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@article{1521076,
author = {Zurkova, Monika and Kriegova, Eva and Kolek, Vitezslav and Lostakova, Vladimira and Sterclova, Martina and Bartos, Vladimir and Doubková, Martina and Binková, Ilona and Svoboda, Michal and Strenková, Jana and Janotova, Marketa and Plackova, Martina and Lacina, Ladislav and Rihak, Vladimir and Petrik, Frantisek and Lisa, Pavlina and Bittenglova, Radka and Tyl, Richard and Ondrejka, Gustav and Suldova, Hana and Lnenicka, Jaroslav and Psikalova, Jana and Snizek, Tomas and Homolka, Jiri and Kralova, Renata and Kervitzer, Jan and Vasakova, Martina},
article_location = {LONDON},
article_number = {16},
doi = {http://dx.doi.org/10.1186/s12931-019-0977-2},
keywords = {Idiopathic pulmonary fibrosis; Pirfenidone; Mortality prediction; Disease progression},
language = {eng},
issn = {1465-993X},
journal = {RESPIRATORY RESEARCH},
title = {Effect of pirfenidone on lung function decline and survival: 5-yr experience from a real-life IPF cohort from the Czech EMPIRE registry},
url = {http://dx.doi.org/10.1186/s12931-019-0977-2},
volume = {20},
year = {2019}
}
TY - JOUR
ID - 1521076
AU - Zurkova, Monika - Kriegova, Eva - Kolek, Vitezslav - Lostakova, Vladimira - Sterclova, Martina - Bartos, Vladimir - Doubková, Martina - Binková, Ilona - Svoboda, Michal - Strenková, Jana - Janotova, Marketa - Plackova, Martina - Lacina, Ladislav - Rihak, Vladimir - Petrik, Frantisek - Lisa, Pavlina - Bittenglova, Radka - Tyl, Richard - Ondrejka, Gustav - Suldova, Hana - Lnenicka, Jaroslav - Psikalova, Jana - Snizek, Tomas - Homolka, Jiri - Kralova, Renata - Kervitzer, Jan - Vasakova, Martina
PY - 2019
TI - Effect of pirfenidone on lung function decline and survival: 5-yr experience from a real-life IPF cohort from the Czech EMPIRE registry
JF - RESPIRATORY RESEARCH
VL - 20
IS - 16
SP - 1-11
EP - 1-11
PB - BMC
SN - 1465993X
KW - Idiopathic pulmonary fibrosis
KW - Pirfenidone
KW - Mortality prediction
KW - Disease progression
UR - http://dx.doi.org/10.1186/s12931-019-0977-2
L2 - http://dx.doi.org/10.1186/s12931-019-0977-2
N2 - Pirfenidone, an antifibrotic drug, slows-down the disease progression in idiopathic pulmonary fibrosis (IPF) over 12 months, however limited data on the decline of lung function and overall survival (OS) in real-world cohorts on longer follow-up exists. Of the enrolled Czech IPF patients (n = 841) from an EMPIRE registry, 383 (45.5%) received pirfenidone, 218 (25.9%) no-antifibrotic treatment and 240 (28.5%) were excluded (missing data, nintedanib treatment). The 2- and 5-yrs OS and forced vital capacity (FVC) and diffusing lung capacity for carbon monoxide (DLCO) were investigated at treatment initiation and 6, 12, 18 and 24 months' follow-up. During a 2-yr follow-up, less than a quarter of the patients progressed on pirfenidone as assessed by the decline of ae10% FVC (17.0%) and ae 15% DLCO (14.3%). On pirfenidone, the DLCO (ae10%) declines at 6, 12, 18 and 24 months' and DLCO (ae15%) declines at 6, 18 and 24 months' follow-up were associated with increased mortality. The DLCO decline showed higher predictive value for mortality than FVC decline. In patients with no-antifibrotics, FVC and DLCO declines were not predictive for mortality. Pirfenidone increased 5-yrs OS over no-antifibrotic treatment (55.9% vs 31.5% alive, P = 0.002). Our study observed the 2-yrs sustained effect of pirfenidone on the decline of lung function and survival in the real-world patient's IPF cohort. DLCO decline of ae10% shows a potential as a mortality predictor in IPF patients on pirfenidone, and should be routinely evaluated during follow-up examinations.
ER -
ZURKOVA, Monika, Eva KRIEGOVA, Vitezslav KOLEK, Vladimira LOSTAKOVA, Martina STERCLOVA, Vladimir BARTOS, Martina DOUBKOVÁ, Ilona BINKOVÁ, Michal SVOBODA, Jana STRENKOVÁ, Marketa JANOTOVA, Martina PLACKOVA, Ladislav LACINA, Vladimir RIHAK, Frantisek PETRIK, Pavlina LISA, Radka BITTENGLOVA, Richard TYL, Gustav ONDREJKA, Hana SULDOVA, Jaroslav LNENICKA, Jana PSIKALOVA, Tomas SNIZEK, Jiri HOMOLKA, Renata KRALOVA, Jan KERVITZER a Martina VASAKOVA. Effect of pirfenidone on lung function decline and survival: 5-yr experience from a real-life IPF cohort from the Czech EMPIRE registry. \textit{RESPIRATORY RESEARCH}. LONDON: BMC, 2019, roč.~20, č.~16, s.~1-11. ISSN~1465-993X. Dostupné z: https://dx.doi.org/10.1186/s12931-019-0977-2.
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