Elisabeth Bendstrup

The characterisation of interstitial lung disease multidisciplinary team meetings: A global study

Research output: Contribution to journal/Conference contribution in journal/Contribution to newspaperJournal articleResearchpeer-review

  • Luca Richeldi, Fondazione Policlinico Universitario Agostino Gemelli IRCCS Università Cattolica del Sacro Cuore
  • ,
  • Naomi Launders, Respiratory Effectiveness Group
  • ,
  • Fernando Martinez, New York-Presbyterian Hospital/Weill Cornell Medical Center
  • ,
  • Simon L.F. Walsh, Royal Brompton Hospital
  • ,
  • Jeffrey Myers, University of Michigan, Ann Arbor, Michigan.
  • ,
  • Bonnie Wang, University of Michigan, Ann Arbor, Michigan.
  • ,
  • Mark Jones, University of Southampton
  • ,
  • Alison Chisholm, Respiratory Effectiveness Group
  • ,
  • Kevin R. Flaherty, University of Michigan, Ann Arbor, Michigan.
  • ,
  • Respiratory Effectiveness Group IPF/ILDWorking Group

Multidisciplinary team (MDT) diagnosis of interstitial lung disease (ILD) has been proposed as a gold standard, but there are no formal recommendations for MDT process or composition and limited knowledge regarding prevalence in routine practice. We performed a systematic evaluation of ILD diagnostic practice across a range of healthcare settings around the world. Electronic questionnaires were distributed across all global regions via society and collaborators networks. Responses from 457 unique centres across 64 countries were included in the analysis. Of the 350 (76.6%) centres holding formal meetings, the majority held face-to-face MDT meetings (80%), for a minimum of 30 min (93%), and discussed diagnosis (96.9%) and patient management (94.9%) at the meetings. Compared with non-academic and academic non-ILD centres, ILD academic centres reported a higher ILD caseload, held more formal MDT meetings, and were more likely to include histopathology and rheumatology specialists in their diagnostic team. Of the centres holding MDT meetings, 5.5% routinely discussed all new cases at such meetings. An MDT approach to ILD diagnosis is consistently interpreted and widely implemented across a range of routine care settings around the world. This observation will inform future ILD diagnostic agreement studies and diagnostic pathway recommendations.

Original languageEnglish
Article number00209-2018
JournalERJ Open Research
Publication statusPublished - Apr 2019

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