The Epidemiology of Idiopathic Pulmonary Fibrosis Vidya Navaratnam University of Nottingham.

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Presentation transcript:

The Epidemiology of Idiopathic Pulmonary Fibrosis Vidya Navaratnam University of Nottingham

What is IPF? Chronic, progressive, fibrotic lung disease of unknown aetiology More common in men Average age of presentation 71 years Median survival 3 years Lots of symptoms 7 years of life lost

How common is IPF?

Textbooks in the 1990s Not a common disease Disease of middle aged people

Number of deaths from CFA in England and Wales

Summary of incidence in early 1990s StudyRate per 100,000 pyrs New Mexico3 UK death certificates2.8 UK general practice4

Incidence over time - update Gribbin Thorax 2006:61:980

Idiopathic Pulmonary Fibrosis -New

Primary Care Data CasesCrude incidence rates (95% CI) per person years Rate Ratios (95%CI) Year (4.95 to 6.74) (5.28 to 7.08)1.08 (0.87 to 1.33 ) (5.83 to 7.68)1.20 (0.98 to 1.48 ) (6.26 to 8.15)1.30 (1.06 to 1.60 ) (7.14 to 9.14)1.41 (1.16 to 1.72 ) (7.21 to 9.19)1.45 (1.19 to 1.77 ) (6.65 to 8.55)1.35 (1.11 to 1.65 ) (8.07 to 10.15)1.63 (1.34 to 1.98 ) (7.12 to 9.08)1.37 (1.12 to 1.67) p for trend <0.0001

Hospital admissions in England

Incidence summary IPF deaths in England and Wales 479 in in 2008 Incidence rate About 8 per 100,000 person years About 5000 new cases a year 5% increase per year

Trent Lung Fibrosis Study: The clot thickens

Thank you Richard Hubbard Andrew Fogarty Norma Thompson Tricia McKeever Gisli Jenkins Sue Ledger Kate Fleming Joe West