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J. Clin. Med. 2016, 5(8), 66; doi:10.3390/jcm5080066

A Review of the Multidisciplinary Diagnosis of Interstitial Lung Diseases: A Retrospective Analysis in a Single UK Specialist Centre

1
North West Interstitial Lung Disease Unit, University Hospital of South Manchester, Wythenshawe Hospital, Southmoor Road, Wythenshawe, Manchester M23 9LT, UK
2
Aintree Chest Centre, University Hospital Aintree, Lower Lane, Liverpool L9 7AL, UK
*
Author to whom correspondence should be addressed.
Academic Editor: David Barnes
Received: 10 May 2016 / Revised: 1 July 2016 / Accepted: 15 July 2016 / Published: 27 July 2016
(This article belongs to the Special Issue Chronic Respiratory Diseases)
View Full-Text   |   Download PDF [1093 KB, uploaded 1 August 2016]   |  

Abstract

The accurate diagnosis and management of individuals with interstitial lung diseases (ILDs) poses an interesting challenge in clinical practice. A multidisciplinary team (MDT) approach is considered the gold standard. This is a single-centre retrospective review spanning a five-year period. We assessed the accuracy of prior ILD diagnosis, the methodology used to establish a correct diagnosis and how an MDT approach affected subsequent management. Our data supports an MDT approach in an experienced specialist ILD centre. We have demonstrated that diagnosis is often changed after an MDT review and that this impacts the subsequent management. Our results demonstrate that an MDT approach to diagnosis can establish a diagnosis in the majority of cases when prior diagnosis is uncertain (76%). We also show that a prior diagnosis of idiopathic pulmonary fibrosis is deemed inaccurate in over 50% of cases after MDT discussion. We have shown that during diagnostic uncertainty the considered gold standard of proceeding to a lung biopsy is not always feasible due to disease severity and comorbidities. In these circumstances, an MDT approach to diagnosis of ILDs combines clinical data with serial lung function and disease behavior, with or without responses to previous treatment trials to establish an accurate expert diagnosis. View Full-Text
Keywords: multidisciplinary team; diagnosis; interstitial lung disease; idiopathic pulmonary fibrosis multidisciplinary team; diagnosis; interstitial lung disease; idiopathic pulmonary fibrosis
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This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

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Chaudhuri, N.; Spencer, L.; Greaves, M.; Bishop, P.; Chaturvedi, A.; Leonard, C. A Review of the Multidisciplinary Diagnosis of Interstitial Lung Diseases: A Retrospective Analysis in a Single UK Specialist Centre. J. Clin. Med. 2016, 5, 66.

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