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类风湿关节炎相关间质性肺疾病管理的SER-SEPAR建议。第1部分:流行病学、危险因素和预后。

SER-SEPAR recommendations for the management of rheumatoid arthritis-related interstitial lung disease. Part 1: Epidemiology, risk factors and prognosis.

作者信息

Rodríguez Portal José Antonio, Brito García Noé, Díaz Del Campo Fontecha Petra, Valenzuela Claudia, Ortiz Ana María, Nieto M Asunción, Mena-Vázquez Natalia, Cano-Jiménez Esteban, Castellví Iván, Aburto Myriam, Bonilla Gema, Hernández Hernández María Vanesa, Francisco Hernández Félix Manuel, Correyero Plaza María, Castrejón Isabel, Abad Hernández Miguel Ángel, Narváez Javier

机构信息

Servicio de Neumología, Hospital Virgen del Rocío, Sevilla, Spain.

Unidad de Investigación, Sociedad Española de Reumatología, Madrid, Spain.

出版信息

Reumatol Clin (Engl Ed). 2022 Oct;18(8):443-452. doi: 10.1016/j.reumae.2022.02.004. Epub 2022 Sep 6.

DOI:10.1016/j.reumae.2022.02.004
PMID:36085196
Abstract

OBJECTIVE

To develop multidisciplinary recommendations to improve the management of rheumatoid arthritis-related interstitial lung disease (RA-ILD).

METHODS

Clinical research questions relevant to the objective of the document were identified by a panel of rheumatologists and pneumologists selected based on their experience in the field. Systematic reviews of the available evidence were conducted, and evidence was graded according to the Scottish Intercollegiate Guidelines Network (SIGN) criteria. Specific recommendations were made.

RESULTS

Six PICO questions were selected, three of which analysed the incidence and prevalence of RA-ILD, associated risk factors, and predictors of progression and mortality. A total of 6 specific recommendations on these topics, structured by question, were formulated based on the evidence found and/or expert consensus.

CONCLUSIONS

We present the first official SER-SEPAR document with specific recommendations for RA-ILD management developed to resolve some common clinical questions and facilitate decision-making for patients.

摘要

目的

制定多学科建议以改善类风湿关节炎相关间质性肺病(RA-ILD)的管理。

方法

由一组根据其在该领域的经验挑选出的风湿病学家和肺病学家确定与本文目标相关的临床研究问题。对现有证据进行系统评价,并根据苏格兰跨学院指南网络(SIGN)标准对证据进行分级。提出了具体建议。

结果

选择了6个PICO问题,其中3个分析了RA-ILD的发病率和患病率、相关危险因素以及进展和死亡率的预测因素。基于所发现的证据和/或专家共识,针对这些主题按问题结构共制定了6条具体建议。

结论

我们提出了第一份官方的SER-SEPAR文件,其中包含针对RA-ILD管理的具体建议,旨在解决一些常见的临床问题并促进患者的决策制定。

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