Current best clinical practices for monitoring of interstitial lung disease.

IF 2.9 3区 医学 Q2 RESPIRATORY SYSTEM Expert Review of Respiratory Medicine Pub Date : 2022-11-01 DOI:10.1080/17476348.2022.2162504
Elisabeth Bendstrup, Sissel Kronborg-White, Janne Møller, Thomas Skovhus Prior
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Abstract

Introduction: Interstitial lung diseases (ILDs) are a heterogeneous group of inflammatory and/or fibrotic conditions with variable outcome and often a dismal prognosis. Since many ILDs are progressive in nature, monitoring of signs and symptoms of progression is essential to inform treatment decisions and patient counseling. Monitoring of ILDs is a multimodality process and includes all aspects of the disease, e.g. measurement of pulmonary function and exercise capacity, symptom registration and quality of life (QoL), imaging, comorbidities and/or involvement of other organs to assess disease activity, symptom burden, treatment effects, adverse events, the need for supportive and palliative care, and lung transplantation.

Areas covered: For this narrative review, we searched the PUBMED database to identify articles relevant for monitoring ILDs, including pulmonary function tests, exercise capacity, imaging, telemedicine, symptoms, and QoL.

Expert opinion: Due to the high heterogeneity of the ILDs and their disease course, an individualized multimodality approach must be applied. Future strategies include use of telemedicine for home monitoring of lung function and symptoms, use of artificial intelligence to support automatized guidance of patients, computerized evaluation of ILD changes on imaging, and new imaging tools with less radiation dosage.

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目前监测间质性肺疾病的最佳临床实践。
肺间质性疾病(ILDs)是一种异质性的炎症和/或纤维化疾病,具有不同的结果,通常预后不佳。由于许多ild本质上是进行性的,因此监测进展的体征和症状对于告知治疗决策和患者咨询至关重要。ILDs的监测是一个多模式的过程,包括疾病的所有方面,例如肺功能和运动能力的测量、症状记录和生活质量(QoL)、影像学、合并症和/或其他器官的累及,以评估疾病活动性、症状负担、治疗效果、不良事件、支持和姑息治疗的需要,以及肺移植。涵盖领域:在这篇叙述性综述中,我们检索了PUBMED数据库,以确定与监测ild相关的文章,包括肺功能测试、运动能力、成像、远程医疗、症状和生活质量。专家意见:由于ild及其病程的高度异质性,必须采用个体化的多模式方法。未来的策略包括使用远程医疗进行肺功能和症状的家庭监测,使用人工智能支持患者的自动化指导,计算机评估ILD成像变化,以及使用更少辐射剂量的新成像工具。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
6.80
自引率
2.60%
发文量
90
期刊介绍: Coverage will include the following key areas: - Prospects for new and emerging therapeutics - Epidemiology of disease - Preventive strategies - All aspects of COPD, from patient self-management to systemic effects of the disease and comorbidities - Improved diagnostic methods, including imaging techniques, biomarkers and physiological tests. - Advances in the treatment of respiratory infections and drug resistance issues - Occupational and environmental factors - Progress in smoking intervention and cessation methods - Disease and treatment issues for defined populations, such as children and the elderly - Respiratory intensive and critical care - Updates on the status and advances of specific disease areas, including asthma, HIV/AIDS-related disease, cystic fibrosis, COPD and sleep-disordered breathing morbidity
期刊最新文献
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