PhD Scientific Days 2025

Poster Session II. - W: Conservative Medicine

Diagnostic confidence level of the interstitial lung disease multidisciplinary team: how certain is the diagnosis?

Előadó neve

Dr. Fésü Dorottya

Neptun code

JMLSUO

Előadó munkahelye

Semmelweis University, Department of Pulmonology

Előadó telefonszáma

+36303004563

Előadó e-mail címe

fesu.dorottya@semmelweis.hu

Az előadás címe

Diagnostic confidence level of the interstitial lung disease multidisciplinary team: how certain is the diagnosis?

Szerző(k) neve és munkahelye

Dorottya Fésü MD¹, Zsófia Király¹, Noémi Eszes MD¹, Krisztina Vincze MD¹, Anikó Bohács MD¹, Veronika Müller MD; DSc¹

1: Semmelweis University, Department of Pulmonology

Bemutatás módja

Poszter

Szekció

Poster Session II. - W: Conservative Medicine

Language of the presentation

English

Preferred session

Conservative Medicine

Összefoglaló szövege

Introduction: The diagnosis of interstitial lung disease (ILD) is a complex process that requires the expertise of a multidisciplinary ILD team (ILD-MDT). Fast and accurate diagnosis is crucial in determining the most appropriate treatment; therefore, the assessment of the confidence level of diagnoses is important and could be improved.
Aims: The present study aims to analyze the diagnoses made during ILD-MDT meetings between January and December 2024 at the Department of Pulmonology, Semmelweis University, with a particular focus on the level of diagnostic confidence and its therapeutic implications.
Methods: This study retrospectively analyzed 244 cases discussed in 2024 ILD multidisciplinary team meetings at Semmelweis University. Patients were divided as high-confidence diagnosis group (N=80, 32.8%) or non-high-confidence group (N=164, 67.2%).
Results: The mean age was 64.6±14.7 years, with 43.9% male patients. No sex-based differences were observed (p=0.89), but younger patients were more likely to receive a high-confidence diagnosis (60.9±16.8 vs. 66.4±13.2 years, OR=0.97, p=0.006). The most common diagnoses were idiopathic interstitial pneumonia (IIP, 34%), ILD of known etiology (32%), and granulomatous ILD (17%). Idiopathic pulmonary fibrosis accounted for 12.7%, while 17.2% had connective tissue disease-associated ILD (CTD-ILD). Granulomatous ILD and CTD-ILD diagnoses were linked to high confidence levels (OR=3.3, p=0.001; OR=3.5, p<0.001), mainly due to the availability of tissue samples or known CTD. IIP was associated with lower confidence (OR=0.4, p=0.004). The most common CT patterns were ground-glass opacity (50.8%) and usual interstitial pneumonia (22.5%). Emphysema correlated with lower confidence (9.5%, OR=0.17, p<0.001). Additional tests were recommended more often in low-confidence cases, while therapeutic recommendations were more frequent in high-confidence cases (43.8% vs. 23.2%, OR=2.6, p=0.001).
Conclusion: This is the first Hungarian study on ILD diagnostic confidence levels, highlighting associations with age and disease subtypes.
Funding: SE 250+ scholarship; Scientific Research Funding from the Hungarian Pulmonology Fundation
Contact: Dorottya Fésü; fesu.dorottya@semmelweis.hu

University

Semmelweis University

Supervisor

Prof. Dr. Müller Veronika

Publication of my abstract

I give consent to the publication of my abstract on the website of the congress.

phd.section.field

in doctoral studies after complex exam (PhD)

Kind

Szabad

Status

elfogadva

Accepted presentation method

poszter

Előadás fájl jóváhagyás

nem rendelkezett róla

Előadó

7386

Start

18:00

End

18:06