Screening for rheumatoid arthritis-associated interstitial lung disease—a Delphi-based consensus statement

ÖGR and ÖGP (Austrian Delphi panel) · 2024 · Austria

Source and licence

Authors
Klaus Hackner, Lisa Hütter, Holger Flick et al.
Title
Screening for rheumatoid arthritis-associated interstitial lung disease—a Delphi-based consensus statement
Journal
Zeitschrift Fur Rheumatologie, 2024
Licence
CC BY 4.0
Changes
Verbatim excerpts; formatting adapted

Full text retrieved 2026-10-27 from Europe PMC · PMC10902070

Licence statement of the original publication

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Recommendations

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Abstract

Objective: Rheumatoid arthritis-associated interstitial lung disease (RA-ILD) is a major driver of premature mortality in patients with rheumatoid arthritis (RA). Detection of RA-ILD is crucial but requires awareness among the treating physicians. To date, however, there is no international recommendation concerning screening for ILD in RA patients.

Methods: After a systematic literature review, the modified Delphi technique in combination with the nominal group technique was used to provide a Delphi consensus statement elaborated by an expert panel of pneumonologists, rheumatologists, and a radiologist. Based on the available evidence, several clusters of questions were defined and discussed until consent was reached.

Results: A screening algorithm for ILD in patients with RA based on clinical signs, respiratory symptoms, and risk factors has been developed. Further, the recommendations address diagnostic tools for RA-ILD and the follow-up of RA patients qualifying for ILD screening.

Supplementary Information: The online version of this article (10.1007/s00393-023-01464-w) contains an additional table giving an overview of the questions provided to the expert panel and the individual group outcome.

Contents of the original publication

The section headings of the original.

  • Methods
  • Step 1
  • Step 2
  • Step 3
  • Step 4
  • Step 5
  • Results
  • Cluster I
  • Cluster II
  • Cluster III
  • Cluster IV
  • Cluster V
  • Discussion
  • Conclusion

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