Evidence map›Paper›PMID 38973731›Full record

GuidelineArthritis care & research2024

2023 American College of Rheumatology (ACR)/American College of Chest Physicians (CHEST) Guideline for the Treatment 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 care & research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 59 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
59citing papers in PubMed, 1 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

59 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Trial
  4. Mycophenolate and azathioprine in fibrotic interstitial lung disease.American journal of respiratory and critical care medicine · 2026
    Observational
  5. Acute exacerbation in fibrotic interstitial lung disease: an international working group report.American journal of respiratory and critical care medicine · 2026
    Review
  6. Review
  7. Quality and Safety Intervention: Improving Care of Patients Undergoing B Cell-Targeted Therapies.The journal of allergy and clinical immunology. In practice · 2026
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Vaccinations in patients with interstitial lung diseases: a narrative review.European respiratory review : an official journal of the European Respiratory Society · 2026
    Review
  13. Article
  14. Observational
  15. Article
  16. Review
  17. Review
  18. Observational
  19. Combination antifibrotic and immunosuppressive therapy in progressive fibrosing ILD.Sarcoidosis, vasculitis, and diffuse lung diseases : official journal of WASOG · 2026
    Article
  20. Review
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 0000-0003-0591-2976
Elana J BernsteinColumbia University Vagelos College of Physicians and Surgeons, Columbia University Irving Medical Center, New York City.ORCID 0000-0001-5560-6390
Marcy B BolsterMassachusetts General Hospital, Boston.ORCID 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 0000-0002-0398-2308
Dinesh KhannaUniversity of Michigan, Ann Arbor.ORCID 0000-0003-1412-4453
Gordon GuyattMcMaster University, Hamilton, Ontario, Canada.
Reza D MirzaMcMaster University, Hamilton, Ontario, Canada.
Rohit AggarwalUniversity of Pittsburgh, Pittsburgh, Pennsylvania.ORCID 0000-0001-7531-8038
Aberdeen AllenParlin, New, Jersey.
Shervin AssassiUniversity of Texas Health Science Center at Houston.ORCID 0000-0002-8059-9978
Lenore BuckleyYale School of Medicine, New Haven, Connecticut.ORCID 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 0000-0003-0237-739X
Robyn T DomsicUniversity of Pittsburgh, Pittsburgh, Pennsylvania.ORCID 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 0000-0002-5472-3840
Fiona K GibbonsMassachusetts General Hospital, Boston.
Monique HinchcliffYale School of Medicine, New Haven, Connecticut.ORCID 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 0000-0003-4886-9007
Scott MatsonUniversity of Kansas Medical Center, Kansas City.
Zsuzsanna H McMahanJohns Hopkins University School of Medicine, Baltimore, Maryland.ORCID 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 0000-0002-6635-0383
Patil A InjeanCedars-Sinai, Los Angeles, California.
Nikhil JiwrajkaUniversity of Pennsylvania, Philadelphia.ORCID 0000-0003-1630-1767
Elena K JoernsUT Southwestern Medical Center, Dallas, Texas.ORCID 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 0000-0002-9750-5448
Jake G NataliniNew York University Langone Health, New York City.ORCID 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 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 0000-0001-7695-2022
Stacey UhlCenter for Clinical Evidence and Guidelines, Plymouth Meeting, Pennsylvania.
Ilya IvlevCenter for Clinical Evidence and Guidelines, Plymouth Meeting, Pennsylvania.ORCID 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
NHLBI NIH HHS R01 HL166290NHLBI NIH HHS R01 HL169166NIAMS NIH HHS T32 AR076951
6 · The paper itself

Abstract

objectiveWe provide evidence-based recommendations regarding the treatment of interstitial lung disease (ILD) in adults with systemic autoimmune rheumatic diseases (SARDs).

methodsWe developed clinically relevant population, intervention, comparator, and outcomes questions. A systematic literature review was then performed, and the available evidence was rated using the Grading of Recommendations, Assessment, Development, and Evaluation methodology. A panel of clinicians and patients reached consensus on the direction and strength of the recommendations.

resultsThirty-five recommendations were generated (including two strong recommendations) for first-line SARD-ILD treatment, treatment of SARD-ILD progression despite first-line ILD therapy, and treatment of rapidly progressive ILD. The strong recommendations were against using glucocorticoids in systemic sclerosis-ILD as a first-line ILD therapy and after ILD progression. Otherwise, glucocorticoids are conditionally recommended for first-line ILD treatment in all other SARDs.

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

Indexed as

Autoimmune DiseasesLung Diseases, InterstitialRheumatic DiseasesRheumatologyEvidence-Based MedicineGlucocorticoidsHumansGlucocorticoids

Identifiers

PMID38973731
PMCPMC12646475

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.