Diagnosis and Detection of Sarcoidosis. An Official American Thoracic Society Clinical Practice Guideline
| Autor: | Marc A. Judson, Shandra L Knight, Wonder P. Drake, Marjolein Drent, Michael Ghobrial, Venerino Poletti, Ron Blankstein, Alicia K. Gerke, Daniel A. Culver, Laura L. Koth, W. Ennis James, Melissa H. Tukey, Elliott D. Crouser, Liz Kellermeyer, Subha V. Raman, Lisa A. Maier, Karen C. Patterson, Edward S. Chen, Eric Abston, Nabeel Hamzeh, Richard C. Bernstein, Adam S. Morgenthau, Catherine A. Bonham, Praveen Govender, Gloria Westney, Robert P. Baughman, Kevin C. Wilson |
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| Přispěvatelé: | Faculteit FHML Centraal, RS: FHML non-thematic output |
| Rok vydání: | 2020 |
| Předmět: |
Pulmonary and Respiratory Medicine
medicine.medical_specialty vitamin-d Critical Care and Intensive Care Medicine cardiac sarcoidosis positron-emission-tomography Pulmonary hypertension PULMONARY-HYPERTENSION Granulomatous inflammation 03 medical and health sciences Cardiac sarcoidosis 0302 clinical medicine pulmonary hypertension medicine Late gadolinium enhancement 030212 general & internal medicine Rare lung disease granuloma Intensive care medicine American Thoracic Society Documents suspected stage-i Granuloma RENAL SARCOIDOSIS business.industry LATE GADOLINIUM ENHANCEMENT ENDOBRONCHIAL ULTRASOUND CARDIAC INVOLVEMENT Guideline ocular sarcoidosis medicine.disease transbronchial needle aspiration Clinical Practice 030228 respiratory system rare lung disease Endobronchial ultrasound biopsy Sarcoidosis Presentation (obstetrics) business endobronchial ultrasound biopsy Ocular sarcoidosis |
| Zdroj: | American Journal of Respiratory and Critical Care Medicine, 201(8), E26-E51. American Thoracic Society Crouser, E D, Maier, L A, Baughman, R P, Abston, E, Bernstein, R C, Blankstein, R, Bonham, C A, Chen, E S, Culver, D A, Drake, W, Drent, M, Gerke, A K, Ghobrial, M, Govender, P, Hamzeh, N, James, W E, Judson, M A, Kellermeyer, L, Knight, S, Koth, L L, Morgenthau, A S, Patterson, K C, Poletti, V, Raman, S V, Tukey, M H, Westney, G E & Wilson, K C 2020, ' Diagnosis and Detection of Sarcoidosis An Official American Thoracic Society Clinical Practice Guideline ', American Journal of Respiratory and Critical Care Medicine, vol. 201, no. 8, pp. E26-E51 . https://doi.org/10.1164/RCCM.202002-0251ST American Journal of Respiratory and Critical Care Medicine |
| ISSN: | 1535-4970 1073-449X |
| Popis: | Background: The diagnosis of sarcoidosis is not standardized but is based on three major criteria: a compatible clinical presentation, finding nonnecrotizing granulomatous inflammation in one or more tissue samples, and the exclusion of alternative causes of granulomatous disease. There are no universally accepted measures to determine if each diagnostic criterion has been satisfied; therefore, the diagnosis of sarcoidosis is never fully secure. Methods: Systematic reviews and, when appropriate, meta-analyses were performed to summarize the best available evidence. The evidence was appraised using the Grading of Recommendations, Assessment, Development, and Evaluation approach and then discussed by a multidisciplinary panel. Recommendations for or against various diagnostic tests were formulated and graded after the expert panel weighed desirable and undesirable consequences, certainty of estimates, feasibility, and acceptability. Results: The clinical presentation, histopathology, and exclusion of alternative diagnoses were summarized. On the basis of the available evidence, the expert committee made 1 strong recommendation for baseline serum calcium testing, 13 conditional recommendations, and 1 best practice statement. All evidence was very low quality. Conclusions: The panel used systematic reviews of the evidence to inform clinical recommendations in favor of or against various diagnostic tests in patients with suspected or known sarcoidosis. The evidence and recommendations should be revisited as new evidence becomes available. |
| Databáze: | OpenAIRE |
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