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Meta-analysis of the radiological and clinical features of Usual Interstitial Pneumonia (UIP) and Nonspecific Interstitial Pneumonia (NSIP)

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  • Lukas Ebner
  • Stergios Christodoulidis
  • Thomai Stathopoulou
  • Thomas Geiser
  • Odile Stalder
  • Andreas Limacher
  • Johannes T Heverhagen
  • Stavroula G Mougiakakou
  • Andreas Christe

Abstract

Purpose: To conduct a meta-analysis to determine specific computed tomography (CT) patterns and clinical features that discriminate between nonspecific interstitial pneumonia (NSIP) and usual interstitial pneumonia (UIP). Materials and methods: The PubMed/Medline and Embase databases were searched for studies describing the radiological patterns of UIP and NSIP in chest CT images. Only studies involving histologically confirmed diagnoses and a consensus diagnosis by an interstitial lung disease (ILD) board were included in this analysis. The radiological patterns and patient demographics were extracted from suitable articles. We used random-effects meta-analysis by DerSimonian & Laird and calculated pooled odds ratios for binary data and pooled mean differences for continuous data. Results: Of the 794 search results, 33 articles describing 2,318 patients met the inclusion criteria. Twelve of these studies included both NSIP (338 patients) and UIP (447 patients). NSIP-patients were significantly younger (NSIP: median age 54.8 years, UIP: 59.7 years; mean difference (MD) -4.4; p = 0.001; 95% CI: -6.97 to -1.77), less often male (NSIP: median 52.8%, UIP: 73.6%; pooled odds ratio (OR) 0.32; p

Suggested Citation

  • Lukas Ebner & Stergios Christodoulidis & Thomai Stathopoulou & Thomas Geiser & Odile Stalder & Andreas Limacher & Johannes T Heverhagen & Stavroula G Mougiakakou & Andreas Christe, 2020. "Meta-analysis of the radiological and clinical features of Usual Interstitial Pneumonia (UIP) and Nonspecific Interstitial Pneumonia (NSIP)," PLOS ONE, Public Library of Science, vol. 15(1), pages 1-21, January.
    • Handle: RePEc:plo:pone00:0226084
    DOI: 10.1371/journal.pone.0226084
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    References listed on IDEAS

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    1. Hiroaki Nakagawa & Emiko Ogawa & Kentaro Fukunaga & Daisuke Kinose & Masafumi Yamaguchi & Taishi Nagao & Sachiko Tanaka-Mizuno & Yasutaka Nakano, 2019. "Quantitative CT analysis of honeycombing area predicts mortality in idiopathic pulmonary fibrosis with definite usual interstitial pneumonia pattern: A retrospective cohort study," PLOS ONE, Public Library of Science, vol. 14(3), pages 1-11, March.
    2. David Moher & Alessandro Liberati & Jennifer Tetzlaff & Douglas G Altman & The PRISMA Group, 2009. "Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement," PLOS Medicine, Public Library of Science, vol. 6(7), pages 1-6, July.
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