J 2020

The European MultiPartner IPF registry (EMPIRE): validating long-term prognostic factors in idiopathic pulmonary fibrosis

TRAN, T., M. STERCLOVA, N. MOGULKOC, K. LEWANDOWSKA, V. MULLER et. al.

Basic information

Original name

The European MultiPartner IPF registry (EMPIRE): validating long-term prognostic factors in idiopathic pulmonary fibrosis

Authors

TRAN, T. (124 Canada), M. STERCLOVA (203 Czech Republic), N. MOGULKOC (792 Turkey), K. LEWANDOWSKA (616 Poland), V. MULLER (348 Hungary), M. HAJKOVA (703 Slovakia), M. R. KRAMER (376 Israel), D. JOVANOVIC (688 Serbia), J. TEKAVEC-TRKANJEC (191 Croatia), M. STUDNICKA (40 Austria), N. STOEVA (100 Bulgaria), Karel HEJDUK (203 Czech Republic, belonging to the institution), Ladislav DUŠEK (203 Czech Republic, belonging to the institution), S. SUISSA (124 Canada), M. VASAKOVA (203 Czech Republic), B. ZOLNOWSKA (616 Poland), V. BARTOS (203 Czech Republic), M. PLACKOVA (203 Czech Republic), R. SLIVKA (703 Slovakia), L. LACINA (203 Czech Republic), M. DOUBKOVA (203 Czech Republic), R. BITTENGLOVA (203 Czech Republic), M. MARTUSEWIA-BOROS (616 Poland), M. ZURKOVA (203 Czech Republic), I. JONNER (703 Slovakia), A. SZYMANOWSKA-NARIOCH (616 Poland), I. BINKOVA (203 Czech Republic), M. SOBIECKA (616 Poland), V. LOSTAKOVA (203 Czech Republic), M. TRZASKA-SOBCZAK (616 Poland), R. TYL (203 Czech Republic), P. SLIWINSKI (616 Poland), M. ZSIRAY (348 Hungary), P. LISA (203 Czech Republic), A. BOHACS (348 Hungary), S. MAJEWSKI (616 Poland), H. SULDOVA (203 Czech Republic), B. MATULA (616 Poland), L. SISKOVA (703 Slovakia), J. PLUTINSKY (703 Slovakia), A. JAKIC (688 Serbia), S. TOTH (703 Slovakia), Z. BALIKO (348 Hungary), M. BUCEKOVA (703 Slovakia), J. PSIKALOVA (203 Czech Republic), T. STACHURA (616 Poland), F. PETRIK (203 Czech Republic), J. ANTON (203 Czech Republic), J. LNENICKA (203 Czech Republic), M. R. MILENKOVIC (688 Serbia), I. LAJKO (348 Hungary), V. RIHAK (203 Czech Republic), Z. SZALAI (348 Hungary), P. JUREK (616 Poland), A. KANIA (616 Poland), S. LASSAN (703 Slovakia), T. PEJCIC (688 Serbia), P. REITERER (203 Czech Republic), L. BORUCKI (616 Poland), R. KRALOVA (203 Czech Republic), P. MUSILOVA (203 Czech Republic), T. SNIZEK (203 Czech Republic), D. DOLEZAL (203 Czech Republic), J. HOMOLKA (203 Czech Republic), H. HORTVIKOVA (203 Czech Republic), S. MLADINOV (191 Croatia), P. PALUCH (203 Czech Republic), R. HRDINA (203 Czech Republic), M. SZILASI (348 Hungary), V. VUCINIC-MIHAILOVIC (688 Serbia), R. VYSEHRADSKY (703 Slovakia), R. MOKOSOVA (203 Czech Republic), A. NOWICKA (616 Poland) and T. R. PETKOVIC (203 Czech Republic)

Edition

RESPIRATORY RESEARCH, LONDON, BMC, 2020, 1465-9921

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30203 Respiratory systems

Country of publisher

United Kingdom of Great Britain and Northern Ireland

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

Impact factor

Impact factor: 2.859 in 2010

RIV identification code

RIV/00216224:14110/20:00115999

Organization unit

Faculty of Medicine

UT WoS

000512718200003

Keywords in English

CLINICAL-COURSE; STAGING SYSTEM; GAP SCORE; SURVIVAL; HYPERTENSION; PIRFENIDONE; EFFICACY

Tags

Tags

International impact, Reviewed
Změněno: 12/5/2021 13:13, Mgr. Tereza Miškechová

Abstract

V originále

Background Several registries of idiopathic pulmonary fibrosis (IPF) have been established to better understand its natural history, though their size and duration of follow-up are limited. Here, we describe the large European MultiPartner IPF Registry (EMPIRE) and validate predictors of long-term survival in IPF. Methods The multinational prospective EMPIRE registry enrolled IPF patients from 48 sites in 10 Central and Eastern European countries since 2014. Survival from IPF diagnosis until death was estimated, accounting for left-truncation. The Cox proportional hazards regression model was used to estimate adjusted hazard ratios (HR) of death for prognostic factors, using restricted cubic splines to fit continuous factors. Results The cohort included 1620 patients (mean age at diagnosis 67.6 years, 71% male, 63% smoking history), including 75% enrolled within 6 months of diagnosis. Median survival was 4.5 years, with 45% surviving 5 years post-diagnosis. Compared with GAP stage I, mortality was higher with GAP stages II (HR 2.9; 95% CI: 2.3-3.7) and III (HR 4.0; 95% CI: 2.8-5.7) while, with redefined cut-offs, the corresponding HRs were 2.7 (95% CI: 1.8-4.0) and 5.8 (95% CI: 4.0-8.3) respectively. Mortality was higher with concurrent pulmonary hypertension (HR 2.0; 95% CI: 1.5-2.9) and lung cancer (HR 2.6; 95% CI: 1.3-4.9). Conclusions EMPIRE, one of the largest long-term registries of patients with IPF, provides a more accurate confirmation of prognostic factors and co-morbidities on longer term five-year mortality. It also suggests that some fine-tuning of the indices for mortality may provide a more accurate long-term prognostic profile for these patients.