Evidence map›Paper›PMID 38973714›Full record

GuidelineArthritis & rheumatology (Hoboken, N.J.)2024

2023 American College of Rheumatology (ACR)/American College of Chest Physicians (CHEST) Guideline for the Screening and Monitoring of Interstitial Lung Disease in People with Systemic Autoimmune Rheumatic Diseases.

Sindhu R Johnson, Elana J Bernstein, Marcy B Bolster, Jonathan H Chung, Sonye K Danoff, Michael D George, Dinesh Khanna, Gordon Guyatt, Reza D Mirza, Rohit Aggarwal and 51 more

Abstract readPractice Guideline
In one paragraph

Guideline in Arthritis & rheumatology (Hoboken, N.J.), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 77 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
77citing papers in PubMed, 7 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

77 citing papers in PubMed, 7 syntheses or guidelines pooled it.

  1. Pooled it
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  3. 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
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17 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

61 authors.

Sindhu R JohnsonUniversity of Toronto, Schroeder Arthritis Institute, Toronto Western Hospital, Mount Sinai Hospital, Toronto, Ontario, Canada.ORCID https://orcid.org/0000-0003-0591-2976
Elana J BernsteinColumbia University Vagelos College of Physicians and Surgeons, Columbia University Irving Medical Center, New York City.ORCID https://orcid.org/0000-0001-5560-6390
Marcy B BolsterMassachusetts General Hospital, Boston.ORCID https://orcid.org/0000-0002-5413-9345
Jonathan H ChungThe University of Chicago Medicine, Chicago, Illinois.
Sonye K DanoffJohns Hopkins University School of Medicine, Baltimore, Maryland.
Michael D GeorgeUniversity of Pennsylvania, Philadelphia.ORCID https://orcid.org/0000-0002-0398-2308
Dinesh KhannaUniversity of Michigan, Ann Arbor.ORCID https://orcid.org/0000-0003-1412-4453
Gordon GuyattMcMaster University, Hamilton, Ontario, Canada.
Reza D MirzaMcMaster University, Hamilton, Ontario, Canada.
Rohit AggarwalUniversity of Pittsburgh, Pittsburgh, Pennsylvania.ORCID https://orcid.org/0000-0001-7531-8038
Aberdeen AllenParlin, New Jersey.
Shervin AssassiUniversity of Texas Health Science Center at Houston.ORCID https://orcid.org/0000-0002-8059-9978
Lenore BuckleyYale School of Medicine, New Haven, Connecticut.ORCID https://orcid.org/0000-0001-7001-8036
Hassan A ChamiJohns Hopkins University School of Medicine, Baltimore, Maryland.
Douglas S CorwinSt. Luke's University Health Network, Bethlehem, Pennsylvania.
Paul F DellaripaBrigham and Women's Hospital, Boston, Massachusetts.ORCID https://orcid.org/0000-0003-0237-739X
Robyn T DomsicUniversity of Pittsburgh, Pittsburgh, Pennsylvania.ORCID https://orcid.org/0000-0002-2765-0922
Tracy J DoyleBrigham and Women's Hospital, Boston, Massachusetts.
Catherine Marie FalardeauKissimmee, Florida.
Tracy M FrechVanderbilt University Medical Center, Nashville, Tennessee.ORCID https://orcid.org/0000-0002-5472-3840
Fiona K GibbonsMassachusetts General Hospital, Boston.
Monique HinchcliffYale School of Medicine, New Haven, Connecticut.ORCID https://orcid.org/0000-0002-8652-9890
Cheilonda JohnsonUniversity of Pennsylvania, Philadelphia.
Jeffrey P KanneUniversity of Wisconsin School of Medicine and Public Health, Madison.
John S KimUniversity of Virginia School of Medicine, Charlottesville.
Sian Yik LimHawaii Pacific Health, Aiea.ORCID https://orcid.org/0000-0003-4886-9007
Scott MatsonUniversity of Kansas Medical Center, Kansas City.
Zsuzsanna H McMahanJohns Hopkins University School of Medicine, Baltimore, Maryland.ORCID https://orcid.org/0000-0001-6461-8940
Samantha J MerckSaint Francis Health System, Tulsa, Oklahoma.
Kiana NesbittLansdowne, Pennsylvania.
Mary Beth ScholandUniversity of Utah, Salt Lake City.
Lee ShapiroAlbany Medical College, Albany, New York.
Christine D SharkeyUniversity of Wisconsin School of Medicine and Public Health, Madison.
Ross SummerThomas Jefferson University Hospital, Philadelphia, Pennsylvania.
John VargaUniversity of Michigan, Ann Arbor.
Anil WarrierMillennium Physicians, Huntsville, Texas.
Sandeep K AgarwalBaylor College of Medicine, Houston, Texas.
Danielle Antin-OzerkisYale School of Medicine, New Haven, Connecticut.
Bradford BemissNorthwestern University, Chicago, Illinois.
Vaidehi ChowdharyYale School of Medicine, New Haven, Connecticut.
Jane E Dematte D'AmicoNorthwestern University, Chicago, Illinois.
Robert HallowellMassachusetts General Hospital, Boston.
Alicia M HinzeMayo Clinic, Rochester, Minnesota.ORCID https://orcid.org/0000-0002-6635-0383
Patil A InjeanCedars-Sinai, Los Angeles, California.
Nikhil JiwrajkaUniversity of Pennsylvania, Philadelphia.ORCID https://orcid.org/0000-0003-1630-1767
Elena K JoernsUT Southwestern Medical Center, Dallas, Texas.ORCID https://orcid.org/0000-0001-7089-9152
Joyce S LeeUniversity of Colorado Denver, Aurora.
Ashima MakolMayo Clinic, Rochester, Minnesota.
Gregory C McDermottBrigham and Women's Hospital, Boston, Massachusetts.ORCID https://orcid.org/0000-0002-9750-5448
Jake G NataliniNew York University Langone Health, New York City.ORCID https://orcid.org/0000-0002-2359-6885
Justin M OldhamUniversity of Michigan, Ann Arbor.
Didem SayginUniversity of Pittsburgh, Pittsburgh, Pennsylvania.
Kimberly Showalter LakinHospital for Special Surgery, Weill Cornell Medicine, New York City.
Namrata SinghUniversity of Washington, Seattle.
Joshua J SolomonNational Jewish Health, Denver, Colorado.
Jeffrey A SparksBrigham and Women's Hospital, Boston, Massachusetts.ORCID https://orcid.org/0000-0002-5556-4618
Marat TurgunbaevAmerican College of Rheumatology, Atlanta, Georgia.
Samera VaseerUniversity of Oklahoma, Oklahoma City.
Amy TurnerAmerican College of Rheumatology, Atlanta, Georgia.ORCID https://orcid.org/0000-0001-7695-2022
Stacey UhlECRI, Center for Clinical Evidence and Guidelines, Plymouth Meeting, Pennsylvania.
Ilya IvlevECRI, Center for Clinical Evidence and Guidelines, Plymouth Meeting, Pennsylvania.ORCID https://orcid.org/0000-0002-8015-3626

Funding

Proteomic Profiling of Idiopathic Pulmonary Fibrosis Progression TrajectoryR01HL169166 · NHLBI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Justin M Oldham · 2023 to 2026
$2.7M
Training Program/Rheumatic DiseasesT32AR076951 · NIAMS · UNIVERSITY OF PENNSYLVANIA · PI EDWARD M BEHRENS, Peter A Merkel · 2020 to 2026
$2.6M
Prognostic Biomarker Development in Progressive Fibrosing Interstitial Lung DiseaseR01HL166290 · NHLBI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Justin M Oldham · 2024 to 2026
$2.2M
American College of RheumatologyNHLBI NIH HHS R01 HL166290NHLBI NIH HHS R01 HL169166NIAMS NIH HHS T32 AR076951
6 · The paper itself

Abstract

objectiveWe provide evidence-based recommendations regarding screening for interstitial lung disease (ILD) and the monitoring for ILD progression in people with systemic autoimmune rheumatic diseases (SARDs), specifically rheumatoid arthritis, systemic sclerosis, idiopathic inflammatory myopathies, mixed connective tissue disease, and Sjögren disease.

methodsWe developed clinically relevant population, intervention, comparator, and outcomes questions related to screening and monitoring for ILD in patients with SARDs. A systematic literature review was performed, and the available evidence was rated using the Grading of Recommendations, Assessment, Development, and Evaluation methodology. A Voting Panel of interdisciplinary clinician experts and patients achieved consensus on the direction and strength of each recommendation.

resultsFifteen recommendations were developed. For screening people with these SARDs at risk for ILD, we conditionally recommend pulmonary function tests (PFTs) and high-resolution computed tomography of the chest (HRCT chest); conditionally recommend against screening with 6-minute walk test distance (6MWD), chest radiography, ambulatory desaturation testing, or bronchoscopy; and strongly recommend against screening with surgical lung biopsy. We conditionally recommend monitoring ILD with PFTs, HRCT chest, and ambulatory desaturation testing and conditionally recommend against monitoring with 6MWD, chest radiography, or bronchoscopy. We provide guidance on ILD risk factors and suggestions on frequency of testing to evaluate for the development of ILD in people with SARDs.

conclusionThis clinical practice guideline presents the first recommendations endorsed by the American College of Rheumatology and American College of Chest Physicians for the screening and monitoring of ILD in people with SARDs.

Indexed as

Autoimmune DiseasesLung Diseases, InterstitialRheumatic DiseasesRheumatologyArthritis, RheumatoidHumansMass ScreeningMixed Connective Tissue DiseaseMyositisRespiratory Function TestsScleroderma, SystemicSjogren's SyndromeSocieties, MedicalTomography, X-Ray ComputedUnited StatesWalk Test

Identifiers

PMID38973714
PMCPMC12646464

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.