Evidence map›Paper›PMID 36517177›Full record

ReviewThe European respiratory journal2023

Progressive pulmonary fibrosis: an expert group consensus statement.

Sujeet K Rajan, Vincent Cottin, Raja Dhar, Sonye Danoff, Kevin R Flaherty, Kevin K Brown, Anant Mohan, Elizabeth Renzoni, Murali Mohan, Zarir Udwadia and 12 more

Abstract readReviewConsensus Statement
In one paragraph

Review in The European respiratory journal, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 141 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
141citing papers in PubMed, 8 pooled it
–field-weighted citation impact
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

141 citing papers in PubMed, 8 syntheses or guidelines pooled it.

  1. Pooled it
  2. Yield and safety of different biopsy types in interstitial lung disease: a systematic review and meta-analysis.European respiratory review : an official journal of the European Respiratory Society · 2026
    Pooled it
  3. Pooled it
  4. Pooled it
  5. Guideline
  6. Guideline
  7. Pooled it
  8. Pooled it
  9. Trial
  10. Review
  11. Review
  12. Article
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  14. Article
  15. Review
  16. Review
  17. Pulmonary [European journal of nuclear medicine and molecular imaging · 2026
    Article
  18. BMJ open · 2026
    Article
  19. Observational
  20. Article

81 more citing papers are in PubMed but not listed here.

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

22 authors.

Sujeet K RajanBombay Hospital Institute of Medical Sciences and Bhatia Hospital, Mumbai, India skrajan@hotmail.com.ORCID 0000-0001-7955-2147
Vincent CottinNational French Reference Coordinating Center for Rare Pulmonary Diseases, Louis Pradel Hospital Hospices Civils de Lyon, Université Claude Bernard Lyon 1, INRAE, Member of ERN-LUNG, Lyon, France.ORCID 0000-0002-5591-0955
Raja DharCK Birla Hospitals, Kolkata, India.
Sonye DanoffJohns Hopkins School of Medicine, Baltimore, MD, USA.
Kevin R FlahertyUniversity of Michigan, Ann Arbor, MI, USA.
Kevin K BrownDepartment of Medicine, National Jewish Health, Denver, CO, USA.
Anant MohanAll India Institute of Medical Sciences, New Delhi, India.
Elizabeth RenzoniRoyal Brompton Hospital/Imperial College London, London, UK.
Murali MohanNarayana Health, Bengaluru, India.
Zarir UdwadiaBreach Candy Hospital, Mumbai, India.
Padmanabha ShenoyDepartment of Rheumatology, Centre for Arthritis and Rheumatism Excellence, Kochi, India.
David CurrowUniversity of Technology, Sydney, Australia.
Anand DevrajDepartment of Radiology, Royal Brompton Hospital, London, UK.
Bhavin JankhariaPicture This by Jankharia, Mumbai, India.
Ritu KulshresthaDepartment of Pathology, Vallabhbhai Patel Chest Institute, University of Delhi, Delhi, India.
Steve JonesEuropean Idiopathic Pulmonary Fibrosis Federation (EU-IPFF), Peterborough, UK.
Claudia RavagliaPulmonology Unit, GB Morgagni Hospital/University of Bologna, Forlì, Italy.
Silvia QuadrelliHospital Britanico de Buenos Aires, Buenos Aires, Argentina.
Rajam IyerBhatia Hospital and PD Hinduja Hospital, Mumbai, India.
Sahajal DhooriaDepartment of Pulmonary Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh, India.ORCID 0000-0003-3199-9163
Martin KolbFirestone Institute for Respiratory Heath, St Joseph's Healthcare and McMaster University, Hamilton, ON, Canada.ORCID 0000-0003-3837-1467
Athol U WellsInterstitial Lung Disease Unit, Royal Brompton and Harefield NHS Foundation Trust, London, UK.

Funding

Versus Arthritis 20719
6 · The paper itself

Abstract

This expert group consensus statement emphasises the need for standardising the definition of progressive fibrosing interstitial lung diseases (F-ILDs), with an accurate initial diagnosis being of paramount importance in ensuring appropriate initial management. Equally, case-by-case decisions on monitoring and management are essential, given the varying presentations of F-ILDs and the varying rates of progression. The value of diagnostic tests in risk stratification at presentation and, separately, the importance of a logical monitoring strategy, tailored to manage the risk of progression, are also stressed. The term "progressive pulmonary fibrosis" (PPF) exactly describes the entity that clinicians often face in practice. The importance of using antifibrotic therapy early in PPF (once initial management has failed to prevent progression) is increasingly supported by evidence. Artificial intelligence software for high-resolution computed tomography analysis, although an exciting tool for the future, awaits validation. Guidance is provided on pulmonary rehabilitation, oxygen and the use of non-invasive ventilation focused specifically on the needs of ILD patients with progressive disease. PPF should be differentiated from acute deterioration due to drug-induced lung toxicity or other forms of acute exacerbations. Referral criteria for a lung transplant are discussed and applied to patient needs in severe diseases where transplantation is not realistic, either due to access limitations or transplantation contraindications. In conclusion, expert group consensus guidance is provided on the diagnosis, treatment and monitoring of F-ILDs with specific focus on the recognition of PPF and the management of pulmonary fibrosis progressing despite initial management.

Indexed as

Idiopathic Pulmonary FibrosisLung Diseases, InterstitialPulmonary FibrosisArtificial IntelligenceDisease ProgressionFibrosisHumans

Identifiers

PMID36517177
PMCPMC10060665

What OpenQuestion holds

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LicenceCC BY-NC
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.