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Table 3 Prognostic significance of histopathology findings in SSc-ILD

From: The role of lung biopsy for diagnosis and prognosis of interstitial lung disease in systemic sclerosis: a systematic literature review

Ref.

 

total

NSIP

UIP

other

Bouros, AJRCCM 2002

SSc cases with LBx

80

62

121

6

 

Treatments: CSSonly/CYC/AZA

13/26/12

-

-

-

 

Deaths N (%) - FUP 74.5 (16–62)months

22 (30)

16 (26)

6 (50)

-

 

5 years survival2

-

90%

82%

-

 

10 years survival2

-

69%

29%

-

 

median FVC change at 1 and 3 years

-1.7% and − 2.5%

-

-

-

 

median DLco change at 1 and 3 years

-0.3% and − 1.8%3

-

-

-

Fischer, Chest 2008

SSc cases with LBx

22

14

8

-

 

Treatments: CSS + CYC or CSS + AZA

unk

-

-

-

 

Deaths N (%)

11 (50)

6 (43)

5 (63)

-

 

median survival time in years4

-

15.3

3

-

Kim, Sarcoidosis VDLD 2002

SSc cases with LBx

19

13

5

-

 

Treatments: CSSonly/CSS + CYC

1/12

0/12

1/0

-

 

> 15% FVC and DLco improvement after treatment, N

-

5

0

-

 

CRP score: N improved/ N worsened

-

5/0

0/5

-

 

CRP score after treatment

-

-11.8 (8.9)

1.5 (3.4)

-

De Souza, Respiration 2009

SSc cases with LBx

28

19

1

6 CLF (2 other^^)

 

Treatment: CYC/antiGERD only

 

18/0

-

0/6

 

Δ % FVC decline at 1 year, median (SD)

 

–2.15 (11.28)

-

–3.87 (6.63)

 

Δ % FEV1 decline at 1 year, median (SD)

 

–1.61 (10.54)

-

–9.88 (12.14)

 

Δ % DLco decline at 1 year, median (SD)

 

–11.63 (20.98)

-

-17.06 (45.59)

Domiciano, Clir Rheum 2011

SSc cases with LBx

18

185

 

-

 

Treatments: CYC/CYC + PRED

9/9

9/9

-

-

 

Deaths in 2 years

2 (11%)

2 (11%)

 

-

Yamakawa, PlosOne 2016

SSc cases with LBx

32

20

1

11 unclass

 

Deaths N (%) - FUP 2.84 (0.15–17.25)years

18 (20)

   
 

5 years mortality

24.4%

   
  1. Abbreviations: NSIP: non specific interstitial pneumonia; UIP: usual interstitial pneumonia. LBx: lung biopsy. SSc: systemic sclerosis. CSS: corticosteroids. AZA: azathioprine. CYC: cyclophosphamide. FUP: follow-up. GERD: gastroesophageal reflux. DLco: carbon monoxide diffusion; FVC: forced vital capacity
  2. Notes: (1) 6 UIP and 6 End Stage Lung; (2) survival difference between NSIP and UIP/ESL not statistically significant p = 0.33; (3) only DLco decline at 3 years was significantly linked to worse prognosis at multivariable analysis p = 0.003; (4) statistically significant p = 0.007; (5) 9 cellular NSIP and 9 fibrotic NSIP