The diagnosis and management of systemic autoimmune rheumatic disease-related interstitial lung disease: British Society for Rheumatology guideline scope

Author:

Hannah Jennifer1,Rodziewicz Mia2ORCID,Mehta Puja3ORCID,Heenan Kerri-Marie4,Ball Elizabeth5ORCID,Barratt Shaney6ORCID,Carty Sara7,Conway Richard8ORCID,Cotton Caroline V9,Cox Sarah10,Crawshaw Anjali11,Dawson Julie12,Desai Sujal13,Fahim Ahmed14,Fielding Carol10,Garton Mark15,George Peter M16,Gunawardena Harsha17,Kelly Clive18ORCID,Khan Fasihul19,Koduri Gouri20,Morris Helen21,Naqvi Marium22,Perry Elizabeth23,Riddell Claire5,Sieiro Santos Cristiana24ORCID,Spencer Lisa G25,Chaudhuri Nazia26,Nisar Muhammad K27ORCID

Affiliation:

1. Academic Rheumatology, Faculty of Life Sciences and Medicine, King’s College London, London , UK

2. Centre for Musculoskeletal Research, University of Manchester , Manchester, UK

3. Centre for Inflammation and Tissue Repair, University College London , London, UK

4. Department of Respiratory Medicine, Northern Health and Social Care Trust , Antrim, UK

5. Department of Rheumatology, Belfast Health and Social Care Trust , Belfast, UK

6. Department of Respiratory Medicine, Bristol Medical School , Bristol, UK

7. Department of Rheumatology, Great Western Hospitals NHS Foundation Trust , Swindon, UK

8. Department of Rheumatology, Trinity College Dublin , Dublin, Ireland

9. Department of Rheumatology, Liverpool University Hospitals NHS Foundation Trust , Liverpool, UK

10. Patient Representative , London, UK

11. Department of Respiratory Medicine, University Hospitals Birmingham NHS Foundation Trust , Birmingham, UK

12. Department of Rheumatology, St Helens Hospital , Saint Helens, UK

13. Radiology Department, Royal Brompton Hospital , London, UK

14. Department of Respiratory Medicine, New Cross Hospital , Wolverhampton, UK

15. Department of Rheumatology, Royal Shrewsbury Hospital , Shrewsbury, UK

16. Department of Respiratory Medicine, Royal Brompton Hospital , London, UK

17. North Bristol NHS Trust, Academic Rheumatology , Bristol, UK

18. Department of Rheumatology, James Cook University Hospital , Middlesbrough, UK

19. Department of Respiratory Medicine, University Hospitals of Leicester NHS Trust , Leicester, UK

20. Department of Rheumatology, Southend University Hospital NHS Foundation Trust , Southend-on-Sea, Essex, UK

21. Department of Respiratory Medicine, Wythenshawe Hospital , Manchester, UK

22. Department of Respiratory Medicine, Guy’s and St Thomas’ Hospitals NHS Trust , London, UK

23. Department of Rheumatology, University Hospitals Bristol and Weston NHS Foundation Trust , Bristol, UK

24. Department of Rheumatology, Complejo Asistencial Universitario de Leon , Leon, Spain

25. Department of Respiratory Medicine, Aintree University Hospital , Liverpool, UK

26. School of Medicine, University of Ulster , Coleraine, UK

27. Rheumatology Department, Luton, Dunstable University Hospital , Luton, UK

Abstract

Abstract Interstitial lung disease (ILD) is a significant complication of many systemic autoimmune rheumatic diseases (SARDs), although the clinical presentation, severity and outlook may vary widely between individuals. Despite the prevalence, there are no specific guidelines addressing the issue of screening, diagnosis and management of ILD across this diverse group. Guidelines from the ACR and EULAR are expected, but there is a need for UK-specific guidelines that consider the framework of the UK National Health Service, local licensing and funding strategies. This article outlines the intended scope for the British Society for Rheumatology guideline on the diagnosis and management of SARD-ILD developed by the guideline working group. It specifically identifies the SARDs for consideration, alongside the overarching principles for which systematic review will be conducted. Expert consensus will be produced based on the most up-to-date available evidence for inclusion within the final guideline. Key issues to be addressed include recommendations for screening of ILD, identifying the methodology and frequency of monitoring and pharmacological and non-pharmacological management. The guideline will be developed according to methods and processes outlined in Creating Clinical Guidelines: British Society for Rheumatology Protocol version 5.1.

Funder

British Society for Rheumatology

Publisher

Oxford University Press (OUP)

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