Multidisciplinary Evaluation of Interstitial Lung Diseases: New Opportunities Linked to Rheumatologist Involvement.
connective tissue disease
interstitial lung disease
interstitial pneumonia with autoimmune features
multidisciplinary team
rheumatoid arthritis
systemic rheumatic autoimmune disease
Journal
Diagnostics (Basel, Switzerland)
ISSN: 2075-4418
Titre abrégé: Diagnostics (Basel)
Pays: Switzerland
ID NLM: 101658402
Informations de publication
Date de publication:
02 Sep 2020
02 Sep 2020
Historique:
received:
21
07
2020
revised:
24
08
2020
accepted:
25
08
2020
entrez:
5
9
2020
pubmed:
6
9
2020
medline:
6
9
2020
Statut:
epublish
Résumé
Multidisciplinary team (MDT) discussion is the gold standard in the management of interstitial lung disease (ILD). The rheumatologist is not routinely involved in MDT, even if up to 20% of ILD are related to systemic autoimmune rheumatic diseases (SARD). The study aims to assess the agreement and its variation over time between rheumatologists and pulmonologists in the screening of SARD and between rheumatologists and an MDT extended to rheumatologists (eMDT) in evaluating the progression of SARD. We computed the agreement between the pulmonologist and rheumatologist in the identification of red flags for SARDs of 81 ILD cases and between the rheumatologist alone and eMDT in the confirmation of 70 suspected SARD-ILD progressions. The agreement between rheumatologists and pulmonologists was moderate for the detection of autoimmunity test positivity (
Identifiants
pubmed: 32887318
pii: diagnostics10090664
doi: 10.3390/diagnostics10090664
pmc: PMC7554734
pii:
doi:
Types de publication
Journal Article
Langues
eng
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