The characterisation of interstitial lung disease multidisciplinary team meetings: a global study. Issue 2 (1st April 2019)

• Record Type: Journal Article
• Authors: Richeldi, Luca; Launders, Naomi; Martinez, Fernando; Walsh, Simon L.F.; Myers, Jeffrey; Wang, Bonnie; Jones, Mark; Chisholm, Alison; Flaherty, Kevin R.
• Other Names: author non-byline.; David-Wang Aileen author non-byline.; Morais Antonio author non-byline.; Azuma Arata author non-byline.; Crestani Bruno author non-byline.; Vancheri Carlo author non-byline.; Youakim Carole author non-byline.; Fell Charlene D. author non-byline.; Ryerson Christopher J. author non-byline.; Bouros Demosthenes author non-byline.; Bendstrup Elisabeth author non-byline.; Morell Ferran author non-byline.; Bonella Francesco author non-byline.; Raghu Ganesh author non-byline.; Christoff George author non-byline.; Ferrara Giovanni author non-byline.; Glaspole Ian author non-byline.; Rosas Ivan author non-byline.; Behr Jürgen author non-byline.; DeBoer Kaissa author non-byline.; Antoniou Katerina M. author non-byline.; Dheda Keertan author non-byline.; Brown Kevin author non-byline.; Planas-Cerezales Lurdes author non-byline.; Sköld Magnus author non-byline.; Funke Manuela author non-byline.; Molina-Molina Maria author non-byline.; Mazzei Mariano author non-byline.; Kolb Martin author non-byline.; Selman Moises author non-byline.; Rottoli Paola author non-byline.; Spagnolo Paolo author non-byline.; Rivera-Ortega Pilar author non-byline.; Avdeev Sergey author non-byline.; Quandrelli Silvia author non-byline.; Corte Tamera J. author non-byline.; Maher Toby M. author non-byline.; Cottin Vincent author non-byline.; Wuyts Wim author non-byline.; Jun Xu Zuo author non-byline.;
• Is Part Of: ERJ open research. Volume 5:Issue 2(2019)
• Publication Date: 2019-04-01
• Subjects: Respiratory organs -- Diseases -- Periodicals; Respiration -- Periodicals; Respiration; Respiratory organs -- Diseases; Respiratory organs -- Diseases -- Treatment; Respiratory Tract Diseases; Electronic journals; Fulltext; Internet Resources; Periodicals; Periodical; 616.2005
• DOI: 10.1183/23120541.00209-2018
• Languages: English
• ISSNs: 2312-0541

Abstract

Multidisciplinary team (MDT) diagnosis of interstitial lung disease (ILD) has been proposed as a gold standard, but there are no formal recommendations for MDT process or composition and limited knowledge regarding prevalence in routine practice. We performed a systematic evaluation of ILD diagnostic practice across a range of healthcare settings around the world. Electronic questionnaires were distributed across all global regions via society and collaborators networks. Responses from 457 unique centres across 64 countries were included in the analysis. Of the 350 (76.6%) centres holding formal meetings, the majority held face-to-face MDT meetings (80%), for a minimum of 30 min (93%), and discussed diagnosis (96.9%) and patient management (94.9%) at the meetings. Compared with non-academic and academic non-ILD centres, ILD academic centres reported a higher ILD caseload, held more formal MDT meetings, and were more likely to include histopathology and rheumatology specialists in their diagnostic team. Of the centres holding MDT meetings, 5.5% routinely discussed all new cases at such meetings. An MDT approach to ILD diagnosis is consistently interpreted and widely implemented across a range of routine care settings around the world. This observation will inform future ILD diagnostic agreement studies and diagnostic pathway recommendations. In real-world practice, ILD diagnosis uses a multidisciplinary team approach, irrespective of country or healthcare setting http://ow.ly/I1Di30nMNTX