The quality of diagnosis of idiopathic pulmonary fibrosis carried out by crimary care pgysicians of Krasnodarski Krai
https://doi.org/10.18093/0869-0189-2017-27-3-371-375
Abstract
The aim of the study is to assess the quality of diagnosis made by the primary care physicians of Krasnodarski krai in patients with idiopathic pulmonary fibrosis (IPF) admitted to the Pulmonology Department of our hospital for the period of 2013 – 2015. Methods. A retrospective analysis of 83 medical records (form 003-U) of patients with IPF diagnosed in our Department has been performed. Men (63.86%) over the age of 50 years (90.37%) prevailed in the study. The most frequent concomitant conditions in patients with IPF were ischemic heart disease (20.48%), hypertension (16.87%), and gastroesophageal reflux disease (15.66%). In the presence of typical clinical picture, the diagnosis of IPF was suspected by primary care physicians in 22.89% of patients. Results. It was revealed that underdiagnosis of diffuse reticular changes, honeycombing, traction bronchiectasis and overdiagnosis of bilateral infiltration of the lung tissue, bilateral small focal formations, and ground- glass opacities took place in interpreting of CT images by primary care radiologists. Conclusion. In most patients the diagnosis of IPF is established for the first time at the stage of «honeycombing», which indicates late diagnosis of the disease.
About the Authors
Elena V. Bolotova
Federal Budgetary Educational Institution of Higher Professional Education «Kuban State Medical University under the Health Care Ministry of Russian Federation»;
Federal Budgetary Healthcare Institution «Research Institute – Regional Hospital №1. Named after S.V.Ochapovskiy»
Russian Federation
MD, Professor, Department of Pulmonology, Faculty of Postgraduate Training of Physicians; tel.: (862) 252-73-93
Russian Federation
MD, Professor, Department of Pulmonology, Faculty of Postgraduate Training of Physicians; tel.: (862) 252-73-93
Larisa V. Shulzhenko
Federal Budgetary Educational Institution of Higher Professional Education «Kuban State Medical University under the Health Care Ministry of Russian Federation»;
Federal Budgetary Healthcare Institution «Research Institute – Regional Hospital №1. Named after S.V.Ochapovskiy»
Russian Federation
MD, Professor, Head, Department of Pulmonology, Faculty of Postgraduate Training of Physicians; tel.: (862) 252-73-93;
Russian Federation
MD, Professor, Head, Department of Pulmonology, Faculty of Postgraduate Training of Physicians; tel.: (862) 252-73-93;
Vladimir A. Porkhanov
Federal Budgetary Educational Institution of Higher Professional Education «Kuban State Medical University under the Health Care Ministry of Russian Federation»;
Federal Budgetary Healthcare Institution «Research Institute – Regional Hospital №1. Named after S.V.Ochapovskiy»
Russian Federation
Director, Governmental Budgetary Health Care Agency №1 named after S.V.Otchapovski, Academician, Russian Academy of Science, MD, Professor, Head, Department of Thoracic Surgery with Oncology Course, Kuban State Medical University; tel.: (861) 252-95-58;
Russian Federation
Director, Governmental Budgetary Health Care Agency №1 named after S.V.Otchapovski, Academician, Russian Academy of Science, MD, Professor, Head, Department of Thoracic Surgery with Oncology Course, Kuban State Medical University; tel.: (861) 252-95-58;
Irina N. Raybova
Federal Budgetary Educational Institution of Higher Professional Education «Kuban State Medical University under the Health Care Ministry of Russian Federation»;
Russian Federation
Clinical Intern, Department of Therapy №1, Faculty of Postgraduate Training of Physicians, Kuban State Medical University; tel.: (862) 252-73-93
Russian Federation
Clinical Intern, Department of Therapy №1, Faculty of Postgraduate Training of Physicians, Kuban State Medical University; tel.: (862) 252-73-93
Olga S. Leonova
Federal Budgetary Educational Institution of Higher Professional Education «Kuban State Medical University under the Health Care Ministry of Russian Federation»;
Russian Federation
a VI year student, Medical Faculty of the Kuban State Medical University; tel.: (862) 252-73-93
Russian Federation
a VI year student, Medical Faculty of the Kuban State Medical University; tel.: (862) 252-73-93
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Review
For citations:
Bolotova E.V., Shulzhenko L.V., Porkhanov V.A., Raybova I.N., Leonova O.S. The quality of diagnosis of idiopathic pulmonary fibrosis carried out by crimary care pgysicians of Krasnodarski Krai. PULMONOLOGIYA. 2017;27(3):371-375. (In Russ.) https://doi.org/10.18093/0869-0189-2017-27-3-371-375
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