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Histologist's original opinion compared with multidisciplinary team in determining diagnosis in interstitial lung disease.

Burge, P Sherwood and Reynolds, John H and Trotter, Simon and Burge, G A and Walters, G I (2017) Histologist's original opinion compared with multidisciplinary team in determining diagnosis in interstitial lung disease. Thorax, 72 (3). pp. 280-281. ISSN 1468-3296. This article is available to all HEFT staff and students via ASK Discovery tool http://tinyurl.com/z795c8c by using their HEFT Athens login IDs

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Official URL: http://thorax.bmj.com/content/72/3/280.long

Abstract

Guidelines recommend that multidisciplinary interstitial lung disease meeting (ILD MDT) decisions become the gold standard for diagnosis, replacing the histologist from this position, and identify this as requiring supportive evidence. We have compared diagnoses from lung biopsy material made by expert histologists with the subsequent consensus opinion from a properly constituted ILD MDT in 71 consecutive patients referred to a regional thoracic unit. MDT changed the original histological diagnoses in 30% (95% CI 19.3% to 41.6%) and strengthened the diagnoses from probable to confident in a further 17% (95% CI 9.1% to 27.7%). The assessment of hypersensitivity pneumonitis, non-necrotising granulomas and organising pneumonia accounted for the majority of the changes.

Item Type: Article
Additional Information: This article is available to all HEFT staff and students via ASK Discovery tool http://tinyurl.com/z795c8c by using their HEFT Athens login IDs
Subjects: WF Respiratory system. Respiratory medicine
Divisions: Clinical Support > Pathology
Clinical Support > Radiology
Planned IP Care > Respiratory Medicine
Related URLs:
Depositing User: Preeti Puligari
Date Deposited: 30 Mar 2017 10:45
Last Modified: 30 Mar 2017 10:45
URI: http://www.repository.heartofengland.nhs.uk/id/eprint/1304

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