2023 American College of Rheumatology (ACR)/American College of Chest Physicians (CHEST) Guideline for the Screening and Monitoring of Interstitial Lung Disease in People with Systemic Autoimmune Rheumatic Diseases.

Autor: Johnson SR; University of Toronto, Schroeder Arthritis Institute, Toronto Western Hospital, Mount Sinai Hospital, Toronto, Ontario, Canada., Bernstein EJ; Columbia University Vagelos College of Physicians and Surgeons, Columbia University Irving Medical Center, New York City., Bolster MB; Massachusetts General Hospital, Boston., Chung JH; The University of Chicago Medicine, Chicago, Illinois., Danoff SK; Johns Hopkins University School of Medicine, Baltimore, Maryland., George MD; University of Pennsylvania, Philadelphia., Khanna D; University of Michigan, Ann Arbor., Guyatt G; McMaster University, Hamilton, Ontario, Canada., Mirza RD; McMaster University, Hamilton, Ontario, Canada., Aggarwal R; University of Pittsburgh, Pittsburgh, Pennsylvania., Allen A Jr; Parlin, New Jersey., Assassi S; University of Texas Health Science Center at Houston., Buckley L; Yale School of Medicine, New Haven, Connecticut., Chami HA; Johns Hopkins University School of Medicine, Baltimore, Maryland., Corwin DS; St. Luke's University Health Network, Bethlehem, Pennsylvania., Dellaripa PF; Brigham and Women's Hospital, Boston, Massachusetts., Domsic RT; University of Pittsburgh, Pittsburgh, Pennsylvania., Doyle TJ; Brigham and Women's Hospital, Boston, Massachusetts., Falardeau CM; Kissimmee, Florida., Frech TM; Vanderbilt University Medical Center, Nashville, Tennessee., Gibbons FK; Massachusetts General Hospital, Boston., Hinchcliff M; Yale School of Medicine, New Haven, Connecticut., Johnson C; University of Pennsylvania, Philadelphia., Kanne JP; University of Wisconsin School of Medicine and Public Health, Madison., Kim JS; University of Virginia School of Medicine, Charlottesville., Lim SY; Hawaii Pacific Health, Aiea., Matson S; University of Kansas Medical Center, Kansas City., McMahan ZH; Johns Hopkins University School of Medicine, Baltimore, Maryland., Merck SJ; Saint Francis Health System, Tulsa, Oklahoma., Nesbitt K; Lansdowne, Pennsylvania., Scholand MB; University of Utah, Salt Lake City., Shapiro L; Albany Medical College, Albany, New York., Sharkey CD; University of Wisconsin School of Medicine and Public Health, Madison., Summer R; Thomas Jefferson University Hospital, Philadelphia, Pennsylvania., Varga J; University of Michigan, Ann Arbor., Warrier A; Millennium Physicians, Huntsville, Texas., Agarwal SK; Baylor College of Medicine, Houston, Texas., Antin-Ozerkis D; Yale School of Medicine, New Haven, Connecticut., Bemiss B; Northwestern University, Chicago, Illinois., Chowdhary V; Yale School of Medicine, New Haven, Connecticut., Dematte D'Amico JE; Northwestern University, Chicago, Illinois., Hallowell R; Massachusetts General Hospital, Boston., Hinze AM; Mayo Clinic, Rochester, Minnesota., Injean PA; Cedars-Sinai, Los Angeles, California., Jiwrajka N; University of Pennsylvania, Philadelphia., Joerns EK; UT Southwestern Medical Center, Dallas, Texas., Lee JS; University of Colorado Denver, Aurora., Makol A; Mayo Clinic, Rochester, Minnesota., McDermott GC; Brigham and Women's Hospital, Boston, Massachusetts., Natalini JG; New York University Langone Health, New York City., Oldham JM; University of Michigan, Ann Arbor., Saygin D; University of Pittsburgh, Pittsburgh, Pennsylvania., Lakin KS; Hospital for Special Surgery, Weill Cornell Medicine, New York City., Singh N; University of Washington, Seattle., Solomon JJ; National Jewish Health, Denver, Colorado., Sparks JA; Brigham and Women's Hospital, Boston, Massachusetts., Turgunbaev M; American College of Rheumatology, Atlanta, Georgia., Vaseer S; University of Oklahoma, Oklahoma City., Turner A; American College of Rheumatology, Atlanta, Georgia., Uhl S; ECRI, Center for Clinical Evidence and Guidelines, Plymouth Meeting, Pennsylvania., Ivlev I; ECRI, Center for Clinical Evidence and Guidelines, Plymouth Meeting, Pennsylvania.
Jazyk: angličtina
Zdroj: Arthritis & rheumatology (Hoboken, N.J.) [Arthritis Rheumatol] 2024 Aug; Vol. 76 (8), pp. 1201-1213. Date of Electronic Publication: 2024 Jul 08.
DOI: 10.1002/art.42860
Abstrakt: Objective: We provide evidence-based recommendations regarding screening for interstitial lung disease (ILD) and the monitoring for ILD progression in people with systemic autoimmune rheumatic diseases (SARDs), specifically rheumatoid arthritis, systemic sclerosis, idiopathic inflammatory myopathies, mixed connective tissue disease, and Sjögren disease.
Methods: We developed clinically relevant population, intervention, comparator, and outcomes questions related to screening and monitoring for ILD in patients with SARDs. A systematic literature review was performed, and the available evidence was rated using the Grading of Recommendations, Assessment, Development, and Evaluation methodology. A Voting Panel of interdisciplinary clinician experts and patients achieved consensus on the direction and strength of each recommendation.
Results: Fifteen recommendations were developed. For screening people with these SARDs at risk for ILD, we conditionally recommend pulmonary function tests (PFTs) and high-resolution computed tomography of the chest (HRCT chest); conditionally recommend against screening with 6-minute walk test distance (6MWD), chest radiography, ambulatory desaturation testing, or bronchoscopy; and strongly recommend against screening with surgical lung biopsy. We conditionally recommend monitoring ILD with PFTs, HRCT chest, and ambulatory desaturation testing and conditionally recommend against monitoring with 6MWD, chest radiography, or bronchoscopy. We provide guidance on ILD risk factors and suggestions on frequency of testing to evaluate for the development of ILD in people with SARDs.
Conclusion: This clinical practice guideline presents the first recommendations endorsed by the American College of Rheumatology and American College of Chest Physicians for the screening and monitoring of ILD in people with SARDs.
(© 2024 American College of Rheumatology.)
Databáze: MEDLINE
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