Management and attitudes about IPF (Idiopathic Pulmonary Fibrosis) among physicians from Latin America

BMC Pulm Med. 2018 Jan 10;18(1):5. doi: 10.1186/s12890-017-0569-1.

Abstract

Background: The aim of our study was to assess current practice patterns and attitudes towards diagnosis and management of idiopathic pulmonary fibrosis (IPF) patients in Latin America.

Methods: A Cross-sectional survey was developed and up to 455 physicians were enrolled. We used a rigorous method of validation using the translated version of the AIR Survey.

Results: Mean age was 47.5 years (SD 12.6) with 20.4 years (SD 12.3) of practice. In around 30% of physicians were reported access to radiologist, pathologist and multidisciplinary team. Despite almost all physicians reported that (ATS/ERS/JRS/ALAT) guidelines are useful, half of them prescribed corticoids for treatment of disease. Most respondents (69.9%) reported cough as the presenting symptom. Around 80% considered IPF to be an important clinical disorder, and felt that identifying patients at risk for IPF was important or extremely important. However, only 59.7% felt confident in managing patients with IPF, and similar numbers (60.8%) felt confident about their knowledge. Pulmonologist have more confidence and management of IPF that no pulmonologist.

Conclusion: The results of this survey of Latin American physicians could help to fill gaps regarding awareness, management and treatment of IPF and improve earlier diagnosis of IPF.

Keywords: Attitudes; Health knowledge; Idiopathic pulmonary fibrosis; Latin America; Physicians; Practice; Surveys and questionnaires.

Publication types

  • Comparative Study

MeSH terms

  • Adult
  • Attitude of Health Personnel*
  • Clinical Competence
  • Cross-Sectional Studies
  • Disease Progression
  • Female
  • Humans
  • Idiopathic Pulmonary Fibrosis / diagnosis*
  • Idiopathic Pulmonary Fibrosis / physiopathology
  • Idiopathic Pulmonary Fibrosis / therapy*
  • Latin America
  • Male
  • Middle Aged
  • Pathology
  • Patient Care Team
  • Practice Guidelines as Topic
  • Practice Patterns, Physicians'*
  • Pulmonary Medicine*
  • Radiology
  • Risk Factors
  • Self Efficacy
  • Surveys and Questionnaires