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Occupational Interstitial Lung Diseases.
- Source :
-
Journal of occupational and environmental medicine [J Occup Environ Med] 2015 Nov; Vol. 57 (11), pp. 1250-4. - Publication Year :
- 2015
-
Abstract
- Objective: Evidence-based diagnostic and treatment guidelines for occupationally related interstitial lung diseases (ILDs) have been developed and are summarized herein.<br />Methods: Comprehensive literature reviews were conducted with article abstraction, critiquing, objective grading, and evidence table compilation. A multidisciplinary expert panel drafted evidence- and consensus-based guidance. External peer-review was incorporated.<br />Results: Recommendations for diagnosis (nā=ā12) and management (nā=ā4) of ILD were developed. Spirometric testing, chest radiographs, and high-resolution computerized tomographic scans were recommended based upon evidence. In addition to a detailed clinical history, carbon monoxide diffusion capacity, sputum sampling, exposure assessment, 6-minute walk test, and bronchoalveolar lavage were also recommended. There was no recommendation regarding chest magnetic resonance imaging due to lack of evidence.<br />Conclusions: Recommendations for diagnosis and management of ILD are supported by quality evidence. These guidelines may be useful to help guide providers who are tasked with diagnosing and/or treating patients with occupationally related ILD.
Details
- Language :
- English
- ISSN :
- 1536-5948
- Volume :
- 57
- Issue :
- 11
- Database :
- MEDLINE
- Journal :
- Journal of occupational and environmental medicine
- Publication Type :
- Academic Journal
- Accession number :
- 26539775
- Full Text :
- https://doi.org/10.1097/JOM.0000000000000608