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- Title
A Standardized Diagnostic Ontology for Fibrotic Interstitial Lung Disease. An International Working Group Perspective.
- Authors
Ryerson, Christopher J.; Corte, Tamera J.; Lee, Joyce S.; Richeldi, Luca; Walsh, Simon L. F.; Myers, Jeffrey L.; Behr, Jürgen; Cottin, Vincent; Danoff, Sonye K.; Flaherty, Kevin R.; Lederer, David J.; Lynch, David A.; Martinez, Fernando J.; Raghu, Ganesh; Travis, William D.; Udwadia, Zarir; Wells, Athol U.; Collard, Harold R.; Behr, Juergen
- Abstract
Diagnosing fibrotic interstitial lung disease (ILD) requires multidisciplinary integration of clinical, radiological, and pathological features with assignment of a consensus classification. The current approach lacks a standardized ontology and therefore results in diagnostic heterogeneity. The objectives of this international working group perspective are to describe limitations of the current approach to fibrotic ILD diagnosis and to develop an ontological framework for standardizing the diagnostic classification. The proposed framework attempts to balance strict adherence to guidelines with clinical judgment, and uses a disease-agnostic approach to documenting diagnostic certainty that can be applied to fibrotic ILD in both clinical and research settings. It is anticipated that this framework will facilitate future research that will provide objective data to further refine this approach.
- Subjects
INTERSTITIAL lung diseases; INTERNATIONAL relations; MEDICAL protocols; RESEARCH funding; DIAGNOSIS
- Publication
American Journal of Respiratory & Critical Care Medicine, 2017, Vol 196, Issue 10, p1249
- ISSN
1073-449X
- Publication type
journal article
- DOI
10.1164/rccm.201702-0400PP