Person-centred health outcomes in the routine care for people with progressive pulmonary fibrosis: the COCOS-IPF project’s European survey on healthcare professionals’ views and practices

Abstract Background Idiopathic pulmonary fibrosis (IPF) and progressive pulmonary fibrosis (PPF) are interstitial lung diseases (ILD) that carry a high burden and mortality. IPF/PPF experts and patients call for standardized care, outcome harmonization and holistic management in these complex and de...

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Main Authors: Vivien Somogyi, Anouk Delameillieure, Silja Schenk, Liesbet Van Bulck, Sofie Breuls, Nazli Üçkuyu, Zehra Nur Töreyin, Nikola Stenzel, Nesrin Moğulkoç, Wim Wuyts, Steve Jones, Liam Galvin, Jeanette Boyd, Thomy Tonia, Fabienne Dobbels, Michael Kreuter
Format: Article
Language:English
Published: BMC 2025-02-01
Series:Respiratory Research
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Online Access:https://doi.org/10.1186/s12931-025-03146-4
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author Vivien Somogyi
Anouk Delameillieure
Silja Schenk
Liesbet Van Bulck
Sofie Breuls
Nazli Üçkuyu
Zehra Nur Töreyin
Nikola Stenzel
Nesrin Moğulkoç
Wim Wuyts
Steve Jones
Liam Galvin
Jeanette Boyd
Thomy Tonia
Fabienne Dobbels
Michael Kreuter
author_facet Vivien Somogyi
Anouk Delameillieure
Silja Schenk
Liesbet Van Bulck
Sofie Breuls
Nazli Üçkuyu
Zehra Nur Töreyin
Nikola Stenzel
Nesrin Moğulkoç
Wim Wuyts
Steve Jones
Liam Galvin
Jeanette Boyd
Thomy Tonia
Fabienne Dobbels
Michael Kreuter
author_sort Vivien Somogyi
collection DOAJ
description Abstract Background Idiopathic pulmonary fibrosis (IPF) and progressive pulmonary fibrosis (PPF) are interstitial lung diseases (ILD) that carry a high burden and mortality. IPF/PPF experts and patients call for standardized care, outcome harmonization and holistic management in these complex and devastating diseases, with a focus on person-centeredness. In this cross-sectional international survey study, we aimed to gather information on the person-centred health outcomes European healthcare professionals (HCPs) already use or deem important for use in routine care for IPF/PPF. This work is part of the COCOS-IPF project on developing a Core Outcome Set (COS) for and with patients with IPF/PPF. Methods With the input of IPF/PPF experts, psychologists and patients, we developed an online survey for European multidisciplinary HCPs with IPF/PPF expertise. The survey was programmed in QualtricsXM, piloted and distributed via the networks of the COCOS-IPF consortium. We used content analysis to create an overall list of outcome domains mentioned in the survey, classified these according to the COMET (Core Outcome Measures in Effectiveness Trials) taxonomy and calculated the frequency of all outcomes mentioned. Results A total of 149 experts, mainly pulmonologists (n = 120, 81%) working in ILD expert centres, from 31 European countries participated. Of the 40 different outcome domains mentioned, the majority referred to `physiological/clinical` (n = 773, 81%) and `life impact` (n = 138, 14%) outcome domains. Of these, `lung function’ (n = 280, 29%), ‘exercise capacity’ (n = 123, 13%) and `quality of life` (n = 103, 11%) were reported as most frequently used person-centred health outcomes. Survey respondents deemed the same three outcome domains the most important for use in the routine clinical IPF/PPF care, supplemented by chest symptoms. Pulmonologists reported mainly about routine use of `lung function` (n = 252, 26%), while allied HCPs put more focus on outcomes related to physical condition and whole body status. Conclusions HCPs have identified 40 different outcomes domains in a European multidisciplinary survey on person-centred health outcomes in IPF/PPF. Lung function, exercise capacity, quality of life and chest symptoms were rated as the most relevant health outcomes to be assessed routinely in clinical care. These insights can help to support the development of a COS for IPF/PPF clinical care.
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spelling doaj-art-21fbfd087e4841ef9ba510888c2d7fc22025-08-20T02:59:29ZengBMCRespiratory Research1465-993X2025-02-0126111110.1186/s12931-025-03146-4Person-centred health outcomes in the routine care for people with progressive pulmonary fibrosis: the COCOS-IPF project’s European survey on healthcare professionals’ views and practicesVivien Somogyi0Anouk Delameillieure1Silja Schenk2Liesbet Van Bulck3Sofie Breuls4Nazli Üçkuyu5Zehra Nur Töreyin6Nikola Stenzel7Nesrin Moğulkoç8Wim Wuyts9Steve Jones10Liam Galvin11Jeanette Boyd12Thomy Tonia13Fabienne Dobbels14Michael Kreuter15Mainz Center for Pulmonary Medicine, Dept of Pneumology, Critical Care & Sleep Medicine, Mainz University Medical Center and of Pulmonary, Marienhaus Clinic MainzDept of Public Health and Primary Care, Academic Centre for Nursing and Midwifery, KU LeuvenDept of Psychology and Psychotherapy, Psychologische Hochschule Berlin (PHB)Dept of Public Health and Primary Care, Academic Centre for Nursing and Midwifery, KU LeuvenDept of Public Health and Primary Care, Academic Centre for Nursing and Midwifery, KU LeuvenDept of Pulmonary Medicine, Ege University Medical School, Ege University HospitalDept of Pulmonary Medicine, Ege University Medical School, Ege University HospitalDept of Psychology and Psychotherapy, Psychologische Hochschule Berlin (PHB)Dept of Pulmonary Medicine, Ege University Medical School, Ege University HospitalDept of Chronic Diseases and Metabolism, Laboratory of Respiratory Diseases and Thoracic Surgery, Dept of Respiratory Diseases, Unit for Interstitial Lung Diseases, KU Leuven, University Hospitals LeuvenEuropean Pulmonary Fibrosis Federation (EU-PFF)European Pulmonary Fibrosis Federation (EU-PFF)European Lung Foundation (ELF)European Respiratory SocietyDept of Public Health and Primary Care, Academic Centre for Nursing and Midwifery, KU LeuvenMainz Center for Pulmonary Medicine, Dept of Pneumology, Critical Care & Sleep Medicine, Mainz University Medical Center and of Pulmonary, Marienhaus Clinic MainzAbstract Background Idiopathic pulmonary fibrosis (IPF) and progressive pulmonary fibrosis (PPF) are interstitial lung diseases (ILD) that carry a high burden and mortality. IPF/PPF experts and patients call for standardized care, outcome harmonization and holistic management in these complex and devastating diseases, with a focus on person-centeredness. In this cross-sectional international survey study, we aimed to gather information on the person-centred health outcomes European healthcare professionals (HCPs) already use or deem important for use in routine care for IPF/PPF. This work is part of the COCOS-IPF project on developing a Core Outcome Set (COS) for and with patients with IPF/PPF. Methods With the input of IPF/PPF experts, psychologists and patients, we developed an online survey for European multidisciplinary HCPs with IPF/PPF expertise. The survey was programmed in QualtricsXM, piloted and distributed via the networks of the COCOS-IPF consortium. We used content analysis to create an overall list of outcome domains mentioned in the survey, classified these according to the COMET (Core Outcome Measures in Effectiveness Trials) taxonomy and calculated the frequency of all outcomes mentioned. Results A total of 149 experts, mainly pulmonologists (n = 120, 81%) working in ILD expert centres, from 31 European countries participated. Of the 40 different outcome domains mentioned, the majority referred to `physiological/clinical` (n = 773, 81%) and `life impact` (n = 138, 14%) outcome domains. Of these, `lung function’ (n = 280, 29%), ‘exercise capacity’ (n = 123, 13%) and `quality of life` (n = 103, 11%) were reported as most frequently used person-centred health outcomes. Survey respondents deemed the same three outcome domains the most important for use in the routine clinical IPF/PPF care, supplemented by chest symptoms. Pulmonologists reported mainly about routine use of `lung function` (n = 252, 26%), while allied HCPs put more focus on outcomes related to physical condition and whole body status. Conclusions HCPs have identified 40 different outcomes domains in a European multidisciplinary survey on person-centred health outcomes in IPF/PPF. Lung function, exercise capacity, quality of life and chest symptoms were rated as the most relevant health outcomes to be assessed routinely in clinical care. These insights can help to support the development of a COS for IPF/PPF clinical care.https://doi.org/10.1186/s12931-025-03146-4Idiopathic pulmonary fibrosisProgressive Pulmonary FibrosisCore Outcome SetPerson-centred outcomes
spellingShingle Vivien Somogyi
Anouk Delameillieure
Silja Schenk
Liesbet Van Bulck
Sofie Breuls
Nazli Üçkuyu
Zehra Nur Töreyin
Nikola Stenzel
Nesrin Moğulkoç
Wim Wuyts
Steve Jones
Liam Galvin
Jeanette Boyd
Thomy Tonia
Fabienne Dobbels
Michael Kreuter
Person-centred health outcomes in the routine care for people with progressive pulmonary fibrosis: the COCOS-IPF project’s European survey on healthcare professionals’ views and practices
Respiratory Research
Idiopathic pulmonary fibrosis
Progressive Pulmonary Fibrosis
Core Outcome Set
Person-centred outcomes
title Person-centred health outcomes in the routine care for people with progressive pulmonary fibrosis: the COCOS-IPF project’s European survey on healthcare professionals’ views and practices
title_full Person-centred health outcomes in the routine care for people with progressive pulmonary fibrosis: the COCOS-IPF project’s European survey on healthcare professionals’ views and practices
title_fullStr Person-centred health outcomes in the routine care for people with progressive pulmonary fibrosis: the COCOS-IPF project’s European survey on healthcare professionals’ views and practices
title_full_unstemmed Person-centred health outcomes in the routine care for people with progressive pulmonary fibrosis: the COCOS-IPF project’s European survey on healthcare professionals’ views and practices
title_short Person-centred health outcomes in the routine care for people with progressive pulmonary fibrosis: the COCOS-IPF project’s European survey on healthcare professionals’ views and practices
title_sort person centred health outcomes in the routine care for people with progressive pulmonary fibrosis the cocos ipf project s european survey on healthcare professionals views and practices
topic Idiopathic pulmonary fibrosis
Progressive Pulmonary Fibrosis
Core Outcome Set
Person-centred outcomes
url https://doi.org/10.1186/s12931-025-03146-4
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