Evidence map›Paper›PMID 42259569›Full record

Observational studyBMJ open respiratory research2026

Application of the Idiopathic Pulmonary Fibrosis Patient-Reported Outcome Measure (IPF-PROM) scale to a Greek IPF patient population and its interrelation with depressive symptoms and health-related quality of life.

Maria Tziraki, Andreas M Matthaiou, Manolis Linardakis, Eirini Vasarmidi, Aristea Zouraraki, Nikoleta Bizymi, Dimitrios Papagiannis, Ioannis Tomos, Foteini Malli, Zoe Daniil and 3 more

Abstract readObservational StudyMulticenter Study
In one paragraph

Observational study in BMJ open respiratory research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Observational
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

13 authors.

Maria TzirakiDepartment of Nursing, University of Thessaly, Larissa, Greece.
Andreas M MatthaiouDepartment of Respiratory Medicine, University Hospital of Heraklion, School of Medicine, University of Crete, Heraklion, Greece.ORCID http://orcid.org/0000-0003-1941-0213
Manolis Linardakis *Department of Social Medicine, School of Medicine, University of Crete, Heraklion, Greece.
Eirini Vasarmidi *Department of Respiratory Medicine, University Hospital of Heraklion, School of Medicine, University of Crete, Heraklion, Greece.ORCID http://orcid.org/0000-0003-0747-0227
Aristea ZourarakiDepartment of Respiratory Medicine, University Hospital of Heraklion, School of Medicine, University of Crete, Heraklion, Greece.
Nikoleta BizymiDepartment of Respiratory Medicine, University Hospital of Heraklion, School of Medicine, University of Crete, Heraklion, Greece.ORCID http://orcid.org/0000-0001-5199-1519
Dimitrios PapagiannisDepartment of Nursing, University of Thessaly, Larissa, Greece.ORCID http://orcid.org/0000-0001-6123-559X
Ioannis Tomos5th Department of Respiratory Medicine, Sotiria Thoracic Diseases General Hospital of Athens, Athens, Greece.
Foteini MalliDepartment of Nursing, University of Thessaly, Larissa, Greece.
Zoe DaniilDepartment of Respiratory Medicine, University Hospital of Larissa, Faculty of Medicine, University of Thessaly, Larissa, Greece.ORCID http://orcid.org/0000-0002-1058-9125
Anne-Marie RussellCollege of Medicine and Health, University of Birmingham, Birmingham, UK.ORCID http://orcid.org/0000-0002-0468-3537
Katerina M Antoniou *Department of Respiratory Medicine, University Hospital of Heraklion, School of Medicine, University of Crete, Heraklion, Greece kantoniou@uoc.gr.ORCID http://orcid.org/0009-0006-0207-4582
Emmanouil K Symvoulakis *Department of Social Medicine, School of Medicine, University of Crete, Heraklion, Greece.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIdiopathic pulmonary fibrosis (IPF) is a progressive debilitating lung disease which affects physical and mental well-being. The IPF Patient-Reported Outcome Measure (IPF-PROM) scale is a validated and reliable tool for the self-report of physical and psychological well-being in IPF. AIMS AND

objectivesThis study aimed to validate a Greek version of the IPF-PROM scale and further investigate its correlation with clinical features of IPF patients and its interrelation with depressive symptoms and health-related quality of life (HRQoL).

methodsThis was a two-centre, observational, cross-sectional study, in which IPF patients completed three scales: IPF-PROM, Patient Health Questionnaire-9 (PHQ-9), an index of depressive symptoms, and Health Survey Questionnaire Short Form-12 (SF-12), an index of HRQoL, at the IPF Outpatient Clinics of two University Hospitals in Greece during 2023-2024. Logistic regression analysis was conducted to assess severe status of IPF-PROM compared with mild/moderate status.

resultsThe study involved 136 IPF patients (87.9% males) with a mean age of 73.5±7.9 years. Patients were classified overall with moderate disease according to IPF-PROM mean scores (41.7±31.3), particularly in the combined Breathlessness/Fatigue and the Psychological well-being components (40.1 and 43.8, respectively, p>0.050). Patients with severe symptoms, as measured by IPF-PROM, scored higher levels of depressive symptoms on PHQ-9 compared with those with moderate or mild symptoms (17.1, 12.3 and 1.4, respectively, p<0.001) and lower levels of HRQoL in physical (32.6, 34.7 and 47.9, p<0.001) and mental health on SF-12 (23.9, 34.5 and 50.3, p<0.001). Patients with incrementally higher levels of oxygen saturation had lower odds for severe health status according to IPF-PROM (OR=0.83, p=0.018).

conclusionsA significant percentage of IPF patients present with impaired health status and symptoms suggestive of depression. The IPF-PROM scale represents a useful tool that may predict impairment of mental health and HRQoL in IPF, with potential utility for clinical practice and research.

Indexed as

DepressionIdiopathic Pulmonary FibrosisPatient Reported Outcome MeasuresQuality of LifeAgedAged, 80 and overCross-Sectional StudiesFemaleGreeceHumansMaleReproducibility of ResultsSeverity of Illness IndexSurveys and QuestionnairesIdiopathic Pulmonary FibrosisPatient Outcome Assessment

Identifiers

PMID42259569
PMCPMC13250230

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.