Interstitial lung disease in India results of a prospective registry

Sheetu Singh, Bridget F. Collins, Bharat B. Sharma, Jyotsna M. Joshi, Deepak Talwar, Sandeep Katiyar, Nishtha Singh, Lawrence Ho, Jai Kumar Samaria, Parthasarathi Bhattacharya, Rakesh Gupta, Sudhir Chaudhari, Tejraj Singh, Vijay Moond, Sudhakar Pipavath, Jitesh Ahuja, Ravindran Chetambath, Aloke G. Ghoshal, Nirmal K. Jain, H. J. Gayathri DeviSurya Kant, Parvaiz Koul, Raja Dhar, Rajesh Swarnakar, Surendra K. Sharma, Dhrubajyoti J. Roy, Kripesh R. Sarmah, Bhavin Jankharia, Rodney Schmidt, Santosh K. Katiyar, Arpita Jindal, Daya K. Mangal, Virendra Singh, Ganesh Raghu

Research output: Contribution to journalArticlepeer-review

79 Scopus citations


Rationale: Interstitial lung disease (ILD) is a heterogeneous group of acute and chronic inflammatory and fibrotic lung diseases. Existing ILD registries have had variable findings. Little is known about the clinical profile of ILDs in India. Objectives: To characterize new-onset ILDs in India by creating a prospective ILD using multidisciplinary discussion (MDD) to validate diagnoses. Methods: Adult patients of Indian origin living in India with new-onset ILD (27 centers, 19 Indian cities,March 2012-June 2015) without malignancy or infection were included. All had connective tissue disease (CTD) serologies, spirometry, and high-resolution computed tomography chest. ILD pattern was defined by high-resolution computed tomography images. Three groups independently made diagnoses after review of clinical data including that from prompted case report forms: Local site investigators, ILD experts at the National Data Coordinating Center(NDCC;Jaipur, India)withMDD,and experienced ILDexperts at the Center for ILD (CILD; Seattle, WA) withMDD. Cohen's k was used to assess reliability of interobserver agreement. Measurements and Main Results: A total of 1,084 patients were recruited. Final diagnosis: Hypersensitivity pneumonitis in 47.3%(n = 513; exposure, 48.1% air coolers), CTD-ILD in 13.9%, and idiopathic pulmonary fibrosis in 13.7%. Cohen's k: 0.351 site investigator/CILD, 0.519 site investigator/NDCC, and 0.618 NDCC/CILD. Conclusions: Hypersensitivity pneumonitis was the most common new-onset ILD in India, followed by CTD-ILD and idiopathic pulmonary fibrosis; diagnoses varied between site investigators and CILD experts, emphasizing the value of MDD in ILD diagnosis. Prompted case report forms including environmental exposures in prospective registries will likely provide further insight into the etiology and management of ILD worldwide.

Original languageEnglish (US)
Pages (from-to)801-813
Number of pages13
JournalAmerican journal of respiratory and critical care medicine
Issue number6
StatePublished - Mar 15 2017
Externally publishedYes


  • India
  • Interstitial lung disease
  • Registry

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine
  • Critical Care and Intensive Care Medicine


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