Multidisciplinary evaluation of interstitial lung diseases: current insights: Number 1 in the Series "Radiology" Edited by Nicola Sverzellati and Sujal Desai

European Respiratory Review : an Official Journal of the European Respiratory Society
Simon L F Walsh

Abstract

Multidisciplinary team (MDT) diagnosis is regarded as the diagnostic reference standard for interstitial lung disease (ILD). Several studies have reported that MDT diagnosis is associated with higher levels of diagnostic confidence and better interobserver agreement when compared to the individual components of the MDT in isolation. Although this recommendation is widely accepted, no guideline statement specifies what constitutes an MDT meeting and how its participants should govern it. Furthermore, the precise role of an MDT meeting in the setting of ILD may vary from one group to another. For example, in some cases, the meeting will confine its discussion to characterising the disease and formulating diagnosis. In others, management decisions may also be part of the discussion. Surprisingly, there is no consensus on how MDT diagnosis is validated. As multidisciplinary evaluation contains all the available clinical information on an individual patient, there is no reference standard against which the veracity of MDT diagnosis can be tested. Finally, many of these uncertainties surrounding MDT meeting practice are unlikely to be answered by traditional evidence-based studies, which create difficulties when generating guideline ...Continue Reading

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Citations

May 19, 2017·European Respiratory Review : an Official Journal of the European Respiratory Society·Nicola Sverzellati, Sujal Desai
Sep 15, 2018·American Journal of Respiratory and Critical Care Medicine·Ayodeji AdegunsoyeJonathan H Chung
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Sep 12, 2017·Respirology : Official Journal of the Asian Pacific Society of Respirology·Jyotika D PrasadIan N Glaspole
Nov 28, 2019·Drugs & Aging·Riccardo MessinaNicola Scichilone
Apr 21, 2020·Respirology : Official Journal of the Asian Pacific Society of Respirology·Lauren K Troy, Juergen Hetzel
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Jan 31, 2020·Respiration; International Review of Thoracic Diseases·Markus PolkeMichael Kreuter
Jan 1, 2022·Annals of the American Thoracic Society·Cathryn T Lee

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