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Advances in Respiratory Medicine is published by MDPI from Volume 90 Issue 4 (2022). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence, and they are hosted by MDPI on mdpi.com as a courtesy and upon agreement with Via Medica.
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Guidelines

Guidelines of the Polish Respiratory Society for Diagnosis and Treatment of Idiopathic Pulmonary Fibrosis

by
Wojciech J. Piotrowski
1,*,
Iwona Bestry
2,
Adam J. Białas
3,
Piotr W. Boros
4,
Piotr Grzanka
5,
Ewa Jassem
6,
Dariusz Jastrzębski
7,
Dariusz Klimczak
8,
Renata Langfort
9,
Katarzyna Lewandowska
10,
Sebastian Majewski
1,
Magdalena M. Martusewicz-Boros
11,
Karina Oniszh
2,
Elżbieta Puścińska
12,
Alicja Siemińska
13,
Małgorzata Sobiecka
10,
Małgorzata Szołkowska
9,
Elżbieta Wiatr
11,
Gracjan Wilczyński
14,
Dariusz Ziora
6 and
Jan Kuś
10add Show full author list remove Hide full author list
1
Department of Pneumology and Allergy, Medical University of Lodz, Lodz, Poland
2
Department of Radiology, National Tuberculosis and Lung Diseases Research Institute in Warsaw, Warsaw, Poland
3
Department of Pathobiology of Respiratory Diseases, Medical University of Lodz, Lodz, Poland
4
Lung Pathophysiology Department, National Tuberculosis and Lung Diseases Research Institute in Warsaw, Warsaw, Poland
5
Department of Radiology, Voivodeship Hospital in Opole, Opole, Poland
6
Department of Allergology and Pneumonology, Medical University of Gdansk, Gdansk, Poland
7
Department of Lung Diseases and Tuberculosis, Medical University of Silesia, Zabrze, Poland
8
Patient, Polish Society for IPF Patients’ Support, Poland
9
Department of Pathology, National Tuberculosis and Lung Diseases Research Institute in Warsaw, Warsaw, Poland
10
First Lung Diseases Department, National Tuberculosis and Lung Diseases Research Institute in Warsaw, Warsaw, Poland
11
Third Lung Diseases and Oncology Department, National Tuberculosis and Lung Diseases Research Institute in Warsaw, Warsaw, Poland
12
Second Department of Respiratory Medicine, National Tuberculosis and Lung Diseases Research Institute in Warsaw, Warsaw, Poland
13
Allergology Department, Medical University of Gdansk, Gdansk, Poland
14
Patient, not affiliated
 
add Show full affiliation list
 
remove Hide full affiliation list
*
Author to whom correspondence should be addressed.
Adv. Respir. Med. 2020, 88(1), 42-94; https://doi.org/10.5603/ARM.2020.0081
Submission received: 13 February 2020 / Revised: 13 February 2020 / Accepted: 13 February 2020 / Published: 28 February 2020
Versions Notes

Abstract

Introduction: This document presents the Guideliness of the Polish Respiratory Society (PTChP, Polskie Towarzystwo Chorób Płuc) for diagnosis and treatment of idiopathic pulmonary fibrosis (IPF), developed by agroup of Polish experts. Material and methods: The recommendations were developed in the form of answers to previously formulated questions concer-ning everyday diagnostic and therapeutic challenges. They were developed based on acurrent literature review using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) methodology. Results: We formulated 28 recommendations for diagnosis (8), pharmacological treatment (12) as well as non-pharma-cological and palliative therapy (8). The experts suggest that surgical lung biopsy (SLB) not be performed in patients with the probable usual interstitial pneumonia (UIP) pattern, with an appropriate clinical context and unanimous opinion of a multidisciplinary team. The experts recommend using antifibrotic agents in IPF patients and suggest their use irrespective of the degree of functional impairment. As regards non-pharmacological and palliative treatment, strong re-commendations were formulated regarding pulmonary rehabilitation, oxygen therapy (in patients with chronic respiratory failure), preventive vaccinations as well as referring IPF patients to transplant centres. Table 1 presents an aggregate list of recommendations. Conclusions: The Polish Respiratory Society Working Group developed Guideliness for IPF diagnosis and treatment.
Keywords: diagnosis; idiopathic pulmonary fibrosis; treatment; differentiation; usual interstitial pneumonia diagnosis; idiopathic pulmonary fibrosis; treatment; differentiation; usual interstitial pneumonia

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MDPI and ACS Style

Piotrowski, W.J.; Bestry, I.; Białas, A.J.; Boros, P.W.; Grzanka, P.; Jassem, E.; Jastrzębski, D.; Klimczak, D.; Langfort, R.; Lewandowska, K.; et al. Guidelines of the Polish Respiratory Society for Diagnosis and Treatment of Idiopathic Pulmonary Fibrosis. Adv. Respir. Med. 2020, 88, 42-94. https://doi.org/10.5603/ARM.2020.0081

AMA Style

Piotrowski WJ, Bestry I, Białas AJ, Boros PW, Grzanka P, Jassem E, Jastrzębski D, Klimczak D, Langfort R, Lewandowska K, et al. Guidelines of the Polish Respiratory Society for Diagnosis and Treatment of Idiopathic Pulmonary Fibrosis. Advances in Respiratory Medicine. 2020; 88(1):42-94. https://doi.org/10.5603/ARM.2020.0081

Chicago/Turabian Style

Piotrowski, Wojciech J., Iwona Bestry, Adam J. Białas, Piotr W. Boros, Piotr Grzanka, Ewa Jassem, Dariusz Jastrzębski, Dariusz Klimczak, Renata Langfort, Katarzyna Lewandowska, and et al. 2020. "Guidelines of the Polish Respiratory Society for Diagnosis and Treatment of Idiopathic Pulmonary Fibrosis" Advances in Respiratory Medicine 88, no. 1: 42-94. https://doi.org/10.5603/ARM.2020.0081

APA Style

Piotrowski, W. J., Bestry, I., Białas, A. J., Boros, P. W., Grzanka, P., Jassem, E., Jastrzębski, D., Klimczak, D., Langfort, R., Lewandowska, K., Majewski, S., Martusewicz-Boros, M. M., Oniszh, K., Puścińska, E., Siemińska, A., Sobiecka, M., Szołkowska, M., Wiatr, E., Wilczyński, G., ... Kuś, J. (2020). Guidelines of the Polish Respiratory Society for Diagnosis and Treatment of Idiopathic Pulmonary Fibrosis. Advances in Respiratory Medicine, 88(1), 42-94. https://doi.org/10.5603/ARM.2020.0081

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