182804 - check, unit 558, Interstitial lung disease, March 2019
This edition of check focuses on the assessment and management of interstitial lung disease in general practice.Relevance to General Practice
It is estimated that annual incidence of interstitial lung disease (ILD) in Australia is 30 in 100,000. In 2011–12, ILD was thought to contribute to 4050 hospitalisations and 1161 deaths. The most common form of ILD in older adults is idiopathic pulmonary fibrosis, which has an estimated prevalence of 2–29 per 100,000, and a higher prevalence in patients aged >50 years. ILD can be brought on by systemic sclerosis, which has a prevalence of approximately 20 in 100,000. Sarcoidosis is another multi-system disease associated with ILD, with pulmonary fibrosis occurring in up to 20% of patients. The estimated prevalence of sarcoidosis in the Australian population is 4.4–6.3 per 100,000, with most cases affecting individuals aged 20–39 years. ILD can be caused by workplace or domestic exposures to allergens, which can result in chronic hypersensitivity pneumonitis. Another occupational cause of ILD is asbestosis, usually 20–30 years after asbestos exposure.
References on file.
D1. Communication skills and the patient-doctor relationship
Effective communication is used in challenging situations
D2. Applied professional knowledge and skills
Comprehensive and holistic management plans are developed collaboratively
D3. Population health and the context of general practice
D4. Professional and ethical role
D5. Organisational and legal dimensionsCurriculum Contextual Units
- Adult health