Prevalence and incidence of interstitial lung diseases in a multi-ethnic county of Greater Paris

被引：211

作者：

Duchemann, Boris ^{[1
,2
]}

Annesi-Maesano, Isabella ^{[3
]}

de Naurois, Camille Jacobe ^{[4
]}

Sanyal, Shreosi ^{[3
]}

Brillet, Pierre-Yves ^{[2
,5
]}

Brauner, Michel ^{[5
]}

Kambouchner, Marianne ^{[6
]}

Huynh, Sophie ^{[7
]}

Naccache, Jean Marc ^{[8
]}

Borie, Raphael ^{[9
]}

Piquet, Jacques ^{[10
]}

Mekinian, Arsene ^{[11
]}

Virally, Jerome ^{[7
]}

Uzunhan, Yurdagul ^{[1
,2
]}

Cadranel, Jacques ^{[8
]}

Crestani, Bruno ^{[9
]}

Fain, Olivier ^{[11
]}

Lhote, Francois ^{[12
]}

Dhote, Robin ^{[13
]}

Saidenberg-Kermanac'h, Nathalie ^{[14
]}

Rosental, Paul-Andre ^{[15
]}

Valeyre, Dominique ^{[1
,2
]}

Nunes, Hilario ^{[1
,2
]}

机构：

[1] Hop Avicenne, Assistance Publ Hop Paris, Serv Pneumol, 125 Rue Stalingrad, F-93009 Bobigny, France

[2] Univ Paris 13, Sorbonne Paris Cite, Hypoxie & Poumon EA 2363, Paris, France

[3] UPMC Univ Paris 06, Sorbonne Univ,Saint Antoine Med Sch, Pierre Louis Inst Epidemiol & Publ Hlth IPLESP UM, Epidemiol Allerg & Resp Dis Dept EPAR,INSERM, Paris, France

[4] DRSM Ile France, Assurance Malad, Paris, France

[5] Hop Avicenne, Assistance Publ Hop Paris, Serv Radiol, Bobigny, France

[6] Hop Avicenne, Assistance Publ Hop Paris, Serv Anat Pathol, Bobigny, France

[7] Hop Robert Ballanger, Serv Pneumol, Aulnay Sous Bois, France

[8] Hop Tenon, Assistance Publ Hop Paris, Serv Pneumol, Paris, France

[9] Hop Bichat Claude Bernard, Assistance Publ Hop Paris, Serv Pneumol, Paris, France

[10] Hop Monfermeil, Serv Pneumol, Montfermeil, France

[11] Hop Jean Verdier, Assistance Publ Hop Paris, Serv Med Interne, Bondy, France

[12] Hop Saint Denis, Serv Med Interne, Saint Denis, France

[13] Hop Avicenne, Assistance Publ Hop Paris, Serv Med Interne, Bobigny, France

[14] Hop Avicenne, Assistance Publ Hop Paris, Serv Rhumatol, Bobigny, France

[15] Sci PO, Projet ERC Silicosis, Paris, France

来源：

EUROPEAN RESPIRATORY JOURNAL | 2017年 / 50卷 / 02期

关键词：

IDIOPATHIC PULMONARY-FIBROSIS; EPIDEMIOLOGY; SARCOIDOSIS; SURVIVAL; POPULATION; MORTALITY;

D O I：

10.1183/13993003.02419-2016

中图分类号：

R56 [呼吸系及胸部疾病];

学科分类号：

摘要：

The objective of the study was to estimate the prevalence and incidence of interstitial lung diseases (ILDs) in Seine-Saint-Denis, a multi-ethnic county of Greater Paris, France. Patients with ILDs were identified between January and December 2012 by using several sources; all potentially involved medical specialists from public and private hospitals, community-based pulmonologists and general practitioners, and the Social Security system. Diagnoses were validated centrally by an expert multidisciplinary discussion. 1170 ILD cases were reported (crude overall prevalence: 97.9/10(5) and incidence: 19.4/10(5)/year). In the 848 reviewed cases, the most prevalent diagnoses were sarcoidosis (42.6%), connective tissue diseases associated ILDs (CTDs-ILDs) (16%), idiopathic pulmonary fibrosis (IPF) (11.6%), and occupational ILDs (5.0%), which corresponded to a crude prevalence of 30.2/10(5) for sarcoidosis, 12.1/10(5) for CTDs-ILDs and 8.2/10(5) for IPF. The prevalence of fibrotic idiopathic interstitial pneumonias, merging IPF, nonspecific interstitial pneumonia and cases registered with code J84.1 was 16.34/10(5). An adjusted multinomial model demonstrated an increased risk of sarcoidosis in North Africans and Afro-Caribbeans and of CTDs-ILDs in Afro-Caribbeans, compared to that in Europeans. This study, with a comprehensive recruitment and stringent diagnostic criteria, emphasises the importance of secondary ILDs, particularly CTDs-ILDs and the relatively low prevalence of IPF, and confirms that sarcoidosis is a rare disease in France.

引用

页数：12

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