识别渐进性肺纤维化:来自修改的Delphi研究的共识结果
Athol U Wells1,2, Simon L F Walsh3, Ayodeji Adegunsoye4
1Royal Brompton and Harefield Hospitals, Guy's and St Thomas' NHS Foundation Trust, Sydney Street, London, SW3 6NP, UK. RBHILD@rbht.nhs.uk.
医生们就确定纤维化间歇性肺病 (ILD) 进展的关键指标达成共识,包括强迫生命能力 (FVC) 衰退和高分辨率计算机断层扫描 (HRCT) 变化. 这些发现旨在指导ILD管理的临床实践.
科学领域:
- 肺病学和呼吸系统医学
- 建立医学共识 建立医学共识
- 间歇性肺病 间歇性肺病
背景情况:
- 异形性肺纤维化 (IPF) 和其他纤维化间歇性肺病 (ILD) 带来了重大管理挑战.
- 预测,识别和监测疾病进展对于有效的患者护理至关重要.
- 目前对ILD进展的临床指南在执业医生之间缺乏全面的共识.
研究的目的:
- 建立有关纤维化间歇性肺病 (ILD) 进展的预测,鉴定和监测的专家共识.
- 通过制定基于证据的关于ILD进展的陈述来告知临床实践,直到有正式的指导方针为止.
主要方法:
- 使用了经过修改的Delphi过程,涉及到练习呼吸系统医生.
- 关于ILD进展的陈述是在文献审查后开发的,并通过三轮调查进行了改进.
- 共识被定义为≥70%的协议或特定的中位数利克特等级分数和四分位数间范围.
主要成果:
- 强迫性生命能力 (FVC) 衰退和高分辨率计算机断层扫描 (HRCT) 纤维化被确定为关键的进展标志物.
- 达成共识的是,HRCT进展或FVC下降≥10%表明ILD进展.
- 在HRCT上常见的间歇性肺炎 (UIP) 模式是危险因素,但不建议仅用于预后的活检.
结论:
- 经过修改的Delphi流程成功生成了关于ILD进展识别的共识声明.
- 这些共识陈述为管理纤维化ILD患者的临床医生提供了宝贵的指导.
- 这些发现支持在临床实践中对ILD进展监测的标准化方法的需求.
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