Evidence map›Paper›PMID 35176276›Full record

ArticleChest2022

Screening Strategies for Pulmonary Hypertension in Patients With Interstitial Lung Disease: A Multidisciplinary Delphi Study.

Franck F Rahaghi, Nicholas A Kolaitis, Ayodeji Adegunsoye, Joao A de Andrade, Kevin R Flaherty, Lisa H Lancaster, Joyce S Lee, Deborah J Levine, Ioana R Preston, Zeenat Safdar and 6 more

Open access · hybridAbstract readConsensus Statement
In one paragraph

Article in Chest, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 50 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
50citing papers in PubMed, 1 pooled it
9.9field-weighted citation impact, top 1% 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

50 citing papers in PubMed, 1 synthesis or guideline pooled it, 68 citations in OpenAlex.

  1. International Society for Heart and Lung Transplantation Scientific Statement on pulmonary antibody-mediated rejection and proposed graft, antibody, and pathology (GAP) definition.The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors at 14 institutions in 1 country.

Franck F RahaghiAdvanced Lung Disease Clinic, Cleveland Clinic Florida, Weston, FL.
Nicholas A KolaitisUCSF Pulmonary and Critical Care, San Francisco, CA.
Ayodeji AdegunsoyeSection of Pulmonary & Critical Care, The University of Chicago School of Medicine, Chicago, IL.
Joao A de AndradeVanderbilt Lung Institute, Vanderbilt University Medical Center, Nashville, TN.
Kevin R FlahertyMichigan Medicine Interstitial Lung Disease Program, University of Michigan, Ann Arbor, MI.
Lisa H LancasterVanderbilt University Medical Center, Nashville, TN.
Joyce S LeePulmonary Sciences & Critical Care, University of Colorado School of Medicine, Aurora, CO.
Deborah J LevinePulmonary Hypertension Center, UT Health San Antonio, San Antonio, TX.
Ioana R PrestonPulmonary Hypertension Center, Tufts Medical Center, Boston, MA.
Zeenat SafdarHouston Methodist, Houston, TX.
Rajan SaggarPulmonary and Critical Care Medicine, David Geffen School of Medicine, UCLA, Los Angeles, CA.
Sandeep SahayHouston Methodist Lung Center, Houston, TX.
Mary Beth ScholandPulmonary Medicine, University of Utah Health, Farmington, UT.
Oksana A ShlobinInova Fairfax Heart & Lung Transplant Program, Inova Medical Group, Falls Church, VA.
David A ZismanSansum Clinic Santa Barbara, Santa Barbara, CA.
Steven D NathanAdvanced Lung Disease Program, Lung Transplant Program, Inova Fairfax Hospital, Falls Church, VA. Electronic address: steven.nathan@inova.org.
Houston Methodist · USCleveland Clinic Florida · USInova Fairfax Hospital · USLung Institute · USMichigan Medicine · USNova Medical (United States) · USSansum Medical Clinic · USThe University of Texas Health Science Center at San Antonio · USTufts Medical Center · USUniversity of California, Los Angeles · USUniversity of Chicago · USUniversity of Colorado Denver · USUniversity of Utah · USVanderbilt University Medical Center · US

Funding

Improving Pulmonary Fibrosis Classification with Genomics Informed Phenotypic ClustersK23HL146942 · NHLBI · UNIVERSITY OF CHICAGO · PI ADEGUNSOYE, AYODEJI · 2020 to 2024
$810k
NHLBI NIH HHS K23 HL146942
6 · The paper itself

Abstract

backgroundPulmonary hypertension (PH) is a common complication of interstitial lung disease (ILD) and is associated with worse outcomes and increased mortality. Evaluation of PH is recommended in lung transplant candidates, but there are currently no standardized screening approaches. Trials have identified therapies that are effective in this setting, providing another rationale to routinely screen patients with ILD for PH. RESEARCH QUESTION: What screening strategies for identifying PH in patients with ILD are supported by expert consensus? STUDY DESIGN AND

methodsThe study convened a panel of 16 pulmonologists with expertise in PH and ILD, and used a modified Delphi consensus process with three surveys to identify PH screening strategies. Survey 1 consisted primarily of open-ended questions. Surveys 2 and 3 were developed from responses to survey 1 and contained statements about PH screening that panelists rated from -5 (strongly disagree) to 5 (strongly agree).

resultsPanelists reached consensus on several triggers for suspicion of PH including the following: symptoms, clinical signs, findings on chest CT scan or other imaging, abnormalities in pulse oximetry, elevations in brain natriuretic peptide (BNP) or N-terminal pro-brain natriuretic peptide (NT-proBNP), and unexplained worsening in pulmonary function tests or 6-min walk distance. Echocardiography and BNP/NT-proBNP were identified as screening tools for PH. Right heart catheterization was deemed essential for confirming PH.

interpretationMany patients with ILD may benefit from early evaluation of PH now that an approved therapy is available. Protocols to evaluate patients with ILD often overlap with evaluations for pulmonary hypertension-interstitial lung disease and can be used to assess the risk of PH. Because standardized approaches are lacking, this consensus statement is intended to aid physicians in the identification of patients with ILD and possible PH, and provide guidance for timely right heart catheterization.

Indexed as

Hypertension, PulmonaryLung Diseases, InterstitialDelphi TechniqueEchocardiographyHumansRespiratory Function Testsechocardiographyidiopathic pulmonary fibrosisinterstitial lung diseasepulmonary hypertensionright heart catheterizationscreening

Identifiers

PMID35176276
PMCPMC9993339
OpenAlexW4212954714

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.