Hemodynamics and Phosphodiesterase-5 Inhibitor Treatment Associated with Survival in ILD-PH: A PVRI GoDeep Meta-Registry Analysis

BACKGROUND: Pulmonary hypertension (PH) in interstitial lung disease (ILD) lacks approved therapies. The PVRI GoDeep meta-registry collects real-world data of PH patients from international PH referral centers. METHODS: ILD-PH patients and relevant subgroups (IIP, IPF) were stratified by pulmonary vascular resistance (PVR). Kaplan-Meier survival analyses, adjusted Cox proportional hazards models, additionally accounting for immortal time bias, sensitivity analyses, Heller explained relative risk statistics and target trial emulation framework analysis were employed. RESULTS: Among 34,482 patients, 940 hemodynamically fully characterized incident ILD-PH patients (median age 67[59,74] years) were identified. 62% had severe ILD-PH with PVR >5 WU and poor survival rates (29% and 18% at 3 and 5 years), significantly worse than ILD-PH patients with PVR

  • Yogeswaran, A.
  • Hassoun, P. M.
  • Saleh, K.
  • Fünderich, M.
  • Balasubramanian, A.
  • Konswa, Z.
  • Kiely, D. G.
  • Lawrie, A.
  • Thenappan, T.
  • Eichstaedt, C. A.
  • Grünig, E.
  • Wilkins, M. R.
  • Howard, L.
  • Olschewski, H.
  • Kovacs, G.
  • Cajigas, H. R.
  • Frantz, R.
  • Sabbour, H.
  • Sweatt, A. J.
  • Zamanian, R. T.
  • Arvanitaki, A.
  • Giannakoulas, G.
  • Elwing, J.
  • Jose, A.
  • Beckmann, S.
  • Olsson, K. M.
  • Stadler, S.
  • Held, M.
  • Halank, M.
  • Ewert, R.
  • Behr, J.
  • Milger-Kneidinger, K.
  • Pausch, C.
  • Pittrow, D.
  • Majeed, R. W.
  • Wilhelm, J.
  • Ghofrani, H. A.
  • Grimminger, F.
  • Tello, K.
  • Hoeper, M. M.
  • Seeger, W.

Keywords

  • PVRI GoDeep
  • interstitial lung disease
  • pulmonary hypertension
  • treatment
Publication details
DOI: 10.1164/rccm.202412-2371OC
Journal: Am J Respir Crit Care Med
Work Type: Original
Access number: 40772955
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