Standardized evaluation of environmental factors contributing to ILD needed
Environmental evaluation and remediation in interstitial lung disease (ILD) should be a focus of future research, with an emphasis on feasibility, long-term outcomes, and cost-effectiveness, according to a review published in Chest.
The benefit of environmental assessment is often discussed for patients with asthma or occupational exposures, but not in broader patient populations, despite research demonstrating that domestic and occupational exposures influence the onset and progression of certain ILDs.
“Currently, there is no standardized approach to environmental evaluation or remediation of potentially harmful exposures in-home or workplace environments for patients with ILD,” wrote the authors.
In this review, researchers discuss evidence for environmental contributions to ILD pathogenesis utilizing in part literature on asthma and occupational medicine to outline the potential benefit of professional evaluation for environmental factors that contribute to the development and progression of ILD.
Copeland CR, Collins BF, Salisbury ML. Identification and remediation of environmental exposures in patients with interstitial lung disease: Evidence review and practical considerations. Chest. 2021;S0012-3692(21)00286-5. doi: 10.1016/j.chest.2021.02.021. Epub ahead of print. PMID: 33609518.