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Guidelines of the Polish Respiratory Society for diagnosis and treatment of idiopathic pulmonary fibrosis.
Piotrowski, Wojciech Jerzy; Bestry, Iwona; Bialas, Adam J; Boros, Piotr W; Grzanka, Piotr; Jassem, Ewa; Jastrzebski, Dariusz; Klimczak, Dariusz; Langfort, Renata; Lewandowska, Katarzyna; Majewski, Sebastian; Martusewicz-Boros, Magdalena M; Onisch, Karina; Puscinska, Elzbieta; Sieminska, Alicja; Sobiecka, Malgorzata; Szolkowska, Malgorzata; Wiatr, Elzbieta; Wilczynski, Gracjan; Ziora, Dariusz; Kus, Jan.
Afiliación
  • Piotrowski WJ; Department of Pneumology and Allergy, Medical University of Lodz, Lodz, Poland. wojciech.piotrowski@umed.lodz.pl.
  • Bestry I; Department of Radiology, National Tuberculosis and Lung Diseases Research Institute in Warsaw, Poland.
  • Bialas AJ; Department of Pathobiology of Respiratory Diseases, Medical University of Lodz, Poland.
  • Boros PW; Lung Pathophysiology Department, National Tuberculosis and Lung Diseases Research Institute in Warsaw, Poland.
  • Grzanka P; Department of Radiology, Voivodeship Hospital in Opole, Poland.
  • Jassem E; Department of Allergology and Pneumonology, Medical University of Gdansk, Poland.
  • Jastrzebski D; Department of Lung Diseases and Tuberculosis, Medical University of Silesia, Zabrze, Poland.
  • Klimczak D; Patient, Polish Society for IPF Patients' Support, Poland.
  • Langfort R; Department of Pathology, National Tuberculosis and Lung Diseases Research Institute in Warsaw.
  • Lewandowska K; First Lung Diseases Department, National Tuberculosis and Lung Diseases Research Institute in Warsaw, Poland.
  • Majewski S; Department of Pneumology and Allergy, Medical University of Lodz, Poland.
  • Martusewicz-Boros MM; Third Lung Diseases and Oncology Department, National Tuberculosis and Lung Diseases Research Institute in Warsaw.
  • Onisch K; Department of Radiology, National Tuberculosis and Lung Diseases Research Institute in Warsaw, Poland.
  • Puscinska E; Second Department of Respiratory Medicine, National Tuberculosis and Lung Diseases Research Institute in Warsaw, Poland.
  • Sieminska A; Allergology Department, Medical University of Gdansk, Poland.
  • Sobiecka M; First Lung Diseases Department, National Tuberculosis and Lung Diseases Research Institute in Warsaw, Poland.
  • Szolkowska M; Department of Pathology, National Tuberculosis and Lung Diseases Research Institute in Warsaw.
  • Wiatr E; Third Lung Diseases and Oncology Department, National Tuberculosis and Lung Diseases Research Institute in Warsaw.
  • Wilczynski G; Patient, not affiliated.
  • Ziora D; Department of Allergology and Pneumonology, Medical University of Gdansk, Poland.
  • Kus J; First Lung Diseases Department, National Tuberculosis and Lung Diseases Research Institute in Warsaw, Poland.
Adv Respir Med ; 88(1): 41-93, 2020.
Article en En | MEDLINE | ID: mdl-32153010
INTRODUCTION: This document presents the guidelines of the Polish Respiratory Society (PTChP, Polskie Towarzystwo Chorób Pluc) 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 guidelines for IPF diagnosis and treatment.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Sociedades Médicas / Pautas de la Práctica en Medicina / Competencia Clínica / Fibrosis Pulmonar Idiopática Tipo de estudio: Diagnostic_studies / Guideline / Prognostic_studies Límite: Humans Idioma: En Revista: Adv Respir Med Año: 2020 Tipo del documento: Article País de afiliación: Polonia Pais de publicación: Suiza
Texto completo
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Imprimir
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Sociedades Médicas / Pautas de la Práctica en Medicina / Competencia Clínica / Fibrosis Pulmonar Idiopática Tipo de estudio: Diagnostic_studies / Guideline / Prognostic_studies Límite: Humans Idioma: En Revista: Adv Respir Med Año: 2020 Tipo del documento: Article País de afiliación: Polonia Pais de publicación: Suiza