[2018 Chinese expert-based consensus statement regarding the diagnosis and treatment of interstitial lung disease

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    Insights

    This consensus provides expert guidelines for diagnosing and treating interstitial lung disease (ILD) in patients with connective tissue diseases (CTDs). It standardizes early screening, diagnosis, monitoring, and treatment strategies for improved patient care.

    Area of Science:

    • Rheumatology and Pulmonology
    • Connective Tissue Diseases
    • Interstitial Lung Disease

    Background:

    • Interstitial lung disease (ILD) is a significant complication of connective tissue diseases (CTDs).
    • Establishing expert consensus is crucial for standardizing the diagnosis and treatment of CTD-associated ILD.
    • Current management strategies require optimization for better patient outcomes.

    Purpose of the Study:

    • To develop expert consensus on the diagnosis and treatment of ILD associated with CTDs.
    • To provide evidence-based recommendations for clinical practice in China.
    • To standardize the multidisciplinary approach to managing CTD-ILD.

    Main Methods:

    • A multidisciplinary consensus development panel of 41 experts was convened.
    • Experts included specialists in rheumatology, pulmonology, and radiology.
    • The panel formulated 3 major principles and 7 recommendations through a consensus process.

    Main Results:

    • The consensus addresses early screening, diagnosis, and disease monitoring for CTD-ILD.
    • Recommendations cover immunosuppressive and anti-fibrotic therapies.
    • A treat-to-target approach is emphasized for disease management.

    Conclusions:

    • This consensus aims to guide clinical decision-making for CTD-ILD.
    • Standardized care protocols are expected to improve management of these complex patients.
    • The guidelines are intended for implementation within the Chinese healthcare system.

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