Abstract
Background and objective: Temporal trends of healthcare use in the period before a diagnosis of pulmonary fibrosis are poorly understood. We investigated trends in respiratory symptoms and LR HRU in the 10 years prior to diagnosis. Methods: We analysed a primary care clinical cohort database (UK OPCRD) and assessed patients aged ≥40 years who had an electronically coded diagnosis of pulmonary fibrosis between 2005 and 2015 and a minimum 2 years of continuous medical records prior to diagnosis. Exclusion criteria consisted of electronic codes for recognized causes of pulmonary fibrosis such as CTD, sarcoidosis or EAA. Results: Data for 2223 patients were assessed. Over the 10 years prior to diagnosis of pulmonary fibrosis, there was a progressive increase in HRU across multiple LR-related domains. Five years before diagnosis, 18% of patients had multiple healthcare contacts for LR complaints; this increased to 79% in the year before diagnosis, with 38% of patients having five or more healthcare contacts. Conclusion: There are opportunities to diagnose pulmonary fibrosis at an earlier stage; research into case-finding algorithms and strategies to educate primary care physicians is required.
Original language | English |
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Pages (from-to) | 1274-1282 |
Number of pages | 9 |
Journal | Respirology |
Volume | 25 |
Issue number | 12 |
Early online date | 11 May 2020 |
DOIs | |
Publication status | Published - Dec 2020 |
Keywords
- clinical epidemiology
- clinical respiratory medicine
- cough
- pulmonary fibrosis
- respiratory function tests
Profiles
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Andrew Wilson
- Norwich Medical School - Clinical Professor
- Metabolic Health - Member
- Cardiovascular and Metabolic Health - Member
- Respiratory and Airways Group - Member
Person: Research Group Member, Research Centre Member, Academic, Teaching & Research