Evidence map›Paper›PMID 40040894›Full record

ArticleERJ open research2025

The interstitial lung disease patient pathway: from referral to diagnosis.

Graham Lough, Rayid Abdulqawi, Gina Amanda, Katerina Antoniou, Arata Azuma, Milind Baldi, Ahmed Bayoumy, Jürgen Behr, Elisabeth Bendstrup, Demosthenes Bouros and 23 more

Abstract read
In one paragraph

Article in ERJ open research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Article
  2. Observational
  3. Article
  4. Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

33 authors.

Graham LoughRespiratory Effectiveness Group, Ely, UK.ORCID https://orcid.org/0000-0002-2767-9549
Rayid AbdulqawiKing Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia.ORCID https://orcid.org/0000-0002-0805-5714
Gina AmandaJakarta Islamic Hospital, Cempaka Putih, Indonesia.
Katerina AntoniouDept of Respiratory Medicine, and Laboratory of Molecular and Cellular Pneumonology, School of Medicine, University of Crete, Heraklion, Greece.ORCID https://orcid.org/0000-0002-0283-5293
Arata AzumaMihara General Hospital, Saitama, Japan.ORCID https://orcid.org/0000-0003-0506-9966
Milind BaldiJupiter Hospital, Indore, India.
Ahmed BayoumyChest unit, Internal Medicine Department, School of Medicine, Suez Canal University, Ismailia, Egypt.
Jürgen BehrDepartment of Medicine V, LMU University Hospital, LMU Munich, Member of the German Centre for Lung Research, Munich, Germany.
Elisabeth BendstrupAarhus University Hospital and Aarhus University, Aarhus, Denmark.ORCID https://orcid.org/0000-0002-4238-6963
Demosthenes BourosNational and Kapodistrian University of Athens, Athens, Greece.
Kevin BrownNational Jewish Health, Denver, CO, USA.
Nazia ChaudhuriUniversity of Ulster, Coleraine, UK.
Tamera J CorteRoyal Prince Alfred Hospital and University of Sydney, Sydney, Australia.
Vincent CottinUniversité Claude Bernard Lyon 1, Hospices Civils de Lyon, Lyon, France.ORCID https://orcid.org/0000-0002-5591-0955
Bruno CrestaniParis-Diderot University, Paris, France.ORCID https://orcid.org/0000-0002-2961-3455
Kevin R FlahertyUniversity of Michigan, Ann Arbor, MI, USA.
Ian GlaspoleAlfred Hospital and Monash University, Melbourne, Australia.
Leticia Kawano-DouradoHcor Research Institute, Hcor Hospital, Sao Paulo, Brazil.ORCID https://orcid.org/0000-0003-0784-1331
Michael P KeaneUniversity College Dublin, Dublin, Ireland.ORCID https://orcid.org/0000-0003-4507-0742
Martin KolbMcMaster University, Hamilton, ON, Canada.ORCID https://orcid.org/0000-0003-3837-1467
Fernando J MartinezCornell University, Ithaca, NY, USA.
Maria Molina-MolinaILD Unit, Hospital Universitario Bellvitge-IDIBELL, Barcelona, Spain.
Iñigo OjangurenUniversity Hospital Vall d'Hebron, Barcelona, Spain.ORCID https://orcid.org/0000-0003-1270-5772
Laurence PearmainWythenshawe Hospital, Manchester University NHS Foundation Trust, Manchester, UK.ORCID https://orcid.org/0000-0003-1288-3026
Ganesh RaghuUniversity of Washington, Seattle, WA, USA.
Paola RottoliUniversità degli Studi di Siena, Siena, Italy.
Stefan C StanelWythenshawe Hospital, Manchester University NHS Foundation Trust, Manchester, UK.
Gabriela TabajHospital Cetrangolo, Buenos Aires, Argentina.
Carlo VancheriUniversity of Catania, Catania, Italy.
Brenda VarelaHospital Alemán, Buenos Aires, Argentina.
Bonnie WangUniversity of Michigan Health System, Ann Arbor, MI, USA.
Athol WellsRoyal Brompton Hospital, London, UK.
Pilar Rivera-OrtegaWythenshawe Hospital, Manchester University NHS Foundation Trust, Manchester, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Suspected interstitial lung disease (ILD) patients may be referred to an ILD-specialist centre or a non-ILD-specialist centre for diagnosis and treatment. Early referral and management of patients at ILD-specialist centres has been shown to improve survival and reduce hospitalisations. The COVID-19 pandemic has affected the ILD patient diagnostic pathway and prompted centres to adapt. This study investigates and contrasts ILD patient pathways in ILD-specialist and non-ILD-specialist centres, focusing on referrals, caseloads, diagnostic tools, multi-disciplinary team (MDT) meeting practices and resource accessibility. Methods: Conducted as a cross-sectional study, a global self-selecting survey ran from September 2022 to January 2023. Participants included ILD specialists and healthcare professionals (HCPs) from ILD-specialist centres and non-ILD-specialist centres. Results: Of 363 unique respondents from 64 countries, 259 were from ILD-specialist centres and 104 from non-ILD-specialist centres. ILD centres had better resource availability, exhibiting higher utilisation of diagnostic tests (median: 12 tests) than non-ILD centres (nine tests) and better access to specialist professions attending MDT meetings (median: six professions at meeting) in specialist centres than non-ILD centres (three professions at meeting). Transitioning to virtual MDT meetings allowed HCPs from other locations to join meetings in nearly 90% of all centres, increasing regular participation in 60% of specialist centres and 72% of non-ILD centres. For treatment of patients, specialist centres had better access to antifibrotic drugs (91%) compared to non-ILD centres (60%). Conclusions: Diagnostic pathways for ILD patients diverged between specialist centres and non-ILD centres. Disparities in resource and specialist availability existed between centres.

Identifiers

PMID40040894
PMCPMC11874298

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.