Gizal Nakshbandi, Catharina C Moor, Tonia Magrì, Marcel Veltkamp, Suzan F M Nijman, Marieke J Overbeek, Paul Bresser, J J M Geelhoed, Renee E Jonkers, Adriane D M Vorselaars, Lian Trapman, Luca Richeldi, Sara Baart, Remy L M Mostard, Marlies S Wijsenbeek
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We evaluated the clinical applicability of online home spirometry in pulmonary fibrosis care.</p><p><strong>Methods: </strong>We analysed data of a nationwide Dutch cohort of patients with idiopathic pulmonary fibrosis (IPF) and other forms of pulmonary fibrosis (PF) that used a home monitoring programme with home spirometry (forced vital capacity (FVC)) as part of daily practice. Changes in FVC were evaluated with a joint model. Within-patient variability was measured using coefficient of variation. Home spirometry use over time and patient experiences were assessed.</p><p><strong>Results: </strong>Online home spirometry data of 334 patients (IPF 73.1%) were analysed. Patients with IPF had a mean baseline FVC of 3.02 L (95% CI: 2.27-3.79), with a mean annualised decline of 170 mL (4.0%). Patients with PF had a mean baseline FVC of 2.81 L (95% CI: 2.07-3.55) with a mean annualised decline of 88 mL (1.2%). Mean±sd within-patient variability was 5.6±4.6%. Overall patient satisfaction was high, and after 1 year 63.4% still performed online home spirometry.</p><p><strong>Conclusion: </strong>Online home spirometry is feasible on a large scale in daily clinical practice to monitor disease trajectories in patients with IPF and PF. Online home spirometry could guide management decisions and improve care access for a majority of patients with pulmonary fibrosis.</p>","PeriodicalId":11739,"journal":{"name":"ERJ Open Research","volume":"11 5","pages":""},"PeriodicalIF":4.0000,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12451573/pdf/","citationCount":"0","resultStr":"{\"title\":\"Online home spirometry in national pulmonary fibrosis care: insights from daily practice.\",\"authors\":\"Gizal Nakshbandi, Catharina C Moor, Tonia Magrì, Marcel Veltkamp, Suzan F M Nijman, Marieke J Overbeek, Paul Bresser, J J M Geelhoed, Renee E Jonkers, Adriane D M Vorselaars, Lian Trapman, Luca Richeldi, Sara Baart, Remy L M Mostard, Marlies S Wijsenbeek\",\"doi\":\"10.1183/23120541.01234-2024\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Monitoring lung function course in patients with pulmonary fibrosis is crucial to guide treatment decisions. 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Patients with IPF had a mean baseline FVC of 3.02 L (95% CI: 2.27-3.79), with a mean annualised decline of 170 mL (4.0%). Patients with PF had a mean baseline FVC of 2.81 L (95% CI: 2.07-3.55) with a mean annualised decline of 88 mL (1.2%). Mean±sd within-patient variability was 5.6±4.6%. Overall patient satisfaction was high, and after 1 year 63.4% still performed online home spirometry.</p><p><strong>Conclusion: </strong>Online home spirometry is feasible on a large scale in daily clinical practice to monitor disease trajectories in patients with IPF and PF. Online home spirometry could guide management decisions and improve care access for a majority of patients with pulmonary fibrosis.</p>\",\"PeriodicalId\":11739,\"journal\":{\"name\":\"ERJ Open Research\",\"volume\":\"11 5\",\"pages\":\"\"},\"PeriodicalIF\":4.0000,\"publicationDate\":\"2025-09-22\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12451573/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"ERJ Open Research\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1183/23120541.01234-2024\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/9/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q1\",\"JCRName\":\"RESPIRATORY SYSTEM\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"ERJ Open Research","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1183/23120541.01234-2024","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/9/1 0:00:00","PubModel":"eCollection","JCR":"Q1","JCRName":"RESPIRATORY SYSTEM","Score":null,"Total":0}
引用次数: 0
摘要
背景：监测肺纤维化患者的肺功能过程对指导治疗决策至关重要。在线家庭肺活量测定法在密切监测和改善医疗保健系统压力时代的护理获取方面具有巨大潜力。然而，关于其在日常实践中大规模使用的数据很少。我们评估了在线家庭肺活量测定在肺纤维化治疗中的临床适用性。方法：我们分析了荷兰全国特发性肺纤维化（IPF）和其他形式肺纤维化（PF）患者队列的数据，这些患者使用家庭监测计划和家庭肺活量（FVC）作为日常实践的一部分。用关节模型评估FVC的变化。使用变异系数测量患者内部变异性。评估了家庭肺活量测定随时间的使用情况和患者的经历。结果：对334例患者（IPF为73.1%）的在线家庭肺活量测定数据进行分析。IPF患者的平均基线FVC为3.02 L (95% CI: 2.27-3.79)，年平均下降170 mL（4.0%）。PF患者的平均基线FVC为2.81 L (95% CI: 2.07-3.55)，年平均下降88 mL（1.2%）。患者内平均±sd变异性为5.6±4.6%。患者总体满意度较高，1年后仍有63.4%的患者进行在线家庭肺活量测定。结论：在线家庭肺活量测定在日常临床实践中大规模监测IPF和PF患者的疾病轨迹是可行的，在线家庭肺活量测定可以指导大多数肺纤维化患者的管理决策并改善护理可及性。
Online home spirometry in national pulmonary fibrosis care: insights from daily practice.
Background: Monitoring lung function course in patients with pulmonary fibrosis is crucial to guide treatment decisions. Online home spirometry holds great potential for close monitoring and improving care access in times of pressured healthcare systems. However, little data is available on its large-scale use in daily practice. We evaluated the clinical applicability of online home spirometry in pulmonary fibrosis care.
Methods: We analysed data of a nationwide Dutch cohort of patients with idiopathic pulmonary fibrosis (IPF) and other forms of pulmonary fibrosis (PF) that used a home monitoring programme with home spirometry (forced vital capacity (FVC)) as part of daily practice. Changes in FVC were evaluated with a joint model. Within-patient variability was measured using coefficient of variation. Home spirometry use over time and patient experiences were assessed.
Results: Online home spirometry data of 334 patients (IPF 73.1%) were analysed. Patients with IPF had a mean baseline FVC of 3.02 L (95% CI: 2.27-3.79), with a mean annualised decline of 170 mL (4.0%). Patients with PF had a mean baseline FVC of 2.81 L (95% CI: 2.07-3.55) with a mean annualised decline of 88 mL (1.2%). Mean±sd within-patient variability was 5.6±4.6%. Overall patient satisfaction was high, and after 1 year 63.4% still performed online home spirometry.
Conclusion: Online home spirometry is feasible on a large scale in daily clinical practice to monitor disease trajectories in patients with IPF and PF. Online home spirometry could guide management decisions and improve care access for a majority of patients with pulmonary fibrosis.
期刊介绍：
ERJ Open Research is a fully open access original research journal, published online by the European Respiratory Society. The journal aims to publish high-quality work in all fields of respiratory science and medicine, covering basic science, clinical translational science and clinical medicine. The journal was created to help fulfil the ERS objective to disseminate scientific and educational material to its members and to the medical community, but also to provide researchers with an affordable open access specialty journal in which to publish their work.
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