Screening for rheumatoid arthritis-associated interstitial lung disease-a Delphi-based consensus statement

Klaus Hackner, Lisa Hütter, Holger Flick, Michael Grohs, Kastriot Kastrati, Hans Kiener, David Lang, Birgit Mosheimer-Feistritzer, Helmut Prosch, Eva Rath, Otmar Schindler, Florentine Moazedi-Fürst*

*Corresponding author for this work

Research output: Journal article (peer-reviewed)Journal article

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.

Translated title of the contributionScreening auf mit rheumatoider Arthritis assoziierte interstitielle Lungenerkrankung – Delphi-basiertes Konsensus-Statement
Original languageEnglish
JournalZeitschrift fur Rheumatologie
Early online date19 Jan 2024
DOIs
Publication statusE-pub ahead of print - 19 Jan 2024

Keywords

  • Antifibrotic agents
  • Autoimmune diseases
  • Fibrosis
  • Mass screening
  • Risk factors

ASJC Scopus subject areas

  • Rheumatology

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