Consensus Guidelines for Evaluation and Management of Pulmonary Disease in Sjögren's
| Autor: | Richard T. Meehan, Nancy L. Carteron, Matt Makara, Consensus Expert Panel (Cep) Members, Nishant Gupta, Augustine S. Lee, R. Hal Scofield, Donald E. Thomas, Teng Moua, Steven E. Carsons, E. William St. Clair, Kamonpun Ussavarungsi, Kieron Dunleavy, Katherine M. Hammitt |
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| Rok vydání: | 2020 |
| Předmět: |
Pulmonary and Respiratory Medicine
Lung Diseases medicine.medical_specialty Consensus pulmonary ACR American College of Rheumatology Dlco diffusing capacity of the lung for carbon monoxide HRCT high-resolution CT Critical Care and Intensive Care Medicine CEP Consensus Expert Panel lung Pulmonary function testing 03 medical and health sciences 0302 clinical medicine Quality of life (healthcare) CTD connective tissue disease Internal medicine medicine Humans 030212 general & internal medicine NYHA New York Heart Association TRG Topic Review Group UIP usual interstitial pneumonia Intensive care medicine Research question Sjögren Pulmonologists Sjögren's MALT mucosa-associated lymphoid tissue business.industry Diffuse Lung Disease: Guideline and Consensus Statement Interstitial lung disease PICO Patient Intervention Comparison Outcome Guideline EULAR European League Against Rheumatism medicine.disease Rheumatology PFT pulmonary function test Sjogren's Syndrome 030228 respiratory system Data extraction Quality of Life ILD interstitial lung disease Cardiology and Cardiovascular Medicine business guideline |
| Zdroj: | Chest |
| ISSN: | 1931-3543 |
| Popis: | Background Pulmonary disease is a potentially serious yet underdiagnosed complication of Sjogren’s syndrome, the second most common autoimmune rheumatic disease. Approximately 16% of patients with Sjogren’s demonstrate pulmonary involvement with higher mortality and lower quality of life. Research Question Clinical practice guidelines for pulmonary manifestations of Sjogren’s were developed by the Sjogren’s Foundation after identifying a critical need for early diagnosis and improved quality and consistency of care. Study Design and Methods A rigorous and transparent methodology was followed according to American College of Rheumatology guidelines. The Pulmonary Topic Review Group (TRG) developed clinical questions in the PICO (Patient, Intervention, Comparison, Outcome) format and selected literature search parameters. Each article was reviewed by a minimum of two TRG members for eligibility and assessment of quality of evidence and strength of recommendation. Guidelines were then drafted based on available evidence, expert opinion, and clinical importance. Draft recommendations with a clinical rationale and data extraction tables were submitted to a Consensus Expert Panel for consideration and approval, with at least 75% agreement required for individual recommendations to be included in the final version. Results The literature search revealed 1,192 articles, of which 150 qualified for consideration in guideline development. Of the original 85 PICO questions posed by the TRG, 52 recommendations were generated. These were then reviewed by the Consensus Expert Panel and 52 recommendations were finalized, with a mean agreement of 97.71% (range, 79%-100%). The recommendations span topics of evaluating Sjogren’s patients for pulmonary manifestations and assessing, managing, and treating upper and lower airway disease, interstitial lung disease, and lymphoproliferative disease. Interpretation Clinical practice guidelines for pulmonary manifestations in Sjogren’s will improve early identification, evaluation, and uniformity of care by primary care physicians, rheumatologists, and pulmonologists. Additionally, opportunities for future research are identified. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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