Table 2.
Statements that reached consensus | Level of agreement (%) | |||
---|---|---|---|---|
Total | Pn | Rh | Ra | |
Q1: What are the main risk factors for the development of ILD in ARDs? | ||||
1.5—The severity of skin involvement in case of systemic sclerosis correlates with an increased risk of ILD. | 51 | 26 | 79 | 44 |
1.7—The risk of developing ILD tends to increase with the age of onset of ARD, such as in the case of rheumatoid arthritis. | 73 | 65 | 79 | 78 |
Q3: What are the rheumatological signs and symptoms that pulmonologists need to evaluate in generating a suspicion of ARD in patients with ILD? | ||||
3.6—Presence of joint deformations can raise the suspicion of ARD in a patient with ILD. | 71 | 76 | 61 | 82 |
3.8—Presence of alteration in phlogosis indexes can generate suspicion of ARD in a patient with ILD. | 35 | 31 | 30 | 53 |
3.9—Morning functional impotence can raise suspicion of ARD in a patient with ILD. | 53 | 55 | 49 | 59 |
3.10—Presence of subcutaneous nodules may raise suspicion of ARD in a patient with ILD. | 66 | 62 | 58 | 88 |
3.11—Presence of a feeling of hyposthenia can generate suspicion of ARD in an ILD patient. | 44 | 41 | 46 | 47 |
Q4: What should be the monitoring timing and frequency of pulmonary symptoms in the patient with ARD? | ||||
4.2—Pulmonary symptoms in ARD patients should be monitored every 12 months for stable rheumatic disease or low-risk patients. | 70 | 66 | 67 | 82 |
4.8—In the case of high-risk patients (i.e., diffuse systemic sclerosis with the presence of anti-scl70 antibodies) pulmonary symptoms should be evaluated every 3 months while high-resolution chest CT should be performed every 12 months. | 72 | 76 | 67 | 77 |
Q6: What can be ways to implement multidisciplinary management of ARD patients with suspicion of ILD? | ||||
6.6—Creation of “smart” digital platforms for each MDT group can facilitate multidisciplinary management of rheumatology patients with suspicion of ILD. | 72 | 68 | 64 | 94 |
Pn, pneumologists; Rh, rheumatologists; Ra, radiologists; Values in bold highlight a reached consensus within a specialty.