Across rheumatic diseases

Real-world care patterns and specialist encounters of patients with systemic autoimmune rheumatic disease-related interstitial lung disease in the United States: a retrospective administrative claims database analysis

Rheumatology (Oxford)Published Retrospective cohort study

An erratum to this article was published (Rheumatology (Oxford), 5 May 2026 ↗)

Authors' conclusion

The study highlights the complex diagnostic journey of patients with SARD-ILD.

Study context

Population
Adults with SARD-ILD, ≥36 months continuous enrolment before index interstitial lung disease (ILD) diagnosis, US Healthcare Integrated Research Database (2006–2023)
Participants
2,526 adults
Exposure
Pulmonologist visit within 90 days of respiratory symptom onset vs no such visit (subset with prior respiratory symptoms)
Outcome
Demographics, clinical characteristics and care patterns before ILD diagnosis
Follow-up
Before ILD diagnosis
Methodological detailsadministrative claims database, descriptive analysis, Cox proportional hazards model
  • Administrative claims database
  • Descriptive analysis
  • Cox proportional hazards model

Main finding

As reported in the abstract

Characteristics and care before ILD diagnosis
Mean age (years)
62.6
Female
75.4%
≥1 all-cause hospitalization
61.8%
Chest CT
80.1%
High-resolution CT
59.0%
Pulmonary function tests
60.3%

Observational data: associations, not effects.

Further findings

OutcomeHR (95% CI)P value
ILD diagnosis from respiratory symptom onset (subgroup with prior respiratory symptoms)18% more likely to be diagnosed with ILD1.18 (1.03–1.35)P = 0.017

Original publication

Real-world care patterns and specialist encounters of patients with systemic autoimmune rheumatic disease-related interstitial lung disease in the United States: a retrospective administrative claims database analysis. Rheumatology (Oxford). Published 23 April 2025. doi:10.1093/rheumatology/keaf200

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