PMID- 28543987 OWN - NLM STAT- MEDLINE DCOM- 20180420 LR - 20220408 IS - 1440-1843 (Electronic) IS - 1323-7799 (Linking) VI - 22 IP - 7 DP - 2017 Oct TI - Modified GAP index for prediction of acute exacerbation of idiopathic pulmonary fibrosis in non-small cell lung cancer. PG - 1379-1385 LID - 10.1111/resp.13075 [doi] AB - BACKGROUND AND OBJECTIVE: Predicting the incidence rate of acute exacerbation (AE) of idiopathic pulmonary fibrosis (IPF) and its prognosis in patients with non-small cell lung cancer (NSCLC) and IPF is difficult. The aim was to study the incidence of IPF-AE during the clinical course of the disease and its prognosis in patients with both NSCLC and IPF. METHODS: In this retrospective study, we compared the incidence rate of AE during the clinical course of the disease as well as the 1-year survival rate and overall survival (OS) of patients with NSCLC and IPF using a modified gender, age and physiology (mGAP) staging system based on gender, age and percent predicted forced vital capacity. RESULTS: Of 43 patients with NSCLC and IPF included in the final analysis, 17 patients (40%; 95% CI: 26-54%) experienced AE during the clinical course of the disease. One-year survival and median OS were 41.9% (95% CI: 28-57%) and 9.4 months, respectively. Further analysis showed that the incidence of IPF-AE gradually increased and that the 1-year survival rate and median OS gradually decreased with increasing mGAP index score and stage. CONCLUSION: Our study suggested that mGAP index score and cancer stage may predict IPF-AE and its prognosis in patients with NSCLC and IPF. CI - (c) 2017 Asian Pacific Society of Respirology. FAU - Kobayashi, Haruki AU - Kobayashi H AUID- ORCID: 0000-0002-3386-8063 AD - Division of Thoracic Oncology, Shizuoka Cancer Center, Shizuoka, Japan. FAU - Omori, Shota AU - Omori S AD - Division of Thoracic Oncology, Shizuoka Cancer Center, Shizuoka, Japan. FAU - Nakashima, Kazuhisa AU - Nakashima K AD - Division of Thoracic Oncology, Shizuoka Cancer Center, Shizuoka, Japan. FAU - Wakuda, Kazushige AU - Wakuda K AD - Division of Thoracic Oncology, Shizuoka Cancer Center, Shizuoka, Japan. FAU - Ono, Akira AU - Ono A AD - Division of Thoracic Oncology, Shizuoka Cancer Center, Shizuoka, Japan. FAU - Kenmotsu, Hirotsugu AU - Kenmotsu H AD - Division of Thoracic Oncology, Shizuoka Cancer Center, Shizuoka, Japan. FAU - Naito, Tateaki AU - Naito T AD - Division of Thoracic Oncology, Shizuoka Cancer Center, Shizuoka, Japan. FAU - Murakami, Haruyasu AU - Murakami H AD - Division of Thoracic Oncology, Shizuoka Cancer Center, Shizuoka, Japan. FAU - Endo, Masahiro AU - Endo M AD - Division of Diagnostic Radiology, Shizuoka Cancer Center, Shizuoka, Japan. FAU - Takahashi, Toshiaki AU - Takahashi T AD - Division of Thoracic Oncology, Shizuoka Cancer Center, Shizuoka, Japan. LA - eng PT - Journal Article DEP - 20170523 PL - Australia TA - Respirology JT - Respirology (Carlton, Vic.) JID - 9616368 SB - IM MH - Aged MH - Carcinoma, Non-Small-Cell Lung/mortality/*physiopathology MH - *Disease Progression MH - Female MH - Humans MH - Idiopathic Pulmonary Fibrosis/mortality/*physiopathology MH - Lung Neoplasms/mortality/*physiopathology MH - Male MH - Middle Aged MH - Predictive Value of Tests MH - Prognosis MH - Retrospective Studies MH - Survival Analysis MH - Vital Capacity/*physiology OTO - NOTNLM OT - acute exacerbation OT - gender, age and physiology index OT - idiopathic pulmonary fibrosis OT - lung cancer OT - non-small cell lung cancer EDAT- 2017/05/26 06:00 MHDA- 2018/04/21 06:00 CRDT- 2017/05/26 06:00 PHST- 2016/10/19 00:00 [received] PHST- 2017/04/05 00:00 [revised] PHST- 2017/04/05 00:00 [accepted] PHST- 2017/05/26 06:00 [pubmed] PHST- 2018/04/21 06:00 [medline] PHST- 2017/05/26 06:00 [entrez] AID - 10.1111/resp.13075 [doi] PST - ppublish SO - Respirology. 2017 Oct;22(7):1379-1385. doi: 10.1111/resp.13075. Epub 2017 May 23.