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Ditemukan 8 dokumen yang sesuai dengan query
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Collard, Harold R.
Philadelphia: Elsevier, 2018
616.24 COL i
Buku Teks  Universitas Indonesia Library
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Collard, Harold R.
Philadelphia: Elsevier, 2018
616.24 COL i
Buku Teks  Universitas Indonesia Library
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Rosyid Mawardi
"Latar belakang: Penuaan paru ditandai dengan perubahan struktur dan fisiologi paru. Secara struktural, terjadi perubahan ketebalan septum interalveolar dan komponen di dalamnya, salah satunya adalah serat kolagen interstisial, sehingga dapat memengaruhi fungsi paru sebagai organ respirasi. Tujuan dari penelitian ini adalah mengetahui korelasi antara jumlah serat kolagen interstitial paru dengan ketebalan septum interalveolar pada penuaan tikus Sprague-Dawley. Metode: Desain penelitian yang digunakan adalah cross sectional analytic correlative. Penelitian ini menggunakan 24 ekor tikus Sprague-Dawley sebagai subjek penelitian. Subjek penelitian terdiri atas empat kelompok usia, yaitu 2 hari, 16 hari, 3-4 bulan, dan >12 bulan yang ditentukan dengan m ± 0.043 μm, dan 0,512 ± 0.020 μm. Uji korelasi non parametrik Spearman (p = 0,03) antara jumlah serat kolagen interstisial dengan ketebalan septum interalveolar menunjukkan nilai koefisien korelasi (r = 0,213). Kesimpulan: Pada penelitian ini disimpulkan bahwa terdapat korelasi yang lemah antara jumlah serat kolagen interstisial paru dengan ketebalan septum interalveolar pada penuaan tikus Sprague-Dawley. Dengan demikian, dapat dipikirkan bahwa serat kolagen interstisial dapat mempengaruhi ketebalan septum interalveolar paru tikus yang menua, meskipun bukan satu-satunya faktor yang mempengaruhi.
Background: Lung aging is characterized by structure and physiologic changes of the lung. Structurally, the interalveolar septum thickness and all of its components including collagen fiber are change, so that affect the lung function as a respiratory organ. This study is aimed to determine the correlation between the amount of pulmonary interstitial collagen fiber and interalveolar septum thickness on Sprague-Dawley rat aging. Method: The design of this research is cross sectional analytic correlative. The data was taken from the lung tissue preparations of 24 rats in 4 groups based on age, 2 days, 16 days, 3-4 months, and >12 months using single blind randomization technique. The methods of preparation making are based on the literatures. Data that was assessed were the histology of pulmonary interstitial collagen fiber and interalveolar septum. Then, they were analized using SPSS 20.0. Result: Sequentially, the modes of interstitial collagen fiber are 1, 2, 2, and 3; while the interalveolar septum thickness means are 0,436 ± 0.059 μm, 0,399 ± 0.022 μm, 0,474 ± 0.043 μm, and 0,512 ± 0.020 μm. By using non parametric Spearman correlation test (p = 0.03), it was obtained the correlation coefficient (r = 0.213) between the amount of pulmonary interstitial collagen fiber with the interalveolar septum thickness. Conclusion: There is a weak correlation between the amount of pulmonary interstitial collagen fiber with the interalveolar septum thickness of Sprague- Dawley rat aging. Thus, it can be thought that pulmonary interstitial collagen fiber may affects interalveolar septum thickness of rat aging, although it’s not as the only one factor."
Depok: Fakultas Kedokteran Universitas Indonesia, 2014
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UI - Skripsi Membership  Universitas Indonesia Library
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Aristyowati
"Disertasi ini bertujuan menelusuri interaksi dinamis antara fungsi ekologis; estetika dan budaya; serta sosial dan ekonomi dalam pemanfaatan Ruang Terbuka Hijau (RTH). Penelitian ini menggunakan pendekatan sosial-spasial; dari sudut pandang persepsi pengunjung, kelompok pedagang kaki lima, dan kebijakan pemerintah; melalui pendekatan campuran yang terdiri dari metode kuantitiatif survei dan metode kualitatif studi kasus. Kesetaraan sosial-spasial dalam penelitian ini akan meninjau terlebih dulu faktor aksesibilitas dan ketersediaan RTH, berupa pilot project taman-taman kantung di Jakarta. Penelitian ini kemudian mengeksplorasi fenomena sosial kehadiran RTH sebagai daya tarik ekonomi yang memberi peluang bagi Ruang Usaha Mikro, Kecil dan Menengah melalui studi kasus di Kawasan Setu Babakan. Penelitian ini menemukan bahwa baik pengunjung maupun Pedagang Kaki Lima (PKL) menyoroti perlunya akses yang adil terhadap RTH sebagai ruang publik. Studi kasus di Kawasan Setu Babakan ini menjadi spesifik karena kehadiran enam tipe apropriasi warung PKL yang secara spontan muncul di ruang interstisial antara Ruang Terbuka Hijau-Biru dan lahan yang dimiliki masyarakat. Hal ini menggarisbawahi tantangan pemerintah dalam merancang kebijakan yang mencapai aspek sosial-spasial yang legal, inklusif, dan adil. Perpaduan unik antara nilai-nilai budaya, sosial, dan lingkungan tersebut kemudian memosisikan kembali pemahaman bagaimana RTH secara multifungsi dapat memenuhi beragam kebutuhan sekaligus meningkatkan kesejahteraan warga kota.

This dissertation explores the dynamic interactions between ecology; aesthetics and culture, and social and economic aspects in the use of Green Open Space (GOS). This research uses a social-spatial approach; from the perspective of visitors, street vendors, and government policy; through a mixed methods of quantitative survey and qualitative case study. Socio-spatial analysis will review the accessibility and availability of GOS in the form of pilot projects for pocket parks in Jakarta; then explores the social phenomenon of GOS presence as an economic attraction that provides opportunities for Micro, Small and Medium Enterprises through a case study in the Setu Babakan area. This research found that both visitors and street vendors highlighted the need for equal access to GOS. The case study in the Setu Babakan area is specific because of the presence of six types of street vendor’s appropriation spontaneously appear in the interstitial space between the Blue-Green Open Space and private land. This underlines the government's challenge in designing policies that achieve socio-spatial aspects that are legal, inclusive and equal. The combination of cultural, social and environmental values repositions the understanding of how multifunctional GOS can meet various needs while improving the welfare of citizen."
Depok: Fakultas Teknik Universitas Indonesia, 2024
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UI - Disertasi Membership  Universitas Indonesia Library
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Nur Trisnawati
"Penelitian mengenai struktur komunitas meiofauna di substrat padang lamun Pulau Pari, Kepulauan Seribu telah dilakukan pada bulan November tahun 2011. Penelitian bertujuan untuk mengetahui hubungan antara struktur komunitas meiofauna interstisial dengan substrat padang lamun yang berbeda. Sampel diambil secara purposive random sampling pada 2 stasiun, 15 titik di padang lamun bagian utara dan barat daya Pulau Pari. Berdasarkan hasil penelitian diperoleh 8 takson yang berasal 6 filum yakni Nemathelminthes, Annelida, Platyhelminthes, Arthropoda, Protozoa dan Gnathostomulida. Kelimpahan jenis meiofauna interstisial berkisar antara 109.000 -- 194.000 individu / m2. Kelimpahan tertinggi dimiliki oleh kelompok Nematoda jenis Daptonema sp. sedangkan terendah ada pada kelompok Foraminifera. Komposisi butiran sedimen memengaruhi komposisi kehadiran jenis meiofauna yang hidup di antara rongga interstisialnya. Berdasarkan data parameter abiotiknya, padang lamun Pulau Pari memiliki kondisi lingkungan yang sesuai untuk kehidupan meiofauna.

Research on the community structure of the interstitial meiofauna in substrate of seagrass bed in Pari Island was conducted on November 2011. The objective of this study was to determine the relationship between interstitial meiofauna community structure and the different substrate of different sea grass community. Samples were taken by purposive random sampling methods in 2 stations, 15 sites in north side and south west side seagrass bed in Pari Island. The identification on the interstitial meiofauna obtained 8 taxons from 6 phyla, they are Nemathelminthes, Annelida, Platyhelminthes, Arthropoda, Protozoa and Gnathostomulida. The abundance of the interstitial meiofauna was between 109.000 - 194.000 individual/m2. The highest abundance belonged to the group of nematode class Daptonema sp. while the lowest belonged to the group of Foraminifera. The grain size composition influences the composition of meiofauna who lived in the interstitial space of its substrates. Based on abiotic parameters data, the waters of Pari Island still have the appropriate environmental condition for the optimal growth of meiofauna."
Depok: Fakultas Matematika dan Ilmu Pengetahuan Alam Universitas Indonesia, 2012
S1323
UI - Skripsi Open  Universitas Indonesia Library
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R. M. Suryo Anggoro Kusumo Wibowo
"klerosis sistemik atau skleroderma adalah suatu penyakit jaringan ikat yang dimediasi imun yang ditandai dengan fibrosis kulit dan organ dalam serta vaskulopati. Penyebab kematian utama pada sklerosis sistemik adalah penyakit paru interstisial. Pengobatan penyakit paru interstisial pada sklerosis sistemik saat ini belum memuaskan. Herba ciplukan (Physalis angulata) merupakan salah satu terapi alternatif yang potensial dan terbukti dapat memperbaiki fibrosis kulit pada pasien sklerosis sistemik namun data pada manifestasi paru belum ada. Penelitian ini bertujuan untuk menilai efek herba ciplukan dalam mencegah dan memperbaiki inflamasi dan fibrosis paru pada model tikus sklerosis sistemik dan mencari dosis optimal ciplukan untuk memperbaiki fibrosis. Penelitian ini terbagai dalam 2 tahap yaitu tahap kuratif fibrosis (tahap 1) dan tahap preventif inflamasi dan fibrosis (tahap 2). Pada tahap 1, 33 tikus (Rattus norvegicus) galur Sprague-Dawley 10−12 minggu dibagi dalam 6 kelompok yaitu kelompok yang mendapat bleomisin dan ciplukan (dosis 50,100,150, dan 200 mg/kg), bleomisin dan salin, dan kontrol negatif. Bleomisin diberikan subkutan per hari selama 14 hari dan ciplukan atau salin diberikan mulai hari ke-21 selama 30 hari lalu hewan diterminasi. Fibrosis dinilai dengan derajat fibrosis dan luas fibrosis pada histopatologi, kadar hidroksiprolin, TGF-β dan MMP13 jaringan paru. Pada tahap 2, 36 ekor tikus dibagi dalam 6 kelompok yaitu 2 kelompok yang mendapat bleomisin dan ciplukan (50 dan 100 mg/kgBB) dan 2 kelompok bleomisin dan salin. Tiga kelompok diterminasi di H14 dan 3 kelompok di H51. Pada tahap 2, bleomisin dan ciplukan diberikan bersamaan selama 14 hari pertama. Luaran yang dinilai di H14 adalah kadar IL-6 paru, jumlah leukosit dari BAL dan skor inflamasi paru secara histopatologi. Luaran yang dinilai di H52 adalah derajat fibrosis dan luas fibrosis, kadar hidroksiprolin, TGF-β dan MMP13 paru. Kadar IL-6, TGF-β dan MMP 13 dinilai dengan ELISA dari jaringan paru, Hidroksiprolin dinilai dari jaringan paru dengan metode kolorimetri. Pada tahap 1 terdapat perbedaan luas fibrosis yang secara statistik bermakna antara kelompok yang mendapat ciplukan dosis 100, 150, dan 200 mg/kgBB dibandingkan kelompok bleomisin. Tidak terdapat perbedaan skor fibrosis antara kelompok yang mendapat ciplukan 50, 100, dan 150 mg/kgBB dengan kontrol negatif. Tidak terdapat perbedaan hidroksiprolin antara kelompok yang mendapat ciplukan dengan kontrol negatif. Tidak terdapat perbedaan kadar TGF-β dan MMP13 yang secara statistik bermakna antar kelompok. Pada tahap 2 penelitian tidak didapatkan perbedaan kadar IL-6, jumlah leukosit cairan BAL dan skor inflamasi yang bermakna antar kelompok dan tidak terdapat perbedaan skor fibrosis, luas fibrosis, kadar hidroksiprolin, TGF-β dan MMP13 antar kelompok. Sebagai simpulan ekstrak ciplukan memiliki efek kuratif untuk menurunkan luas fibrosis paru dengan dosis optimal 100 mg/kgBB. Ciplukan tidak memiliki efek preventif terhadap inflamasi dan fibrosis.

Systemic sclerosis or scleroderma is an immune mediated connective tissue disease which is manifested by fibrosis on skin and internal organ and vasculopathy. Interstitial lung disease (ILD) is the main cause of death of systemic sclerosis however the treatment of ILD in systemic sclerosis is still unsatisfactory. Ciplukan (Physalis angulata) herb is a potential alternative treatment for systemic sclerosis and has been proven to improve skin sclerosis in systemic sclerosis patients however the study on its effect on lung has been lacking. The aim of this study is to evaluate the effect of ciplukan herb for treating and preventing inflammation and fibrosis in systemic sclerosis animal model and to find out its optimal dose in improving lung fibrosis. This study was done in 2 stages. For the first stage (treatment of fibrosis), 33 Sprague-Dawley rats aged 10−12 weeks were divided into 6 groups (4 groups were given bleomycin and ciplukan extract dose 50,100,150, and 200 mg/kgBW, respectively, bleomycin and saline and negative control). Bleomycin was given subcutaneously daily for 14 days and ciplukan or saline were given from day 21 until the next 30 days and then the animals were sacrificed. At the end of observation, degree of fibrosis and width of fibrosis from lung histopathology, hydroxyproline, TGF-β, and MMP13 levels were analyzed. For the second stage (prevention), 36 rats were divided into 6 groups (bleomycin and ciplukan dose 50 and 100 mg/kgBW, and bleomycin only). Three groups were sacrificed after 14 days of observation for evaluation of IL-6 level in lung tissue, leucocyte count on BAL fluid and inflammation score. Three groups were sacrificed after 51 days observation and were analyzed for degree of fibrosis and width of fibrosis from lung histopathology, hydroxyproline, TGF-β, and MMP13 levels. For the second stage, bleomycin and ciplukan were given simultaneously for 14 days. IL-6, TGF-β, and MMP13 levels were measured using ELISA methods while hydroxyproline was analyzed using colorimetric method. From the stage 1, there was a significant reduction in width of lung fibrosis on groups receiving bleomycin and ciplukan dose 100, 150, and 200 mg/kgBW compared with bleomycin group. There was no difference of fibrosis score among groups who received ciplukan 50,100, and 150 mg/kgBW compared to the negative control. There was no difference of hydroxyproline among groups who received ciplukan compared with negative control. There was no difference of TGF-β, and MMP13 levels among groups. From the stage 2, there were no difference of IL-6 levels, BAL leukocyte count and inflammation score among groups after 14 days and no difference of fibrosis score, extension of fibrosis, hydroxyproline, TGF-β and MMP13 levels among groups after 51 days observation. As a conclusion, ciplukan herb has a role as a treatment of fibrosis to reduce extent of lung fibrosis with optimal dose of 100 kg/BW but shows no effect on prevention of lung inflammation and lung fibrosis."
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2025
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UI - Disertasi Membership  Universitas Indonesia Library
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R. M. Suryo Anggoro Kusumo Wibowo
"klerosis sistemik atau skleroderma adalah suatu penyakit jaringan ikat yang dimediasi imun yang ditandai dengan fibrosis kulit dan organ dalam serta vaskulopati. Penyebab kematian utama pada sklerosis sistemik adalah penyakit paru interstisial. Pengobatan penyakit paru interstisial pada sklerosis sistemik saat ini belum memuaskan. Herba ciplukan (Physalis angulata) merupakan salah satu terapi alternatif yang potensial dan terbukti dapat memperbaiki fibrosis kulit pada pasien sklerosis sistemik namun data pada manifestasi paru belum ada. Penelitian ini bertujuan untuk menilai efek herba ciplukan dalam mencegah dan memperbaiki inflamasi dan fibrosis paru pada model tikus sklerosis sistemik dan mencari dosis optimal ciplukan untuk memperbaiki fibrosis. Penelitian ini terbagai dalam 2 tahap yaitu tahap kuratif fibrosis (tahap 1) dan tahap preventif inflamasi dan fibrosis (tahap 2). Pada tahap 1, 33 tikus (Rattus norvegicus) galur Sprague-Dawley 10−12 minggu dibagi dalam 6 kelompok yaitu kelompok yang mendapat bleomisin dan ciplukan (dosis 50,100,150, dan 200 mg/kg), bleomisin dan salin, dan kontrol negatif. Bleomisin diberikan subkutan per hari selama 14 hari dan ciplukan atau salin diberikan mulai hari ke-21 selama 30 hari lalu hewan diterminasi. Fibrosis dinilai dengan derajat fibrosis dan luas fibrosis pada histopatologi, kadar hidroksiprolin, TGF-β dan MMP13 jaringan paru. Pada tahap 2, 36 ekor tikus dibagi dalam 6 kelompok yaitu 2 kelompok yang mendapat bleomisin dan ciplukan (50 dan 100 mg/kgBB) dan 2 kelompok bleomisin dan salin. Tiga kelompok diterminasi di H14 dan 3 kelompok di H51. Pada tahap 2, bleomisin dan ciplukan diberikan bersamaan selama 14 hari pertama. Luaran yang dinilai di H14 adalah kadar IL-6 paru, jumlah leukosit dari BAL dan skor inflamasi paru secara histopatologi. Luaran yang dinilai di H52 adalah derajat fibrosis dan luas fibrosis, kadar hidroksiprolin, TGF-β dan MMP13 paru. Kadar IL-6, TGF-β dan MMP 13 dinilai dengan ELISA dari jaringan paru, Hidroksiprolin dinilai dari jaringan paru dengan metode kolorimetri. Pada tahap 1 terdapat perbedaan luas fibrosis yang secara statistik bermakna antara kelompok yang mendapat ciplukan dosis 100, 150, dan 200 mg/kgBB dibandingkan kelompok bleomisin. Tidak terdapat perbedaan skor fibrosis antara kelompok yang mendapat ciplukan 50, 100, dan 150 mg/kgBB dengan kontrol negatif. Tidak terdapat perbedaan hidroksiprolin antara kelompok yang mendapat ciplukan dengan kontrol negatif. Tidak terdapat perbedaan kadar TGF-β dan MMP13 yang secara statistik bermakna antar kelompok. Pada tahap 2 penelitian tidak didapatkan perbedaan kadar IL-6, jumlah leukosit cairan BAL dan skor inflamasi yang bermakna antar kelompok dan tidak terdapat perbedaan skor fibrosis, luas fibrosis, kadar hidroksiprolin, TGF-β dan MMP13 antar kelompok. Sebagai simpulan ekstrak ciplukan memiliki efek kuratif untuk menurunkan luas fibrosis paru dengan dosis optimal 100 mg/kgBB. Ciplukan tidak memiliki efek preventif terhadap inflamasi dan fibrosis.

Systemic sclerosis or scleroderma is an immune mediated connective tissue disease which is manifested by fibrosis on skin and internal organ and vasculopathy. Interstitial lung disease (ILD) is the main cause of death of systemic sclerosis however the treatment of ILD in systemic sclerosis is still unsatisfactory. Ciplukan (Physalis angulata) herb is a potential alternative treatment for systemic sclerosis and has been proven to improve skin sclerosis in systemic sclerosis patients however the study on its effect on lung has been lacking. The aim of this study is to evaluate the effect of ciplukan herb for treating and preventing inflammation and fibrosis in systemic sclerosis animal model and to find out its optimal dose in improving lung fibrosis. This study was done in 2 stages. For the first stage (treatment of fibrosis), 33 Sprague-Dawley rats aged 10−12 weeks were divided into 6 groups (4 groups were given bleomycin and ciplukan extract dose 50,100,150, and 200 mg/kgBW, respectively, bleomycin and saline and negative control). Bleomycin was given subcutaneously daily for 14 days and ciplukan or saline were given from day 21 until the next 30 days and then the animals were sacrificed. At the end of observation, degree of fibrosis and width of fibrosis from lung histopathology, hydroxyproline, TGF-β, and MMP13 levels were analyzed. For the second stage (prevention), 36 rats were divided into 6 groups (bleomycin and ciplukan dose 50 and 100 mg/kgBW, and bleomycin only). Three groups were sacrificed after 14 days of observation for evaluation of IL-6 level in lung tissue, leucocyte count on BAL fluid and inflammation score. Three groups were sacrificed after 51 days observation and were analyzed for degree of fibrosis and width of fibrosis from lung histopathology, hydroxyproline, TGF-β, and MMP13 levels. For the second stage, bleomycin and ciplukan were given simultaneously for 14 days. IL-6, TGF-β, and MMP13 levels were measured using ELISA methods while hydroxyproline was analyzed using colorimetric method. From the stage 1, there was a significant reduction in width of lung fibrosis on groups receiving bleomycin and ciplukan dose 100, 150, and 200 mg/kgBW compared with bleomycin group. There was no difference of fibrosis score among groups who received ciplukan 50,100, and 150 mg/kgBW compared to the negative control. There was no difference of hydroxyproline among groups who received ciplukan compared with negative control. There was no difference of TGF-β, and MMP13 levels among groups. From the stage 2, there were no difference of IL-6 levels, BAL leukocyte count and inflammation score among groups after 14 days and no difference of fibrosis score, extension of fibrosis, hydroxyproline, TGF-β and MMP13 levels among groups after 51 days observation. As a conclusion, ciplukan herb has a role as a treatment of fibrosis to reduce extent of lung fibrosis with optimal dose of 100 kg/BW but shows no effect on prevention of lung inflammation and lung fibrosis."
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2025
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UI - Disertasi Membership  Universitas Indonesia Library
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Marscha Iradyta Ais
"Latar Belakang: Jumlah kasus KPKBSK diperkirakan 85% dari seluruh kasus kanker paru dan 40% diantaranya adalah jenis adenokarsinoma. Sebanyak 10%-30% pasien adenokarsinoma mengalami mutasi EGFR dan mendapatkan terapi EGFR-TKI. Mayoritas pasien KPKBSK memiliki respons dan toleransi baik terhadap terapi EGFR- TKI tetapi sebagian kecil pasien mengalami penyakit paru interstisial akibat EGFR- TKI. Penelitian ini bertujuan untuk mengetahui proporsi gambaran penyakit paru interstisial pada pasien KPKBSK dengan terapi EGFR-TKI di RSUP Persahabatan.
Metode: Penelitian ini merupakan penelitian observasional analitik dengan pendeketan kohort retrospektif yang dilakukan bulan Januari 2021 hingga Juni 2022. Subjek penelitian adalah pasien KPKBSK yang mendapatkan terapi EGFR-TKI. Subjek penelitian dipilih sesuai kriteria inklusi dan eksklusi. Pengambilan data melalu data sekunder berupa rekam medis dan hasil CT scan toraks pasien yang kontrol di poliklinik onkologi RSUP Persahabatan.
Hasil: Pada penelitian ini diperoleh 73 subjek penelitian, pasien KPKBSK dengan mutasi EGFR yang mendapatkan terapi EGFR-TKI di RSUP Persahabatan. Sebanyak 12 dari 73 subjek penelitian mengalami gambaran ILD yang dievaluasi berdasarkan CT scan toraks RECIST I dan II dengan karakteristik jenis kelamin laki-laki (22,2%), kelompok usia 40-59 tahun (19,4%), perokok (24,1%), indeks brinkman berat (42,9%) dan mendapatkan terapi afatinib (26,1%). Proporsi gambaran ILD pada pasien KBPKBSK dengan terapi EGFR-TKI adalah opasitas retikular (58,3%), parenchymal band (33,3%), ground-glass opacities (25%), traction bronchiectasis (25%) dan crazy paving pattern (8,3%). Hasil analisis bivariat dan multivariat menunjukkan tidak terdapat perbedaan antara faktor-faktor seperti jenis kelamin, usia, jenis EGFR-TKI, riwayat merokok, indeks brinkman, riwayat penyakit paru dan tampilan status terhadap gambaran ILD.
Kesimpulan: Gambaran ILD pada pasien KPKBSK dengan terapi EGFR-TKI meliputi opasitas retikular, parenchymal band, ground-glass opacities, traction bronchiectasis dan crazy paving pattern. Tidak terdapat perbedaan bermakna secara statistik antara faktor-faktor yang memengaruhi terhadap gambaran ILD.

Background: The number of cases of NSCLC is estimated around 85% of all lung cancer cases and 40% among them are adenocarcinoma. Approximately 10%-30% of adenocarcinoma patients have EGFR mutations and receive EGFR-TKI therapy. The majority of NSCLC patients have a good response and tolerance to EGFR-TKI therapy, but a small group of patients experience EGFR-TKI induced interstitial lung disease. This study aims to determine the proportion of features of interstitial lung disease ini NSCLC patients treated with EGFR-TKI at Persahabatan Hospital.
Methods: This study was an analytic observational with a retrospective cohort approach that was conducted from January 2021 until June 2022. The subject were NSCLC patients who received EGFR-TKI treatment. The inclusion and exclusion criteria were used to determine which subjects will be included in the study. Data collection through secondary data from medical record and chest CT scan results of patients controlled at oncology polyclinic at Persahabatan Hospital.
Result : In this study, there were 73 subjects of NSCLC with EGFR mutations and received EGFR-TKI therapy at Persahabatan Hospital. There were 12 out of 73 subjects had ILD features which were evaluated based on RECIST I and II chest CT scan with predominant of male (22.2%), age group 40-59 years old (19.4%), smokers (24.1%), severe Brinkman index (42.9%) and received afatinib (26.1%). The proportion of ILD features in NSCLC patients with EGFR-TKI therapy are reticular opacities (58.3%), parenchymal bands (33.3%), ground-glass opacities (25%), traction bronchiectasis (25%) and crazy paving pattern (8.3%). The results of bivariate and multivariate analyzes showed that there was no differences between factors such as sex, age, type of GEFR-TKI, smoking history, Brinkman index, history of lung disease and performance status with features of ILD.
Conclusion: Features of ILD in NSCLC patients with EGFR-TKI therapy include reticular opacities, parenchymal bands, ground-glass opacities, traction bronchiectasis and crazy paving pattern. There is no statistically significa
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Jakarta: Fakultas Kedokteran Universitas Indonesia, 2023
SP-pdf
UI - Tugas Akhir  Universitas Indonesia Library