{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T11:42:00Z","timestamp":1784547720324,"version":"3.55.0"},"reference-count":16,"publisher":"Mattioli1885","license":[{"start":{"date-parts":[[2022,4,26]],"date-time":"2022-04-26T00:00:00Z","timestamp":1650931200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Multidis Res Med"],"abstract":"<jats:p>Background: Interstitial lung diseases (ILDs) comprise a group of multiple entities sharing some clinical, functional and radiological similarities. In many countries primary care setting has been devoid of pre- and post-graduate educational interventions focused on basic knowledge on ILD. This, along with usual nonspecificity of symptoms at presentation, may contribute to diagnostic delay in this disease setting.Methods: We designed a study questionnaire to assess the level of awareness on basic diagnostic and management aspects of core ILDs \u2013 idiopathic pulmonary fibrosis (IPF), hypersensitivity pneumonitis, sarcoidosis, connective tissue disease related-ILD and drug-induced ILD - among primary care physicians (GPs) from five \u201cACeS Baixo Vouga\u201d health centres and to perceive possible weaknesses. Differences in awareness between GPs under 45 and over 45 years-old were also assessed.Results: Globally, 69% of questions were correctly answered but only 21.9% of GPs considered to have a satisfactory self-perceived level of knowledge on ILD. Except sarcoidosis (p=0.017) and some isolated questions on other diseases, no significant differences were found between physicians below 45 years and above. Though, there was a trend to higher awareness in the younger group. The best awareness was seen in sarcoidosis. IPF questions had the worst performance and only 48.5% of GPs recognized the importance of velcro-type crackles in suggesting a possible diagnosis.Conclusion: Specific attention should be devoted to educational interventions directed to GPs on basic notions on the main ILDs. This could improve the usual diagnostic delay in many ILDs, as a timely diagnosis is essential for an early treatment and prolonged patient survival.<\/jats:p>","DOI":"10.4081\/mrm.2022.848","type":"journal-article","created":{"date-parts":[[2022,4,26]],"date-time":"2022-04-26T21:22:30Z","timestamp":1651008150000},"source":"Crossref","is-referenced-by-count":8,"title":["Awareness towards the main ILD among primary care physicians"],"prefix":"10.5826","volume":"17","author":[{"given":"Mariana","family":"Silva","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Am\u00e9lia","family":"Fernandes","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana Rita","family":"Pereira","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sofia","family":"Madanelo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tatiana","family":"Clem\u00eancio","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pedro Gon\u00e7alo","family":"Ferreira","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"27750","published-online":{"date-parts":[[2022,4,26]]},"reference":[{"key":"4897","doi-asserted-by":"crossref","unstructured":"Hoyer N, Prior TS, Bendstrup E, Wilcke T, Shaker SB. Risk factors for diagnostic delay in idiopathic pulmonary fibrosis. Respir Res 2019;20:103.","DOI":"10.1186\/s12931-019-1076-0"},{"key":"4898","doi-asserted-by":"crossref","unstructured":"Lamas DJ, Kawut SM, Bagiella E, Philip N, Arcasoy SM, Lederer DJ. Delayed access and survival in idiopathic pulmonary fibrosis: a cohort study. Am J Respir Crit Care Med 2011;184:842e7.","DOI":"10.1164\/rccm.201104-0668OC"},{"key":"4899","doi-asserted-by":"crossref","unstructured":"Sgalla G, Lovene B, Calvello M, Ori M, Varone F, Richeldi L. Idiopathic pulmonary fibrosis: pathogenesis and management. Respir Res 2018;19:32.","DOI":"10.1186\/s12931-018-0730-2"},{"key":"4900","doi-asserted-by":"crossref","unstructured":"Raghu G, Remy-Jardin M, Myers JL, Richeldi L, Ryerson CJ, Lederer DJ, et al. Diagnosis of idiopathic pulmonary fibrosis: an official ATS\/ERS\/JRS\/ALAT clinical practice guideline. Am J Respir Crit Care Med 2018;198:e44-68.","DOI":"10.1164\/rccm.201807-1255ST"},{"key":"4901","doi-asserted-by":"crossref","unstructured":"Raghu G, Rochwerg B, Zhang Y, Cuello Garcia CA, Azuma A, Behr J, et al. An Official ATS\/ERS\/JRS\/ALAT clinical practice guideline: Treatment of idiopathic pulmonary fibrosis. An Update of the 2011 Clinical Practice Guideline. Am J Respir Crit Care Med 2015;15;192:e3-19.","DOI":"10.1164\/rccm.201506-1063ST"},{"key":"4902","doi-asserted-by":"crossref","unstructured":"Cottin V, Cordier JF. Velcro crackles: the key for early diagnosis of idiopathic pulmonary fibrosis? Eur Respir J 2012;40:519-21.","DOI":"10.1183\/09031936.00001612"},{"key":"4903","doi-asserted-by":"crossref","unstructured":"Kulkarni T, Yuan K, Tran-Nguyen TK, Kim YI, de Andrade JA, Luckhardt T, et al. Decrements of body mass index are associated with poor outcomes of idiopathic pulmonary fibrosis patients. PLoS One 2019;14:e0221905.","DOI":"10.1371\/journal.pone.0221905"},{"key":"4904","doi-asserted-by":"crossref","unstructured":"Nakatsuka Y, Handa T, Kokosi M, Tanizawa K, Puglisi S, Jacob J, et al. The clinical significance of body weight loss in idiopathic pulmonary fibrosis patients. Respiration 2018;96:338\u201347.","DOI":"10.1159\/000490355"},{"key":"4905","doi-asserted-by":"crossref","unstructured":"Schiza S, Mermigkis C, Margaritopoulos GA, Daniil Z, Harari S, Poletti V, et al. Idiopathic pulmonary fibrosis and sleep disorders: no longer strangers in the night. Eur Respir Rev 2015;24:327-39.","DOI":"10.1183\/16000617.00009114"},{"key":"4906","doi-asserted-by":"crossref","unstructured":"Martinez FJ, Collard HR, Pardo A, Raghu G, Richeldi L, Selman M, et al. Idiopathic pulmonary fibrosis. Nat Rev Dis Primers 2017;3:17074.","DOI":"10.1038\/nrdp.2017.74"},{"key":"4907","doi-asserted-by":"crossref","unstructured":"Ghisa M, Marinelli C, Savarino V, Savarino E. Idiopathic pulmonary fibrosis and GERD: links and risks. Ther Clin Risk Manag 2019;15:1081\u201093.","DOI":"10.2147\/TCRM.S184291"},{"key":"4908","doi-asserted-by":"crossref","unstructured":"Gutsche M, Rosen GD, Swigris JJ. Connective tissue disease-associated interstitial lung disease: A review. Curr Respir Care Rep 2012;21:224-32.","DOI":"10.1007\/s13665-012-0028-7"},{"key":"4909","doi-asserted-by":"crossref","unstructured":"Madani Y, Mann B. Nitrofurantoin-induced lung disease and prophylaxis of urinary tract infections. Prim Care Respir J 2012;21:337-41.","DOI":"10.4104\/pcrj.2012.00059"},{"key":"4910","doi-asserted-by":"crossref","unstructured":"Wolkove N, Baltzan M. Amiodarone pulmonary toxicity. Can Respir J 2009;16:43-8.","DOI":"10.1155\/2009\/282540"},{"key":"4911","doi-asserted-by":"crossref","unstructured":"Tonelli R, Cocconcelli E, Lanini B, Romagnoli I, Florini F, Castaniere I, et al. Effectiveness of pulmonary rehabilitation in patients with interstitial lung disease of different etiology: a multicenter prospective study. BMC Pulm Med 2017;17:130.","DOI":"10.1186\/s12890-017-0476-5"},{"key":"4912","doi-asserted-by":"crossref","unstructured":"Dowman L, Hill CJ, Holland AE. Pulmonary rehabilitation for interstitial lung disease. 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