Evidence map›Paper›PMID 40989781›Full record

ArticleERJ open research2025

Online home spirometry in national pulmonary fibrosis care: insights from daily practice.

Gizal Nakshbandi, Catharina C Moor, Tonia Magrì, Marcel Veltkamp, Suzan F M Nijman, Marieke J Overbeek, Paul Bresser, J J M Geelhoed, Renee E Jonkers, Adriane D M Vorselaars and 5 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. Review
  3. Article
  4. Observational
  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

15 authors.

Gizal NakshbandiCentre of Excellence for Interstitial Lung Diseases and Sarcoidosis, Department of Respiratory Medicine, Erasmus University Medical Centre, Rotterdam, The Netherlands.
Catharina C MoorCentre of Excellence for Interstitial Lung Diseases and Sarcoidosis, Department of Respiratory Medicine, Erasmus University Medical Centre, Rotterdam, The Netherlands.ORCID https://orcid.org/0000-0002-5295-2877
Tonia MagrìCentre of Excellence for Interstitial Lung Diseases and Sarcoidosis, Department of Respiratory Medicine, Erasmus University Medical Centre, Rotterdam, The Netherlands.
Marcel VeltkampILD Center of Excellence, Department of Pulmonology, St Antonius Hospital, Nieuwegein, The Netherlands.
Suzan F M NijmanAmsterdam UMC Center of Expertise for ILD, Department of Pulmonary Medicine, Amsterdam University Medical Center, Location VUmc, Amsterdam, The Netherlands.
Marieke J OverbeekHaaglanden Medical Center, Department of Pulmonary Medicine, The Hague, The Netherlands.
Paul BresserDepartment of Respiratory Medicine, ILD Center of Excellence, OLVG, Amsterdam, The Netherlands.
J J M GeelhoedDepartment of Respiratory Medicine, Leiden University Medical Centre, Leiden, The Netherlands.
Renee E JonkersAmsterdam UMC Center of Expertise for ILD, Department of Pulmonary Medicine, Amsterdam University Medical Center, Location VUmc, Amsterdam, The Netherlands.
Adriane D M VorselaarsILD Center of Excellence, Department of Pulmonology, St Antonius Hospital, Nieuwegein, The Netherlands.
Lian TrapmanILD Center of Excellence, Department of Pulmonology, St Antonius Hospital, Nieuwegein, The Netherlands.ORCID https://orcid.org/0009-0000-3681-3140
Luca RicheldiUniversità Cattolica del Sacro Cuore and Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.
Sara BaartCentre of Excellence for Interstitial Lung Diseases and Sarcoidosis, Department of Biostatistics, Erasmus University Medical Centre, Rotterdam, The Netherlands.
Remy L M MostardDepartment of Respiratory Medicine, Zuyderland Medical Center, Heerlen, The Netherlands.
Marlies S WijsenbeekCentre of Excellence for Interstitial Lung Diseases and Sarcoidosis, Department of Respiratory Medicine, Erasmus University Medical Centre, Rotterdam, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Monitoring lung function course in patients with pulmonary fibrosis is crucial to guide treatment decisions. Online home spirometry holds great potential for close monitoring and improving care access in times of pressured healthcare systems. However, little data is available on its large-scale use in daily practice. We evaluated the clinical applicability of online home spirometry in pulmonary fibrosis care. Methods: We analysed data of a nationwide Dutch cohort of patients with idiopathic pulmonary fibrosis (IPF) and other forms of pulmonary fibrosis (PF) that used a home monitoring programme with home spirometry (forced vital capacity (FVC)) as part of daily practice. Changes in FVC were evaluated with a joint model. Within-patient variability was measured using coefficient of variation. Home spirometry use over time and patient experiences were assessed. Results: Online home spirometry data of 334 patients (IPF 73.1%) were analysed. Patients with IPF had a mean baseline FVC of 3.02 L (95% CI: 2.27-3.79), with a mean annualised decline of 170 mL (4.0%). Patients with PF had a mean baseline FVC of 2.81 L (95% CI: 2.07-3.55) with a mean annualised decline of 88 mL (1.2%). Mean±sd within-patient variability was 5.6±4.6%. Overall patient satisfaction was high, and after 1 year 63.4% still performed online home spirometry. Conclusion: Online home spirometry is feasible on a large scale in daily clinical practice to monitor disease trajectories in patients with IPF and PF. Online home spirometry could guide management decisions and improve care access for a majority of patients with pulmonary fibrosis.

Identifiers

PMID40989781
PMCPMC12451573

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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.