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Screening for rheumatoid arthritis-associated interstitial lung disease-a Delphi-based consensus statement.


ABSTRACT:

Objective

Rheumatoid arthritis-associated interstitial lung disease (RA-ILD) is a major driver of premature mortality in patients with rheumatoid arthritis (RA). Detection of RA-ILD is crucial but requires awareness among the treating physicians. To date, however, there is no international recommendation concerning screening for ILD in RA patients.

Methods

After a systematic literature review, the modified Delphi technique in combination with the nominal group technique was used to provide a Delphi consensus statement elaborated by an expert panel of pneumonologists, rheumatologists, and a radiologist. Based on the available evidence, several clusters of questions were defined and discussed until consent was reached.

Results

A screening algorithm for ILD in patients with RA based on clinical signs, respiratory symptoms, and risk factors has been developed. Further, the recommendations address diagnostic tools for RA-ILD and the follow-up of RA patients qualifying for ILD screening.

SUBMITTER: Hackner K 

PROVIDER: S-EPMC10902070 | biostudies-literature | 2024 Mar

REPOSITORIES: biostudies-literature

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Publications

Screening for rheumatoid arthritis-associated interstitial lung disease-a Delphi-based consensus statement.

Hackner Klaus K   Hütter Lisa L   Flick Holger H   Grohs Michael M   Kastrati Kastriot K   Kiener Hans H   Lang David D   Mosheimer-Feistritzer Birgit B   Prosch Helmut H   Rath Eva E   Schindler Otmar O   Moazedi-Fürst Florentine F  

Zeitschrift fur Rheumatologie 20240119 2


<h4>Objective</h4>Rheumatoid arthritis-associated interstitial lung disease (RA-ILD) is a major driver of premature mortality in patients with rheumatoid arthritis (RA). Detection of RA-ILD is crucial but requires awareness among the treating physicians. To date, however, there is no international recommendation concerning screening for ILD in RA patients.<h4>Methods</h4>After a systematic literature review, the modified Delphi technique in combination with the nominal group technique was used t  ...[more]

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