Ted K Turesky, Joseph Sanfilippo, Jennifer Zuk, Banu Ahtam, Borjan Gagoski, Ally Lee, Kathryn Garrisi, Jade Dunstan, Clarisa Carruthers, Jolijn Vanderauwera, Xi Yu, Nadine Gaab
Home language and literacy environment and its relationship to socioeconomic status and white matter structure in infancy
Brain structure & function
diagnostic process patients interstitial lung diseases ild remains complex aim study characterise diagnostic care pathway identify barriers potential solutions access timely accurate ild diagnosis mixedmethod study comprised quantitative chart review patient physician surveys focus groups chart review completed 97 patients median time symptom onset ild diagnosis 120 iqr 205 months 46 diagnosed within 1 year time first computed tomography ct scan respirology referral 24 iqr 212 months referrals prior ct triaged sooner referrals without 1716 months vs 3933 months p0013 95 ci 048 294 patient surveys n70 51 felt lung disease recognised early enough commonly reported challenges timely diagnosis included delayed presentation primary care initial misdiagnoses long waittimes specialists fortyfive per cent physicians n20 identified diagnostic delays attributed delayed presentations primary care 58 initial misdiagnoses 67 delayed chest imaging 75 themes patient respirologist focus groups included patientrelated healthcare providerrelated systemrelated factors leading delays diagnosis mixedmethods study identified patient systemrelated factors contribute diagnostic delays patients ild delays occurring prior respirology referral ild awareness education earlier presentation primary care expedited access chest imaging earlier referral respirology may expedite diagnosis