ATS Pocket Guide 2013 - (Page 24)
IPF M O NI TO RIN G C L INIC A L DIS E A S E COU R SE
SUMMARY OF CLINICAL MANAGEMENT OF IPF1
Figure 5 Schematic Pathway for Clinical Management of Patients with IPF
If increased risk of mortality
(Table 7), evaluate and list for
lung transplantation at the
time of diagnosis
TREATMENT
CONSIDERATIONS
Dx of IPF
(Figure 3
and
Table 6)
NONPHARMACOLOGICAL
* Oxygen supplementation
(if hypoxemic)
*Pulmonary rehabilitation
PHARMACOLOGICAL
Discuss therapies with Weak No
recommendarions
with patients based on their
individual values
and preferences
COMORBIDITIES
*Pulmonary hypertension
*Gastroesophageal
SYMPTOM CONTROL
DISEASE PROGRESSION
(see text)
Monitor every 4-6 months
or sooner as clinically
indicated
Evaluate and list for
lung transplantation
ACUTE EXARCERBATION
Corticosteroids
RESPIRATORY FAILURE
(due to progression of IPF)
Patients should be made aware of available clinical
trials for possible enrollment at all stages.
Dx = diagnosis; IPF = idiopathic pulmonary fibrosis.
Reprinted with permission of the American Thoracic Society. Copyright © 2013 American Thoracic Society.
Raghu G, Collard H, et al. An Official ATS/ERS/JRS/ALAT Statement: Idiopathic Pulmonary Fibrosis: Evidence-based Guidelines for
Diagnosis and Management. Am J Respir Crit Care Med. 2011; 183: 788–824. Official Journal of the American Thoracic Society.
References
1. Raghu G, Collard H, et al. An Official ATS/ERS/JRS/ALAT Statement: Idiopathic Pulmonary Fibrosis: Evidence-based Guidelines for
Diagnosis and Management. Am J Respir Crit Care Med. 2011; 183: 788–824.
2. Raghu G, Collard H, et al. Online Supplement to A Joint ATS/ERS/JRS/ALAT Statement: Idiopathic Pulmonary Fibrosis: Evidence-based
Guidelines for Diagnosis and Management. Am J Respir Crit Care Med. 2011.
3. Raghu, G. et. al. Prednisone, Azathioprine, and N-Acetylcysteine for Pulmonary Fibrosis. N Engl J Med. 2012; 366: 1968-1977.
4. Noth, I et. al. A Placebo-Controlled Randomized Trial of Warfarin in Idiopathic Pulmonary Fibrosis. Am J Respir Crit Care Med.
July 1, 2012; 186 (1): 88-95.
24 Guidelines for the Diagnosis and Management of Idiopathic Pulmonary Fibrosis
Table of Contents for the Digital Edition of ATS Pocket Guide 2013
Contents
ATS Pocket Guide 2013
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