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

被引：28

作者：

Johnson, Sindhu R. ^{[1
]}

Bernstein, Elana J. ^{[2
]}

Bolster, Marcy B. ^{[3
]}

Chung, Jonathan H. ^{[4
]}

Danoff, Sonye K. ^{[5
]}

George, Michael D. ^{[6
]}

Khanna, Dinesh ^{[7
]}

Guyatt, Gordon ^{[8
]}

Mirza, Reza D. ^{[8
]}

Aggarwal, Rohit ^{[9
]}

Allen Jr, Aberdeen ^{[10
]}

Assassi, Shervin ^{[10
]}

Buckley, Lenore ^{[11
]}

Chami, Hassan A. ^{[5
]}

Corwin, Douglas S. ^{[12
]}

Dellaripa, Paul F. ^{[13
]}

Domsic, Robyn T. ^{[9
]}

Doyle, Tracy J. ^{[13
]}

Falardeau, Catherine Marie ^{[15
]}

Frech, Tracy M. ^{[14
]}

Gibbons, Fiona K. ^{[3
]}

Hinchcliff, Monique ^{[11
]}

Johnson, Cheilonda ^{[6
]}

Kanne, Jeffrey P. ^{[15
]}

Kim, John S. ^{[16
]}

Lim, Sian Yik ^{[17
]}

Matson, Scott ^{[18
]}

McMahan, Zsuzsanna H. ^{[5
]}

Merck, Samantha J. ^{[19
]}

Nesbitt, Kiana ^{[22
]}

Scholand, Mary Beth ^{[20
]}

Shapiro, Lee ^{[21
]}

Sharkey, Christine D. ^{[15
]}

Summer, Ross ^{[22
]}

Varga, John ^{[7
]}

Warrier, Anil ^{[23
]}

Agarwal, Sandeep K. ^{[24
]}

Antin-Ozerkis, Danielle ^{[11
]}

Bemiss, Bradford ^{[25
]}

Chowdhary, Vaidehi ^{[11
]}

D'Amico, Jane E. Dematte ^{[25
]}

Hallowell, Robert ^{[3
]}

Hinze, Alicia M. ^{[26
]}

Injean, Patil A. ^{[27
]}

Jiwrajka, Nikhil ^{[6
]}

Joerns, Elena K. ^{[28
]}

Lee, Joyce S. ^{[29
]}

Makol, Ashima ^{[26
]}

McDermott, Gregory C. ^{[13
]}

Natalini, Jake G. ^{[30
]}

机构：

[1] Univ Toronto, Toronto Western Hosp, Mt Sinai Hosp, Schroeder Arthrit Inst, Toronto, ON, Canada

[2] Columbia Univ, Irving Med Ctr, Vagelos Coll Phys & Surg, New York, NY USA

[3] Massachusetts Gen Hosp, Boston, MA USA

[4] Univ Chicago Med, Chicago, IL USA

[5] Johns Hopkins Univ, Sch Med, Baltimore, MD USA

[6] Univ Penn, Philadelphia, PA USA

[7] Univ Michigan, Ann Arbor, MI USA

[8] McMaster Univ, Hamilton, ON, Canada

[9] Univ Pittsburgh, Pittsburgh, PA USA

[10] Univ Texas Hlth Sci Ctr Houston, Bellaire, TX USA

[11] Yale Sch Med, New Haven, CT USA

[12] St Lukes Univ Hlth Network, Bethlehem, PA USA

[13] Brigham & Womens Hosp, Boston, MA USA

[14] Vanderbilt Univ, Med Ctr, Nashville, TN USA

[15] Univ Wisconsin, Sch Med & Publ Hlth, Madison, WI USA

[16] Univ Virginia, Sch Med, Charlottesville, VA USA

[17] Hawaii Pacific Hlth, Honolulu, HI USA

[18] Univ Kansas, Med Ctr, Kansas City, MO USA

[19] St Francis Hlth Syst, Tulsa, OK USA

[20] Univ Utah, Salt Lake City, UT USA

[21] Albany Med Coll, Albany, NY USA

[22] Thomas Jefferson Univ Hosp, Philadelphia, PA USA

[23] Millennium Phys, Huntsville, TX USA

[24] Baylor Coll Med, Houston, TX USA

[25] Northwestern Univ, Chicago, IL USA

[26] Mayo Clin, Rochester, MN USA

[27] Cedars Sinai, Los Angeles, CA USA

[28] UT Southwestern Med Ctr, Dallas, TX USA

[29] Univ Colorado, Aurora, CO USA

[30] New York Univ Langone Hlth, New York, NY USA

[31] Hosp Special Surg, Weill Cornell Med, New York, NY USA

[32] Univ Washington, Seattle, WA USA

[33] Natl Jewish Hlth, Denver, CO USA

[34] Amer Coll Rheumatol, Atlanta, GA USA

[35] Univ Oklahoma, Oklahoma City, OK USA

[36] Ctr Clin Evidence & Guidelines, ECRI, Plymouth Meeting, PA USA

[37] Oregon Hlth & Sci Univ, Portland, OR USA

来源：

ARTHRITIS CARE & RESEARCH | 2024年 / 76卷 / 08期

关键词：

PULMONARY-FUNCTION; SCLERODERMA LUNG; RISK-FACTORS; FUNCTION TESTS; SCLEROSIS; MORTALITY; DIAGNOSIS; GRADE; DETERMINANTS; ASSOCIATION;

D O I：

10.1002/acr.25347

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

ObjectiveWe 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 Sj & ouml;gren disease.MethodsWe 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.ResultsFifteen 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.ConclusionThis 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.

引用

页码：1070 / 1082

页数：13

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