Evidence map›Paper›PMID 42631904›Full record

ArticleClinical rheumatology2026

Prognostic impact of autoimmune features in interstitial lung disease: a single-center retrospective real-world cohort study.

Koki Nakamura, Shuhei Shimoyama, Nobuya Abe, Satoshi Yabusaki, Tetsuya Horita

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Article in Clinical rheumatology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

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5 authors.

Koki NakamuraDepartment of Internal Medicine, Tomakomai City Hospital, 1-5-20, Shimizu-Cho, Tomakomai, 053-8567, Japan.
Shuhei ShimoyamaDepartment of Internal Medicine, Tomakomai City Hospital, 1-5-20, Shimizu-Cho, Tomakomai, 053-8567, Japan. shimos@med.hokudai.ac.jp.ORCID http://orcid.org/0000-0002-1666-0332
Nobuya AbeDepartment of Internal Medicine, Tomakomai City Hospital, 1-5-20, Shimizu-Cho, Tomakomai, 053-8567, Japan.
Satoshi YabusakiDepartment of Radiology, Tomakomai City Hospital, 1-5-20, Shimizu-Cho, Tomakomai, 053-8567, Japan.
Tetsuya HoritaDepartment of Internal Medicine, Tomakomai City Hospital, 1-5-20, Shimizu-Cho, Tomakomai, 053-8567, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe real-world prognostic differences among connective tissue disease-associated interstitial lung disease (CTD-ILD), interstitial pneumonia with autoimmune features (IPAF), and interstitial pneumonia/idiopathic pulmonary fibrosis (IIP/IPF) remain uncertain, and the prognostic impact of baseline immunosuppressive treatment (IST) and radiologic disease extent are also unclear. We aimed to investigate whether autoimmune background was associated with survival in ILD and to identify prognostic factors at diagnosis.

methodThis single-center retrospective cohort study involved 566 patients with ILD who underwent high-resolution computed tomography (HRCT). Patients were classified into CTD-ILD, IPAF, or IIP/IPF. Survival was assessed using Kaplan-Meier methods and Cox models. Missing data were addressed with multiple imputations.

resultsThe CTD-ILD and IPAF groups showed better survival than IIP/IPF group. In the primary multivariable model using multiple imputation, ordinal ILD classification was associated with survival (hazard ratio [HR]: 0.75, 95% confidence interval [CI]: 0.59-0.95). Older age (HR: 1.03, 95% CI: 1.02-1.05), male sex (HR: 1.88, 95% CI: 1.27-2.79), and diffuse alveolar damage pattern (HR: 2.85, 95% CI: 1.35-6.00) were associated with higher mortality, whereas higher forced vital capacity (HR: 0.98, 95% CI: 0.97-0.99) and baseline IST exposure (HR: 0.51, 95% CI: 0.32-0.83) were associated with better survival. HRCT-derived ILD extent was not associated with mortality. In complete-case analysis, ILD classification was not associated with survival.

conclusionsIn this real-world ILD cohort, CTD-ILD and IPAF were associated with better survival than IIP/IPF; however, the association was not retained in complete-case analysis. Baseline IST exposure was associated with survival. Key Points • Prognostic impact of autoimmune background in ILD on everyday clinical situations has not been clarified. • CTD-ILD and IPAF were associated with better survival than IIP/IPF in a real-world ILD cohort. • Baseline IST exposure was associated with survival in ILD.

Indexed as

Autoimmune DiseasesConnective Tissue DiseasesLung Diseases, InterstitialAgedFemaleHumansIdiopathic Pulmonary FibrosisImmunosuppressive AgentsKaplan-Meier EstimateMaleMiddle AgedPrognosisProportional Hazards ModelsRetrospective StudiesTomography, X-Ray ComputedImmunosuppressive AgentsAutoimmune featuresConnective tissue disease–associated interstitial lung diseaseIdiopathic pulmonary fibrosisInterstitial pneumonia with autoimmune featuresPrognosis

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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.