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- Title
Screening for rheumatoid arthritis-associated interstitial lung disease—a Delphi-based consensus statement.
- Authors
Hackner, Klaus; Hütter, Lisa; Flick, Holger; Grohs, Michael; Kastrati, Kastriot; Kiener, Hans; Lang, David; Mosheimer-Feistritzer, Birgit; Prosch, Helmut; Rath, Eva; Schindler, Otmar; Moazedi-Fürst, Florentine
- Abstract
Objective: Rheumatoid arthritis-associated interstitial lung disease (RA-ILD) is a major driver of premature mortality in patients with rheumatoid arthritis (RA). Detection of RA-ILD is crucial but requires awareness among the treating physicians. To date, however, there is no international recommendation concerning screening for ILD in RA patients. Methods: After a systematic literature review, the modified Delphi technique in combination with the nominal group technique was used to provide a Delphi consensus statement elaborated by an expert panel of pneumonologists, rheumatologists, and a radiologist. Based on the available evidence, several clusters of questions were defined and discussed until consent was reached. Results: A screening algorithm for ILD in patients with RA based on clinical signs, respiratory symptoms, and risk factors has been developed. Further, the recommendations address diagnostic tools for RA-ILD and the follow-up of RA patients qualifying for ILD screening.
- Subjects
INTERSTITIAL lung diseases; MEDICAL screening; RHEUMATOID arthritis; DELPHI method; EARLY death; SYMPTOMS
- Publication
Zeitschrift für Rheumatologie, 2024, Vol 83, Issue 2, p160
- ISSN
0340-1855
- Publication type
Article
- DOI
10.1007/s00393-023-01464-w