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Guler SA, Scheschkowski T, Renner A, Kämpf L, Gasser M, Maurer B. Interdisciplinary Diagnosis and Management of Patients with Interstitial Lung Disease and Connective Tissue Disease. Chest 2024:S0012-3692(24)00281-2. [PMID: 38447641 DOI: 10.1016/j.chest.2024.02.045] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/28/2023] [Revised: 02/07/2024] [Accepted: 02/26/2024] [Indexed: 03/08/2024] Open
Abstract
Diagnosis of interstitial lung diseases (ILD) can be challenging, and the identification of an associated connective tissue disease (CTD) is crucial to estimate prognosis and establish the optimal treatment approach. Diagnostic delay, limited expertise and fragmented care are barriers that impede the delivery of comprehensive healthcare for patients with rare, complex and multiorgan diseases such as CTD and ILD. In this article we present our perspective on the interdisciplinary diagnosis and interprofessional treatment of patients with ILD and suspected CTD or CTD at risk for ILD. We outline the structure of our service, delineating the roles and responsibilities of the team members. Additionally, we provide an overview of our patient population including diagnostic approaches and specific treatments and illustrate a patient case. Furthermore, we focus on specific benefits and challenges of joint interdisciplinary and interprofessional patient consultations. The importance of rheumatology and pulmonology assessments in specific patient populations is emphasized. Finally, we explore future directions and discuss potential strategies to improve care delivery for patients with CTD-ILD.
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Affiliation(s)
- Sabina A Guler
- Department for Pulmonary Medicine, Allergology and Clinical Immunology, Inselspital, Bern University Hospital, University of Bern, Switzerland; Lung Precision Medicine (LPM), Department for BioMedical Research (DBMR), University of Bern, Switzerland.
| | - Tobias Scheschkowski
- Department for Pulmonary Medicine, Allergology and Clinical Immunology, Inselspital, Bern University Hospital, University of Bern, Switzerland
| | - Anja Renner
- Department for Pulmonary Medicine, Allergology and Clinical Immunology, Inselspital, Bern University Hospital, University of Bern, Switzerland
| | - Lea Kämpf
- Department for Pulmonary Medicine, Allergology and Clinical Immunology, Inselspital, Bern University Hospital, University of Bern, Switzerland
| | - Matthias Gasser
- Department of Rheumatology and Immunology, Inselspital, Bern University Hospital, University of Bern, Switzerland
| | - Britta Maurer
- Lung Precision Medicine (LPM), Department for BioMedical Research (DBMR), University of Bern, Switzerland; Department of Rheumatology and Immunology, Inselspital, Bern University Hospital, University of Bern, Switzerland
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Scheschkowski T, Budweiser S. Nichtinvasive Beatmung – Schritt für Schritt. Dtsch Med Wochenschr 2017; 142:1075-1080. [DOI: 10.1055/s-0042-107961] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Pitton MB, Scheschkowski T, Ring M, Herber S, Oberholzer K, Leicher-Düber A, Neufang A, Schmiedt W, Düber C. Ten-Year Follow-Up of Endovascular Aneurysm Treatment with Talent Stent-Grafts. Cardiovasc Intervent Radiol 2009; 32:906-17. [DOI: 10.1007/s00270-009-9599-2] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/01/2009] [Revised: 03/05/2009] [Accepted: 03/16/2009] [Indexed: 11/24/2022]
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Pitton MB, Scheschkowski T, Herber S, Neufang A, Schmiedt W, Düber C. 10-Jahre Verlaufsbeobachtung nach endovaskulärer Aneurysmatherapie mittels Talent-Stentprothesen. ROFO-FORTSCHR RONTG 2008. [DOI: 10.1055/s-2008-1073508] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Lachmann R, Scheschkowski T, Herber S, Schmiedt W, Neufang A, Düber C, Pitton MB. Endovaskuläre Therapie von Abdominellen Aortenaneurysmen durch Stentprothesen der 1. und 2. Generation: Klinisch-radiologische Ergebnisse im Langzeitverlauf. ROFO-FORTSCHR RONTG 2008. [DOI: 10.1055/s-2008-1073509] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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