Evidence map›Paper›PMID 23131960›Full record

GuidelineChest2012

Monitoring of nonsteroidal immunosuppressive drugs in patients with lung disease and lung transplant recipients: American College of Chest Physicians evidence-based clinical practice guidelines.

Robert P Baughman, Keith C Meyer, Ian Nathanson, Luis Angel, Sangeeta M Bhorade, Kevin M Chan, Daniel Culver, Christopher G Harrod, Mary S Hayney, Kristen B Highland and 4 more

Open access · greenAbstract readPractice Guideline
In one paragraph

Guideline in Chest, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 3 pooled it
4.6field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 3 syntheses or guidelines pooled it, 68 citations in OpenAlex.

  1. Large-scale meta-analysis of infection risk with JAK-STAT inhibitors in 29,000 patients.Journal of the European Academy of Dermatology and Venereology : JEADV · 2026
    Pooled it
  2. Clinical care in interstitial lung disease: a critical appraisal of clinical guidance documents.European respiratory review : an official journal of the European Respiratory Society · 2025
    Pooled it
  3. Guideline
  4. Efficacy Results of a 52-week Trial of Adalimumab in the Treatment of Refractory Sarcoidosis.Sarcoidosis, vasculitis, and diffuse lung diseases : official journal of WASOG · 2014
    Trial
  5. Advances in management of sarcoidosis-associated fatigue: A narrative review.Sarcoidosis, vasculitis, and diffuse lung diseases : official journal of WASOG · 2026
    Article
  6. Article
  7. Article
  8. An update on hypophysitis.Nature reviews. Endocrinology · 2026
    Review
  9. Article
  10. Review
  11. Review
  12. Article
  13. Review
  14. Article
  15. Article
  16. Acute exacerbations of interstitial lung disease: what is the best treatment?Sarcoidosis, vasculitis, and diffuse lung diseases : official journal of WASOG · 2021
    Article
  17. Delphi consensus recommendations for a treatment algorithm in pulmonary sarcoidosis.European respiratory review : an official journal of the European Respiratory Society · 2020
    Review
  18. Review
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors at 12 institutions in 1 country.

Robert P BaughmanUniversity of Cincinnati, Cincinnati, OH. Electronic address: bob.Baughman@uc.edu.
Keith C MeyerUniversity of Wisconsin School of Medicine and Public Health, Madison, WI.
Ian NathansonUniversity of Central Florida, Orlando, FL.
Luis AngelUniversity of Texas Health Sciences, San Antonio, TX.
Sangeeta M BhoradeUniversity of Chicago Hospitals, Chicago, IL.
Kevin M ChanUniversity of Michigan Health Systems, Ann Arbor, MI.
Daniel CulverCleveland Clinic, Cleveland, OH.
Christopher G HarrodAmerican College of Chest Physicians, Northbrook, IL.
Mary S HayneyUniversity of Wisconsin School of Pharmacy, Madison, WI.
Kristen B HighlandMedical University of South Carolina, Charleston, SC.
Andrew H LimperMayo Clinic College of Medicine, Rochester, MN.
Herbert PatrickDrexel University College of Medicine, Philadelphia, PA.
Charlie StrangeMedical University of South Carolina, Charleston, SC.
Timothy WhelanUniversity of Minnesota, Minneapolis, MN.
Medical University of South Carolina · USUniversity of Wisconsin–Madison · USAmerican College of Chest Physicians · USCleveland Clinic · USDrexel University · USMayo Clinic · USMichigan Medicine · USThe University of Texas Health Science Center at San Antonio · USUniversity of Central Florida · USUniversity of Chicago · USUniversity of Cincinnati · USUniversity of Minnesota · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesImmunosuppressive pharmacologic agents prescribed to patients with diffuse interstitial and inflammatory lung disease and lung transplant recipients are associated with potential risks for adverse reactions. Strategies for minimizing such risks include administering these drugs according to established, safe protocols; monitoring to detect manifestations of toxicity; and patient education. Hence, an evidence-based guideline for physicians can improve safety and optimize the likelihood of a successful outcome. To maximize the likelihood that these agents will be used safely, the American College of Chest Physicians established a committee to examine the clinical evidence for the administration and monitoring of immunosuppressive drugs (with the exception of corticosteroids) to identify associated toxicities associated with each drug and appropriate protocols for monitoring these agents.

methodsCommittee members developed and refined a series of questions about toxicities of immunosuppressives and current approaches to administration and monitoring. A systematic review was carried out by the American College of Chest Physicians. Committee members were supplied with this information and created this evidence-based guideline.

conclusionsIt is hoped that these guidelines will improve patient safety when immunosuppressive drugs are given to lung transplant recipients and to patients with diffuse interstitial lung disease.

Indexed as

Drug MonitoringLung TransplantationEvidence-Based MedicineGraft RejectionHumansImmunosuppressive AgentsLung DiseasesImmunosuppressive Agents

Identifiers

PMID23131960
PMCPMC3610695
OpenAlexW2148261626

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.