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2023 American College of Rheumatology (ACR)/American College of Chest Physicians (CHEST) Guideline for the Treatment of Interstitial Lung Disease in People with Systemic Autoimmune Rheumatic Diseases.
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- Author(s): Johnson, Sindhu R.; Bernstein, Elana J.; Bolster, Marcy B.; Chung, Jonathan H.; Danoff, Sonye K.; George, Michael D.; Khanna, Dinesh; Guyatt, Gordon; Mirza, Reza D.; Aggarwal, Rohit; Allen, Aberdeen; Assassi, Shervin; Buckley, Lenore; Chami, Hassan A.; Corwin, Douglas S.; Dellaripa, Paul F.; Domsic, Robyn T.; Doyle, Tracy J.; Falardeau, Catherine Marie; Frech, Tracy M.
- Source:
Arthritis & Rheumatology; Aug2024, Vol. 76 Issue 8, p1182-1200, 19p- Subject Terms:
- Source:
- Additional Information
- Abstract: Objective: We provide evidence‐based recommendations regarding the treatment of interstitial lung disease (ILD) in adults with systemic autoimmune rheumatic diseases (SARDs). Methods: We developed clinically relevant population, intervention, comparator, and outcomes questions. A systematic literature review was then performed, and the available evidence was rated using the Grading of Recommendations, Assessment, Development, and Evaluation methodology. A panel of clinicians and patients reached consensus on the direction and strength of the recommendations. Results: Thirty‐five recommendations were generated (including two strong recommendations) for first‐line SARD‐ILD treatment, treatment of SARD‐ILD progression despite first‐line ILD therapy, and treatment of rapidly progressive ILD. The strong recommendations were against using glucocorticoids in systemic sclerosis–ILD as a first‐line ILD therapy and after ILD progression. Otherwise, glucocorticoids are conditionally recommended for first‐line ILD treatment in all other SARDs. Conclusion: This clinical practice guideline presents the first recommendations endorsed by the American College of Rheumatology and American College of Chest Physicians for the treatment of ILD in people with SARDs. [ABSTRACT FROM AUTHOR]
- Abstract: Copyright of Arthritis & Rheumatology is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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