European Respiratory Review (Dec 2018)

Healthcare utilisation and costs in the diagnosis and treatment of progressive-fibrosing interstitial lung diseases

  • Colin Holtze,
  • Kevin Flaherty,
  • Michael Kreuter,
  • Fabrizio Luppi,
  • Teng Moua,
  • Carlo Vancheri,
  • Mary B. Scholand

DOI
https://doi.org/10.1183/16000617.0078-2018
Journal volume & issue
Vol. 27, no. 150

Abstract

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There are over 200 interstitial lung diseases (ILDs). In addition to patients with idiopathic pulmonary fibrosis (IPF), a percentage of patients with other ILDs also develop progressive fibrosis of the lung during their disease course. Patients with progressive-fibrosing ILDs may show limited response to immunomodulatory therapy, worsening symptoms and lung function and, ultimately, early mortality. There are few data for ILDs that may present a progressive fibrosing phenotype specifically, but we believe the burden and healthcare costs associated with these conditions may be comparable to those reported in IPF. This review discusses the burden of ILDs that may present a progressive fibrosing phenotype and the factors impacting healthcare utilisation.