Across rheumatic diseases

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

Arthritis RheumatolPublished Clinical practice guideline

Methodological detailssystematic literature review, GRADE methodology, Voting Panel consensus
  • Systematic literature review
  • GRADE methodology
  • Voting Panel consensus

Recommendations

As issued by the authors

  1. conditional

    Screening people with these systemic autoimmune rheumatic diseases (SARDs) at risk for interstitial lung disease (ILD): Pulmonary function tests (PFTs) and HRCT chest recommended

  2. conditional

    Against screening with 6MWD, chest radiography, ambulatory desaturation testing, or bronchoscopy

  3. strong

    Against screening with surgical lung biopsy

  4. conditional

    Monitoring ILD with PFTs, HRCT chest, and ambulatory desaturation testing recommended

  5. conditional

    Against monitoring with 6MWD, chest radiography, or bronchoscopy

Original publication

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. Arthritis Rheumatol. Published 8 July 2024. doi:10.1002/art.42860

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