MULTI-DIMENSIONAL INDECES TO STAGE IDIOPATHIC PULMONARY FIBROSIS: A SYSTEMATIC REVIEW

作者：Rozanski Camilla; Mura Marco^*

来源：Sarcoidosis Vasculitis and Diffuse Lung Diseases, 2014, 31(1): 8-18.

• Idiopathic pulmonary fibrosis
• multi-dimensional
• staging
• prognosis
• survival
• scoring system

Idiopathic pulmonary fibrosis (IPF) has the highest mortality rate among all interstitial lung diseases, with a mean survival time of 2 to 3 years from the time of diagnosis. Prognosis is difficult to determine, due to the recognised heterogeneous progression of the disease, as well as lack of a well recognized staging system. This in turn raises challenges when considering therapeutic options for IPF patients, such as lung transplantation, versus a more conservative approach. Multiple independent factors have been identified as prognostic indicators in IPF, and a number of studies have proposed multi-dimensional indices that combine several parameters in order to achieve a more accurate delineation of disease progression. In this systematic review, the Medline database was used to identify studies in the area of multi-dimensional staging of IPF. We analysed and critically appraised previously proposed prognostic scoring systems. Our aim is to encourage research developments in this area to help identify an optimal multi-dimensional staging system for IPF.

• 出版日期2014