Evidence map›Paper›PMID 40527554›Full record

ArticleBMJ open2025

Can a virtual multi-centre multi-disciplinary discussion improve the diagnosis and management of interstitial lung disease? A retrospective cohort study across multiple institutions.

Lior Seluk, Ofir Deri, Nadav Furie, Inbal Shafran, Edith M Marom, Efrat Ofek, Marina Perelman, Merav Lidar, Osnat M Ravah, Mike Segal and 2 more

Abstract readMulticenter Study
In one paragraph

Article in BMJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
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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

12 authors.

Lior SelukNational Jewish Health, Denver, Colorado, USA liorseluk@gmail.com.ORCID http://orcid.org/0000-0003-0127-6626
Ofir DeriTel Aviv University, Tel Aviv, Israel.
Nadav FurieTel Aviv University, Tel Aviv, Israel.
Inbal ShafranTel Aviv University, Tel Aviv, Israel.
Edith M MaromTel Aviv University, Tel Aviv, Israel.
Efrat OfekTel Aviv University, Tel Aviv, Israel.
Marina PerelmanTel Aviv University, Tel Aviv, Israel.
Merav LidarTel Aviv University, Tel Aviv, Israel.
Osnat M RavahTel Aviv University, Tel Aviv, Israel.
Mike SegalTel Aviv University, Tel Aviv, Israel.
Michael PeledTel Aviv University, Tel Aviv, Israel.
Liran LevyTel Aviv University, Tel Aviv, Israel.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionMulti-disciplinary discussions (MDDs) improve diagnosis and management of interstitial lung disease (ILD). The value of a virtual multi-centre MDD (V-MCMDD) incorporating expertise from multiple institutions remains underexplored. This study aimed to evaluate the impact of a V-MCMDD on diagnosis and management in ILD.

methodsWe conducted a retrospective multi-centre cohort study involving tertiary and secondary hospital clinics, private practices and community outpatient centres, all participating via a virtual platform. Between August 2020 and June 2023, patient cases were reviewed through V-MCMDDs, which included clinical, radiological, pathological and laboratory data. Each case was discussed to reach a consensus diagnosis and management plan.

resultsFollowing the V-MCMDD review, the diagnosis was revised in 51% of patients (p=0.031), and management plans were modified in 41% of cases. A significant shift in treatment was observed in patients with changed diagnoses vs unchanged diagnoses (p value=0.002).

conclusionsOur findings suggest that the implementation of V-MCMDDs can be valuable in the diagnostic and therapeutic process for ILD. Incorporating input from multiple centres via a virtual format can lead to significant changes in both diagnosis and management, potentially improving patient outcomes.

Indexed as

Interdisciplinary CommunicationLung Diseases, InterstitialPatient Care TeamAgedFemaleHumansMaleMiddle AgedRetrospective StudiesInterstitial lung diseasePulmonary DiseaseTelemedicine

Identifiers

PMID40527554
PMCPMC12182146

What OpenQuestion holds

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Registered trials

None linked

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.