New Approaches in the Treatment and Management of Idiopathic Pulmonary Fibrosis

A continuing medical education activity provided by NAMCP and AAMCN

This activity is an archive from the live session from the 2020 Spring Managed Care Forum. If you participated in the live session, you are not eligible for continuing education credits from this archive.

This activity is valid from August 1, 2020 to August 1, 2021

Instructions for CME/NCPD: Complete the pre-test, listen to the audio and view the slides, complete the post test, complete the evaluation form and hit submit. You will be asked to enter your name and email address on the pre-test, evaluation and post-test. If you close your internet browser without completing the post test, you will have ONE more opportunity to complete. A score of 70% must be achieved on the post test to receive continuing education credits. If you do not pass the post test after two attempts, you will not be eligible to try again. Once you complete the evaluation form and score 70% or higher on your post test, you will automatically be given your certificate.

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Audience: This activity is intended for healthcare professionals practicing in managed care environments.

This activity is supported by an educational grant from
Boehringer Ingelheim

Description:
Idiopathic pulmonary fibrosis (IPF) is a chronic, progressive fibrosing interstitial lung disease (ILD) of unknown origin characterized by progressive lung scarring. It is the most common of the idiopathic interstitial pneumonias, and is a devastating disease associated with irreversible destruction of the lung. The scarring in the lungs gets progressively worse and it makes it difficult for patients to breathe as well as keep adequate levels of oxygen in the bloodstream. The condition affects approximately 3 million people worldwide and has a substantial burden to patients, their families, and the overall healthcare system. Patients with IPF can progress slowly with the right treatment, while others experience rapid lung decline, which presents several diagnostic and management-related challenges. IPF typically has a poor prognosis and the median survival rate is less than four years or fewer from diagnosis. Most patients with idiopathic pulmonary fibrosis present with a gradual onset, which makes it difficult to diagnosis early.

The diagnosis of IPF in most cases involves an in-depth review of both medication and environmental exposure histories followed by a high-resolution computed tomography scan (HRCT). Depending on the results of the HRCT, an analysis of the bronchoalveolar lavage fluid or surgical lung biopsy may be performed, and with a proper evaluation of the HRCT results combined with a histopathology pattern, confirms a diagnosis of IPF. Once the diagnosis is confirmed, the goals of IPF management are to ameliorate symptoms, improve health status, preserve lung function, maintain adequate oxygenation with supplemental oxygen, minimize adverse events of therapy, reduce the frequency of acute exacerbations and, ideally, improve overall patient care and outcomes. Treatment strategies for IPF aim at managing the symptoms and slowing disease progression to best maintain a patient’s quality of life. There continue to be advancements in the current treatment regimens. More recently, therapeutic options for IPF have evolved to include targeted agents that have the ability to individualize treatment for patients.

Upon completion of this activity, participants will be able to:

  • Evaluate the current guideline recommendations for managing patients with idiopathic pulmonary fibrosis (IPF)

  • Assess multidisciplinary tactics for the most accurate screening and diagnostic evaluation of patients of IPF

  • Analyze the evidence on the efficacy, safety, and utility of antifibrotic therapies for IPF to guide personalized treatment decisions

  • Describe the clinical impact of emerging therapies for patients with IPF

  • Explore the limitations of current management approaches for IPF and identify effective strategies to achieve optimal outcomes


     

Faculty: Steven Nathan, MD
Medical Director
Advanced Lung Disease and Transplant Program
Inova Fairfax Hospital
Professor of Medicine
Virginia Commonwealth University

Disclosure:

Dr. Nathan serves on an advisory board for Boehringer Ingelheim and Genentech. He serves as a consultant for Boehringer Ingelheim, Bellerophon, Galapagos, Genentech, and United Therapeutics. His presentation has been peer reviewed for any bias.
  Planning Committee:
Bill Williams, MD has no real or perceived financial relationships to disclose.
Jeremy Williams has no real or perceived financial relationships to disclose.
Jacqueline Cole, RN, MS, CMCN has no real or perceived financial relationships to disclose.

NAMCP and/or the presenter has copyright or has received permissions for use of materials provided in this activity.

Accreditation & Designation
This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the National Association of Managed Care Physicians (NAMCP) and American Association of Managed Care Nurses (AAMCN). The National Association of Managed Care Physicians is accredited by the ACCME to provide continuing medical education for physicians.

NAMCP designates this enduring material for a maximum of 1 AMA PRA Category 1 credit(s)TM. Each
physician should claim credit commensurate with the extent of their participation in the activity.

The American Association of Managed Care Nurses is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center's Commission on Accreditation.

Nurses who complete this activity and achieve a passing score will receive 1 hour in nursing continuing professional development.

This activity has been approved by the American Board of Managed Care Nursing for 1.0 contact hours toward CMCN recertification requirements.

This activity is supported by an educational grant from
Boehringer Ingelheim

NAMCP and/or this website does not provide medical advice, diagnosis or treatment. NAMCP does not endorse or imply endorsement of the content on any linked website. This website is to be used as an informational resource. With any health related concern, consult with your physician or healthcare professional.

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