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Imaging Features of Systemic Sclerosis-Associated Interstitial Lung Disease
Published on: June 16, 2020
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Screening for rheumatoid arthritis-associated interstitial lung disease-a Delphi-based consensus statement.
Klaus Hackner1, Lisa Hütter2, Holger Flick3
1Division of Pneumology, University Hospital Krems, Karl Landsteiner University of Health Sciences, Krems, Austria.
Zeitschrift Fur Rheumatologie
|January 19, 2024
Summary
Early detection of rheumatoid arthritis-associated interstitial lung disease (RA-ILD) is vital. This study developed a screening algorithm and recommendations to aid physicians in identifying and managing RA-ILD, a major cause of mortality in rheumatoid arthritis (RA) patients.
Area of Science:
- Rheumatology and Pulmonology
- Medical Diagnostics
Background:
- Rheumatoid arthritis-associated interstitial lung disease (RA-ILD) significantly increases mortality in rheumatoid arthritis (RA) patients.
- Current international guidelines lack recommendations for systematic ILD screening in RA patients.
- Physician awareness is critical for timely RA-ILD detection.
Approach:
- A systematic literature review was conducted.
- The modified Delphi and nominal group techniques were employed.
- An expert panel of pulmonologists, rheumatologists, and a radiologist developed a consensus statement.
Key Points:
- A screening algorithm for ILD in RA patients was developed, incorporating clinical signs, respiratory symptoms, and risk factors.
- Recommendations cover diagnostic tools specifically for RA-ILD.
- Guidance is provided for the follow-up of RA patients identified as needing ILD screening.
Conclusions:
- The developed consensus statement and screening algorithm aim to improve early detection and management of RA-ILD.
- Implementation of these recommendations can potentially reduce premature mortality associated with RA-ILD.
- Further research and clinical adoption are encouraged to validate and integrate this screening approach.
