Publications

BibTex format

@article{Barber:2019:10.1136/bmjresp-2019-000469,
author = {Barber, CM and Burge, PS and Feary, JR and Parfrey, H and Renzoni, EA and Spencer, LG and Walters, GI and Wiggans, RE and Adamali, H and Babu, S and Barrat, S and Basran, A and Beirne, P and Bianchi, S and Chalmers, G and Chaudhuri, N and Davies, S and Dempsey, O and Eccles, S and Fiddler, C and Foley, N and Forrest, I and Fletcher, S and George, P and Ghani, S and Gibbons, M and Greenstone, M and Hart, S and Hirani, N and Hoyle, J and Hoyles, R and Hutchinson, J and Jenkins, G and Judge, E and Kamath, A and Kokosi, M and Lee, C and Maher, T and Marshall, B and McAndrew, N and Molyneux, P and Morrison, D and O'Hickey, S and Porter, J and Renshaw, S and Sharp, C and Simler, N and Spears, M and Spiers, A and Spinks, K and Spiteri, M and Stenton, C and Sturney, S and Warburton, C and Wiscombe, S and Woodhead, F},
doi = {10.1136/bmjresp-2019-000469},
journal = {BMJ Open Respiratory Research},
pages = {1--6},
title = {Identifying causation in hypersensitivity pneumonitis: a British perspective},
url = {http://dx.doi.org/10.1136/bmjresp-2019-000469},
volume = {6},
year = {2019}
}

Download

RIS format (EndNote, RefMan)

TY  - JOUR
AB  - Background Establishing whether patients are exposed to a ‘known cause’ is a key element in both the diagnostic assessment and the subsequent management of hypersensitivity pneumonitis (HP).Objective This study surveyed British interstitial lung disease (ILD) specialists to document current practice and opinion in relation to establishing causation in HP.Methods British ILD consultants (pulmonologists) were invited by email to take part in a structured questionnaire survey, to provide estimates of demographic data relating to their service and to rate their level of agreement with a series of statements. A priori ‘consensus agreement’ was defined as at least 70% of participants replying that they ‘Strongly agree’ or ‘Tend to agree’.Results 54 consultants took part in the survey from 27 ILD multidisciplinary teams. Participants estimated that 20% of the patients in their ILD service have HP, and of these, a cause is identifiable in 32% of cases. For patients with confirmed HP, an estimated 40% have had a bronchoalveolar lavage for differential cell counts, and 10% a surgical biopsy. Consensus agreement was reached for 25 of 33 statements relating to causation and either the assessment of unexplained ILD or management of confirmed HP.Conclusions This survey has demonstrated that although there is a degree of variation in the diagnostic approach for patients with suspected HP in Britain, there is consensus opinion for some key areas of practice. There are several factors in clinical practice that currently act as potential barriers to identifying the cause for British HP patients.
AU  - Barber,CM
AU  - Burge,PS
AU  - Feary,JR
AU  - Parfrey,H
AU  - Renzoni,EA
AU  - Spencer,LG
AU  - Walters,GI
AU  - Wiggans,RE
AU  - Adamali,H
AU  - Babu,S
AU  - Barrat,S
AU  - Basran,A
AU  - Beirne,P
AU  - Bianchi,S
AU  - Chalmers,G
AU  - Chaudhuri,N
AU  - Davies,S
AU  - Dempsey,O
AU  - Eccles,S
AU  - Fiddler,C
AU  - Foley,N
AU  - Forrest,I
AU  - Fletcher,S
AU  - George,P
AU  - Ghani,S
AU  - Gibbons,M
AU  - Greenstone,M
AU  - Hart,S
AU  - Hirani,N
AU  - Hoyle,J
AU  - Hoyles,R
AU  - Hutchinson,J
AU  - Jenkins,G
AU  - Judge,E
AU  - Kamath,A
AU  - Kokosi,M
AU  - Lee,C
AU  - Maher,T
AU  - Marshall,B
AU  - McAndrew,N
AU  - Molyneux,P
AU  - Morrison,D
AU  - O'Hickey,S
AU  - Porter,J
AU  - Renshaw,S
AU  - Sharp,C
AU  - Simler,N
AU  - Spears,M
AU  - Spiers,A
AU  - Spinks,K
AU  - Spiteri,M
AU  - Stenton,C
AU  - Sturney,S
AU  - Warburton,C
AU  - Wiscombe,S
AU  - Woodhead,F
DO  - 10.1136/bmjresp-2019-000469
EP  - 6
PY  - 2019///
SN  - 2052-4439
SP  - 1
TI  - Identifying causation in hypersensitivity pneumonitis: a British perspective
T2  - BMJ Open Respiratory Research
UR  - http://dx.doi.org/10.1136/bmjresp-2019-000469
UR  - http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000500491400024&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=1ba7043ffcc86c417c072aa74d649202
UR  - https://bmjopenrespres.bmj.com/content/6/1/e000469
UR  - http://hdl.handle.net/10044/1/75869
VL  - 6
ER  -

Download

Professor Toby Maher

Contact

Assistant

Location

Summary

Citation

BibTex format

RIS format (EndNote, RefMan)