TY - JOUR T1 - Evolution of an interstitial lung disease MDT: 5.5 years of data JF - European Respiratory Journal JO - Eur Respir J VL - 44 IS - Suppl 58 SP - P3498 AU - Nazia Chaudhuri AU - Lisa Spencer AU - Colm Leonard Y1 - 2014/09/01 UR - http://erj.ersjournals.com/content/44/Suppl_58/P3498.abstract N2 - IntroductionInterstitial Lung Diseases (ILD) is a group of heterogeneous diseases. Accurate and early diagnosis is paramount as it improves diagnostic confidence [1], and allows accurate targeting of treatment modalities. An integrated approach involving a multidisciplinary team (MDT) of physicians, radiologists and pathologists is considered gold standard treatment and is strongly advised in ATS/ERS guidelines [2].Aims.To retrospectively review over time the accuracy of ILD diagnosis after a single center MDT discussion of clinical cases, how these diagnosis are achieved and the influence of MDT discussion on subsequent management.MethodsA retrospective review of electronic patient notes and MDT records for 2005-08 and 2010-13.Results318 patients were referred for MDT review (n=167 2005-08 and n=159 2010-13). The proportion of discussions based on biopsies increased from 8 to 40% from 2005-08 to 2010-13. Usual Interstitial Pneumonia (UIP) was the pre-MDT diagnosis in 107 (34%) cases (n=74(45%) in 2005-08 and n=33(22%) in 2010-13). Post MDT 57 (54%) individuals had their diagnosis altered, leading to a change of treatment in 53 (51%) cases.Of the 75 (24%) cases referred with no diagnosis MDT consensus was reached in 61 (81%) cases, leading to a change of treatment in 30 (40%) cases.Consensus diagnosis was primarily made using CT data alone however a greater proportion of patients were deemed too unfit or that biopsy would not change management in the earlier 2005-08 time period.ConclusionOur findings support the need for specialist ILD MDT review of clinical cases to enhance diagnostic accuracy and improve patient care and management. ER -