Table 1.
Demographics | Gender |
Date of birth | |
Age | |
Reference hospital | |
Diagnosis (IPF) | Time of diagnosis |
ICD-10 | |
Base for diagnosis: - Clinical–radiological - Biopsy-proven - Based on MDC |
|
Clinical | Height, Weight, BMI |
information | Smoking status: - Ex-smoker - Current smoker - Never smoker |
Pack-year | |
Profession, professional/environmental exposure | |
Chronic comorbidities | |
Ongoing treatments | |
Main symptoms and time of onset | |
Clinical findings: - Presence of gastric reflux - Drumstick fingers - Crackles at auscultation |
|
Lung function | Lung plethysmography: FEV1, FEV1%, FVC, FVC%, FEV1/FVC, TLC, TLC% |
Diffusion capacity: DlCO% | |
Pulse oximetry at rest; arterial blood gas analysis | |
6MWT: saturation at rest and lowest value during/after the test; walk distance | |
Radiology | Chest X-ray |
HR CT: - UIP pattern - Possible UIP pattern - Inconsistent with UIP pattern |
|
Pathology | BAL: total cell count, cell differentials |
Lung biopsy (open or VATS): - UIP pattern - Probable UIP-pattern - Possible UIP-pattern - Not UIP-pattern |
|
Quality of life | K-BILD questionnaire |
IPF therapy | Date of start, date of stop |
IPF specific therapies: - Pirfenidone - Nintedanib - NAC - Triple therapy |
|
Best supportive therapy: - Long-term oxygen therapy - Physiotherapy - Psychological support - Palliation (morphine, benzodiazepine) |
|
Adverse events: - Date of onset - Type of AE - Severity (according to CTCAE) - Intervention - Suspension/modification of the therapy |
|
Outcome | Death: - Date of death - Cause of death |
Transplantation: - Date of transplantation |
|
Follow-up: - Lung function testing - Radiology - Quality of life (K-BILD) - Ongoing treatments/AEs/modification of IPF-therapies |
IPF: idiopathic pulmonary fibrosis; ICD-10: International Statistical Classification of Diseases and Related Health Problems – Tenth Revision; MDC: multi-disciplinary conference; BMI: body mass index; FEV1: forced expiratory volume in 1 s; FEV1%: forced expiratory volume in 1 s, % of the expected value; FVC: forced volume capacity; FVC%: forced volume capacity, % of the expected value; TLC: total lung capacity; TLC%: total lung capacity, % of the expected value; DlCO%: Diffusion capacity of carbon monoxide, % of the expected value; 6MWT: 6-min walking test; HR CT: high-resolution computed tomography; UIP: usual interstitial pneumonia; BAL: bronchoalveolar lavage; VATS: video-assisted thoracoscopy; K-BILD: King's Brief Interstitial Lung Disease Questionnaire; NAC: N-acetyl-cysteine; AE: adverse event; CTCAE: Common Terminology Criteria for Adverse Events.