4
Screening and Monitoring
Table 3. Summary of Recommendations for Screening of
SARD-ILD
Recommendations
For people with SARDs
a
at increased risk of developing ILD, we conditionally
recommend screening with pulmonary function testing (PFTs)
b
over history and
physical examination or ambulatory desaturation testing alone.
For people with SARDs at increased risk of developing ILD, we conditionally recommend
screening with high-resolution computed tomography (HRCT) of the chest over history
and physical examination or PFTs alone.
For people with SARDs at increased risk of developing ILD, we conditionally
recommend screening with HRCT chest and PFTs over PFTs alone.
For people with SARDs at increased risk of developing ILD, we conditionally
recommend against screening with chest radiography.
For people with SARDs at increased risk of developing ILD, we conditionally
recommend against screening with 6-minute walking distance (6MWD).
For people with SARDs at increased risk of developing ILD, we conditionally
recommend against screening with ambulatory desaturation testing.
For people with SARDs at increased risk of developing ILD, we conditionally
recommend against screening with bronchoscopy.
For people with SARDs at increased risk of developing ILD, we strongly recommend
against screening with surgical lung biopsy.
a
SARDs at increased risk of developing ILD are rheumatoid arthritis, systemic sclerosis, idiopathic
inflammatory arthritis, mixed connective tissue disease, and Sjögren's Disease.
b
PFTs: Pulmonary function tests including spirometry, lung volumes, and DLCO.
