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  1. Public
  2. 研究紀要
  3. Acta Medica Kindai University
  4. 46(2)2021

<Originals> Effect of antifibrotic agents on survival in idiopathic pulmonary fibrosis patients according to forced vital capacity: a real-world retrospective cohort study in Japan

https://doi.org/10.15100/00022168
https://doi.org/10.15100/00022168
98559dd7-938c-49d4-b907-d9a206be3c2e
名前 / ファイル ライセンス アクション
AA0050842X-20211200-0057.pdf AA0050842X-20211200-0057.pdf (380.2 kB)
Item type ☆紀要論文 / Departmental Bulletin Paper(1)
公開日 2021-12-02
タイトル
タイトル <Originals> Effect of antifibrotic agents on survival in idiopathic pulmonary fibrosis patients according to forced vital capacity: a real-world retrospective cohort study in Japan
言語 en
著者 Saeki, Sho

× Saeki, Sho

Saeki, Sho

ja-Kana サエキ, ショウ

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Nishiyama, Osamu

× Nishiyama, Osamu

Nishiyama, Osamu

ja-Kana ニシヤマ, オサム

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Yamazaki, Ryo

× Yamazaki, Ryo

Yamazaki, Ryo

ja-Kana ヤマザキ, リョウ

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Yoshikawa, Kazuya

× Yoshikawa, Kazuya

Yoshikawa, Kazuya

ja-Kana ヨシカワ, カズヤ

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Shirahase, Ken

× Shirahase, Ken

Shirahase, Ken

ja-Kana シラハセ, ケン

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Gose, Kyuya

× Gose, Kyuya

Gose, Kyuya

ja-Kana ゴセ, キュウヤ

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Oomori, Takashi

× Oomori, Takashi

Oomori, Takashi

ja-Kana オオモリ, タカシ

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Nishikawa, Yusaku

× Nishikawa, Yusaku

Nishikawa, Yusaku

ja-Kana ニシカワ, ユウサク

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Sano, Akiko

× Sano, Akiko

Sano, Akiko

ja-Kana サノ, アキコ

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Sano, Hiroyuki

× Sano, Hiroyuki

Sano, Hiroyuki

ja-Kana サノ, ヒロユキ

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Iwanaga, Takashi

× Iwanaga, Takashi

Iwanaga, Takashi

ja-Kana イワナガ, タカシ

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Matsumoto, Hisako

× Matsumoto, Hisako

Matsumoto, Hisako

ja-Kana マツモト, ヒサコ

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Tohda, Yuji

× Tohda, Yuji

Tohda, Yuji

ja-Kana トウダ, ユウジ

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言語
言語 eng
キーワード
主題 forced vital capacity, idiopathic pulmonary fibrosis, nintedanib, pirfenidone, survival
資源タイプ
資源タイプ識別子 http://purl.org/coar/resource_type/c_6501
資源タイプ departmental bulletin paper
ID登録
ID登録 10.15100/00022168
ID登録タイプ JaLC
著者 所属
値 Department of Respiratory Medicine and Allergology, Kindai University Faculty of Medicine : General Internal Medicine, Omi Medical Center
著者 所属
値 Department of Respiratory Medicine and Allergology, Kindai University Faculty of Medicine
著者 所属
値 Department of Respiratory Medicine and Allergology, Kindai University Nara Hospital
著者 所属
値 Department of Respiratory Medicine and Allergology, Kindai University Faculty of Medicine
著者 所属
値 Department of Respiratory Medicine and Allergology, Kindai University Faculty of Medicine
著者 所属
値 Department of Respiratory Medicine and Allergology, Kindai University Faculty of Medicine
著者 所属
値 Department of Respiratory Medicine and Allergology, Kindai University Faculty of Medicine
著者 所属
値 Department of Respiratory Medicine and Allergology, Kindai University Faculty of Medicine
著者 所属
値 Department of Respiratory Medicine and Allergology, Kindai University Faculty of Medicine
著者 所属
値 Department of Respiratory Medicine and Allergology, Kindai University Faculty of Medicine
著者 所属
値 Department of Respiratory Medicine and Allergology, Kindai University Faculty of Medicine
著者 所属
値 Department of Respiratory Medicine and Allergology, Kindai University Faculty of Medicine
著者 所属
値 Department of Respiratory Medicine and Allergology, Kindai University Faculty of Medicine
版
出版タイプ NA
出版タイプResource http://purl.org/coar/version/c_be7fb7dd8ff6fe43
出版者 名前
出版者 Kindai University Medical Association
書誌情報 en : ACTA MEDICA KINDAI UNIVERSITY

巻 46, 号 2, p. 57-64, 発行日 2021-12
ISSN
収録物識別子タイプ ISSN
収録物識別子 24327166
抄録
内容記述タイプ Abstract
内容記述 [Abstract] Antifibrotic agents suppress the decline in forced vital capacity (FVC) and disease progression in patients with idiopathic pulmonary fibrosis (IPF). However, their effect on survival and the differences in this effect according to baseline FVC have not been explored. Thus, this study aimed to examine the effect of antifibrotics on survival and to investigate whether this effect differed according to baseline FVC. Consecutive patients with IPF from January 2008 to May 2019 were retrospectively examined. FVC at registration was used to categorize 172 patients into mild (n=77, FVC % predicted ≥ 80%), moderate (n=77, FVC % predicted 50-80%), and severe (n=18, FVC % predicted < 50%) groups. The mean FVC % predicted was 77.4 ± 22.2%. The median survival period of all patients was 3.82 years. The severe group showed significantly worse survival than the mild and moderate groups (p<0.0001 in both comparisons). Survival was significantly longer in patients with antifibrotic therapy, especially in the moderate group (p=0.04). The same tendency was observed in the mild group (p=0.18), but not in the severe group (p=0.93). In conclusion, antifibrotic therapy can extend the survival of IPF patients, especially in patients with an FVC % predicted of 50-80%. The effect in patients with FVC % predicted < 50 % should be further investigated.
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