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- Title
Management of Interstitial Lung Diseases: A consensus statement of the Indian Chest Society (ICS) and National College of Chest Physicians (NCCP).
- Authors
Singh, Sheetu; Sharma, Bharat Bhushan; Bairwa, Mohan; Gothi, Dipti; Desai, Unnati; Joshi, Jyotsna M.; Talwar, Deepak; Singh, Abhijeet; Dhar, Raja; Sharma, Ambika; Ahluwalia, Bineet; Mangal, Daya K.; Jain, Nirmal K.; Pilania, Khushboo; Hadda, Vijay; Koul, Parvaiz A.; Luhadia, Shanti Kumar; Swarnkar, Rajesh; Gaur, Shailender Nath; Ghoshal, Aloke G.
- Abstract
Background: Interstitial lung disease (ILD) is a complex and heterogeneous group of acute and chronic lung diseases of several known and unknown causes. While clinical practice guidelines (CPG) for idiopathic pulmonary fibrosis (IPF) have been recently updated, CPG for ILD other than IPF are needed. Methods: A working group of multidisciplinary clinicians familiar with clinical management of ILD (pulmonologists, radiologist, pathologist, and rheumatologist) and three epidemiologists selected by the leaderships of Indian Chest Society and National College of Chest Physicians, India, posed questions to address the clinically relevant situation. A systematic search was performed on PubMed, Embase, and Cochrane databases. A modified GRADE approach was used to grade the evidence. The working group discussed the evidence and reached a consensus of opinions for each question following face-to-face discussions. Results: Statements have been made for each specific question and the grade of evidence has been provided after performing a systematic review of literature. For most of the questions addressed, the available evidence was insufficient and of low to very low quality. The consensus of the opinions of the working group has been presented as statements for the questions and not as an evidence-based CPG for the management of ILD. Conclusion: This document provides the guidelines made by consensus of opinions among experts following discussion of systematic review of evidence pertaining to the specific questions for management of ILD other than IPF. It is hoped that this document will help the clinician understand the accumulated evidence and help better management of idiopathic and nonidiopathic interstitial pneumonias.
- Subjects
INDIA; INTERSTITIAL lung diseases; IDIOPATHIC pulmonary fibrosis; PHYSICIANS; IDIOPATHIC interstitial pneumonias; LUNG diseases
- Publication
Lung India, 2020, Vol 37, Issue 4, p359
- ISSN
0970-2113
- Publication type
Article
- DOI
10.4103/lungindia.lungindia_275_20