DOT prescription in ILD compared to other lung diseases.
  • Significant variations exist in DOT assessment, prescription infrastructure, patient support, and equipment provision across institutions and states.
  • Physicians perceived high levels of anxiety among ILD patients using DOT due to social stigma and association with end-stage disease.

Conclusions:

  • DOT is mainly prescribed for symptomatic management in ILD patients.
  • The provision of education and support for DOT in ILD varies considerably.
  • Addressing patient anxiety and standardizing DOT practices are crucial.