Position Paper: Significance of the Forced Vital Capacity in Idiopathic Pulmonary Fibrosis

被引:5
|
作者
Behr, J. [1 ,2 ]
Bonella, F. [3 ]
Bonnet, R. [4 ]
Glaeser, S. [5 ,6 ]
Grohe, C. [7 ]
Guenther, A. [8 ]
Koschel, D. [9 ]
Kreuter, M. [10 ]
Kirsten, D. [11 ]
Kroegel, C. [12 ]
Markart, P. [13 ]
Mueller-Quernheim, J. [14 ]
Neurohr, C. [15 ]
Pfeifer, M. [16 ]
Prasse, A. [17 ]
Schoenfeld, N. [18 ]
Schreiber, J. [19 ]
Wirtz, H. [20 ]
Witt, C. [21 ]
Costabel, U. [22 ]
机构
[1] Klinikum Univ Munchen, Med Klin & Poliklin 5, D-81377 Munich, Germany
[2] Comprehens Pneumol Ctr, Asklepios Fachkliniken Munchen Gauting, Munich, Germany
[3] Univ Klinikum Essen gGmbH, Ruhrlandklin, Westdeutsch Lungenzentrum, Essen, Germany
[4] Zentralklin Bad Berka GmbH, Abt Pneumol, Bad Berka, Germany
[5] Univ Med Greifswald, Infektiol, Klin Innere Med Bereich Pneumol B, Greifswald, Germany
[6] Univ Med Greifswald, Weaningzentrum Forsch Bereich Pneumol & Pneumol E, Greifswald, Germany
[7] Krankenhausbetriebs gGmbH, Pneumol Klin Evangel Lungenklin Berlin, Berlin, Germany
[8] Univ Gissen Marburg GmbH, Medizin Klin Pneumol & Internist Intens Med 3, Agaples Evangel Krankenhaus Mittelhessen & Schwer, Giessen, Germany
[9] Fachkrankenhaus Coswig GmbH, Abt Innere Med Pneumol, Zentrum Pneumol Allergol Beatmungsmed Thorax & Ge, Coswig, Germany
[10] Univ Kilnikum Heidelberg, Zentrum Seltene & Interstitielle, Pneumol & Beatmungsmed, Lungenerkrankungen Thoraxklin, Heidelberg, Germany
[11] Lungenclin Grosshansdorf, Grosshansdorf, Germany
[12] Klinikum Univ Jena, Med Klin 1, Abt Pneumol & Allergol Immunol, Jena, Germany
[13] Univ Klinikum Giessen & Marburg GmbH, Med Klin & Poliklin 2, Standort Giessen & Med Klin Pneumol 5, Herz Thorax Zentrum,Klinikum Fulda gAG, Giessen, Germany
[14] Univ Freiburg Klinikum, Abt Pneumol, Freiburg, Germany
[15] Klinikum Univ Munchen, Med Klin & Poliklin 5, Comprehens Pneumol Ctr, Munich, Germany
[16] Univ Regensburg, Klin Donaustauf, Klin Pneumol & Konservat Intens Med, Krankenhaus Barmherzige Bruder, D-93053 Regensburg, Germany
[17] Hannover Med Sch, Abt Pneumol, Hannover, Germany
[18] HELIOS Klinikum Emil von Behring, Lungenklin Heckeshorn, Klin Pneumol, Berlin, Germany
[19] Univ Magdeburg, Univ Klinikum, Klin Pneumol, D-39106 Magdeburg, Germany
[20] Univ Klinikum Leipzig, Abt Pneumol, Leipzig, Germany
[21] Univ Klinikum Charite, Abt Pneumol & Transplantat, Berlin, Germany
[22] Univ Klinikum Essen gGmbH, Westdeutsch Lungenzentrum, Interstitielle & Seltene Lungenkrankheiten, Ruhrlandklin, Essen, Germany
来源
PNEUMOLOGIE | 2015年 / 69卷 / 08期
关键词
D O I
10.1055/s-0034-1392602
中图分类号
R56 [呼吸系及胸部疾病];
学科分类号
摘要
Spirometry is a highly standardized method which allows to measure the forced vital capacity (FVC) with high precision and reproducibility. In patients with IPF FVC is directly linked to the disease process which is characterized by scaring of alveoli and shrinkage of the lungs. Consequently, there is ample evidence form clinical studies that the decline of FVC over time is consistently associated with mortality in IPF. As for the first time effective drugs for the treatment of IPF are available it becomes obvious that in studies which could demonstrate that the drug reduces FVC decline, a numerical effect on mortality was also observed, while in one study where a significant effect on FVC decline was missed, there was also no change in mortality. Based on these studies FVC decline is a validated surrogate of mortality in IPF. It is concluded that FVC decline is not only accepted as an endpoint of clinical treatment trials in IPF but is also valid as a patient related outcome parameter which should be considered for the assessment of the efficacy of an IPF drug.
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收藏
页码:455 / 458
页数:4
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