@article{3106094,
    title = "The characterisation of interstitial lung disease multidisciplinary team meetings: A global study",
    author = "Richeldi, L. and Launders, N. and Martinez, F. and Walsh, S.L.F. and Myers, J. and Wang, B. and Jones, M. and Chisholm, A. and Flaherty, K.R. and David-Wang, A. and Morais, A. and Azuma, A. and Crestani, B. and Vancheri, C. and Youakim, C. and Fell, C.D. and Ryerson, C.J. and Bouros, D. and Bendstrup, E. and Morell, F. and Bonella, F. and Raghu, G. and Christoff, G. and Ferrara, G. and Glaspole, I. and Rosas, I. and Behr, J. and DeBoer, K. and Antoniou, K.M. and Dheda, K. and Brown, K. and Planas-Cerezales, L. and Sköld, M. and Funke, M. and Molina-Molina, M. and Mazzei, M. and Kolb, M. and Selman, M. and Rottoli, P. and Spagnolo, P. and Rivera-Ortega, P. and Avdeev, S. and Quadrelli, S. and Corte, T.J. and Maher, T.M. and Cottin, V. and Wuyts, W. and Xu, Z.J.",
    journal = "ERJ Open Research",
    year = "2019",
    volume = "5",
    number = "2",
    publisher = "European Respiratory Society",
    issn = "2312-0541",
    doi = "10.1183/23120541.00209-2018",
    keywords = "antifibrotic agent;  carbon monoxide;  nintedanib;  pirfenidone, Article;  case management;  clinical evaluation;  comparative study;  computer assisted tomography;  country economic status;  demography;  diagnostic accuracy;  diagnostic approach route;  diagnostic procedure;  disease burden;  e-mail;  endoscopic lung cryobiopsy;  fibrosing alveolitis;  general practitioner;  geographic distribution;  human;  image guided biopsy;  interstitial lung disease;  lung biopsy;  lung diffusion capacity;  lung lavage;  multidisciplinary team;  practice guideline;  pragmatic trial;  prevalence;  pulmonologist;  quality control;  questionnaire;  sarcoidosis;  spirometry;  thorax radiography;  transbronchial biopsy;  validation process;  work experience",
    abstract = "Multidisciplinary team (MDT) diagnosis of interstitial lung disease (ILD) has been proposed as a gold standard, but there are no formal recommendations for MDT process or composition and limited knowledge regarding prevalence in routine practice. We performed a systematic evaluation of ILD diagnostic practice across a range of healthcare settings around the world. Electronic questionnaires were distributed across all global regions via society and collaborators networks. Responses from 457 unique centres across 64 countries were included in the analysis. Of the 350 (76.6%) centres holding formal meetings, the majority held face-to-face MDT meetings (80%), for a minimum of 30 min (93%), and discussed diagnosis (96.9%) and patient management (94.9%) at the meetings. Compared with non-academic and academic non-ILD centres, ILD academic centres reported a higher ILD caseload, held more formal MDT meetings, and were more likely to include histopathology and rheumatology specialists in their diagnostic team. Of the centres holding MDT meetings, 5.5% routinely discussed all new cases at such meetings. An MDT approach to ILD diagnosis is consistently interpreted and widely implemented across a range of routine care settings around the world. This observation will inform future ILD diagnostic agreement studies and diagnostic pathway recommendations. © ERS 2019."
}