Lee Sang Hoon, Yeo Yoomi, Kim Tae Hyung, Lee Hong Lyeol, Lee Jin Hwa, Park Yong Bum, Park Jong Sun, Kim Yee Hyung, Song Jin Woo, Jhun Byung Woo, Kim Hyun Jung, Park Jinkyeong, Uh Soo Taek, Kim Young Whan, Kim Dong Soon, Park Moo Suk
Division of Pulmonology, Department of Internal Medicine, Severance Hospital, Institute of Chest Diseases, Yonsei University College of Medicine, Seoul, Korea.
Division of Pulmonary and Critical Care Medicine, Hanyang University Guri Hospital, Hanyang University College of Medicine, Guri, Korea.
Tuberc Respir Dis (Seoul). 2019 Apr;82(2):102-117. doi: 10.4046/trd.2018.0091. Epub 2019 Feb 28.
Idiopathic pulmonary fibrosis (IPF) is a chronic, progressive fibrosing interstitial pneumonia, which presents with a progressive worsening dyspnea, and thus a poor outcome. The members of the Korean Academy of Tuberculosis and Respiratory Diseases as well as the participating members of the Korea Interstitial Lung Disease Study Group drafted this clinical practice guideline for IPF management. This guideline includes a wide range of topics, including the epidemiology, pathogenesis, risk factors, clinical features, diagnosis, treatment, prognosis, and acute exacerbation of IPF in Korea. Additionally, we suggested the PICO for the use of pirfenidone and nintendanib and for lung transplantation for the treatment of patients with IPF through a systemic literature review using experts' help in conducting a meta-analysis. We recommend this guideline to physicians, other health care professionals, and government personnel in Korea, to facilitate the treatment of patients with IPF.
特发性肺纤维化(IPF)是一种慢性、进行性纤维化间质性肺炎,表现为进行性加重的呼吸困难,预后较差。韩国结核病和呼吸疾病学会成员以及韩国间质性肺疾病研究组的参与成员起草了本IPF管理临床实践指南。本指南涵盖了广泛的主题,包括韩国IPF的流行病学、发病机制、危险因素、临床特征、诊断、治疗、预后和急性加重。此外,我们通过系统的文献综述,并在专家的帮助下进行荟萃分析,提出了吡非尼酮和尼达尼布使用以及IPF患者肺移植的PICO。我们向韩国的医生、其他医疗保健专业人员和政府人员推荐本指南,以促进IPF患者的治疗。