The importance of applying diagnostic criteria from consensus 2011 to diagnose idiopathic pulmonary fibrosis (IPF) in a referral site

Jose Omar Barreto-Rodriguez, Mayra Mejia, Ivette Buendia-Roldan
2016 Pulmonary and Critical Care Medicine  
This study was aimed to determine the frequency of idiopathic pulmonary fibrosis (IPF) diagnosis in different clinical services in the Instituto Nacional de Enfermedades Respiratorias "Dr. Ismael Cosio Villegas" (INER). Based on 2009-2013 INER biostatistics report, the frequency for IPF was determined. The files of patients with a HRCT compatible and probable to have usual interstitial pneumonia (UIP) were requested, diagnosis was confirmed and clinical, pulmonary function and treatment data of
more » ... d treatment data of patients with confirmed diagnosis was analysed; the frequency of disease was re-calculated following compliance of criteria from Consensus 2011. Diffuse interstitial lung diseases (ILD) accounted for 8.7% of admissions at INER, with 12.6% of them being diagnosed as IPF, which corresponds to 1.1% of total admissions at INER. Following Consensus 2011, 80 IPF cases were confirmed with the frequency reduced to 4.16% compared to ILD and to 0.36% compared to total admissions. This allowed us detect that there are great problems in diagnosis of IPF due to noncompliance of Consensus 2011 outside the clinical service for interstitial diseases.
doi:10.15761/pccm.1000103 fatcat:m2x5elcb3ndlhpz2ni6mcfm3n4