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3. Diagnosis and Evaluation of Hypersensitivity Pneumonitis

Author

Fernández Pérez, Evans R., primary, Travis, William D., additional, Lynch, David A., additional, Brown, Kevin K., additional, Johannson, Kerri A., additional, Selman, Moisés, additional, Ryu, Jay H., additional, Wells, Athol U., additional, Tony Huang, Yuh-Chin, additional, Pereira, Carlos A.C., additional, Scholand, Mary-Beth, additional, Villar, Ana, additional, Inase, Naohiko, additional, Evans, Richard B., additional, Mette, Stephen A., additional, and Frazer-Green, Lindsy, additional

Published
2021
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4. Executive Summary

Author

Fernández Pérez, Evans R., primary, Travis, William D., additional, Lynch, David A., additional, Brown, Kevin K., additional, Johannson, Kerri A., additional, Selman, Moisés, additional, Ryu, Jay H., additional, Wells, Athol U., additional, Tony Huang, Yuh-Chin, additional, Pereira, Carlos A.C., additional, Scholand, Mary-Beth, additional, Villar, Ana, additional, Inase, Naohiko, additional, Evans, Richard B., additional, Mette, Stephen A., additional, and Frazer-Green, Lindsy, additional

Published
2021
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8. Executive Summary: Diagnosis and Evaluation of Hypersensitivity Pneumonitis: CHEST Guideline and Expert Panel Report.

Author

Fernández Pérez, Evans R., Travis, William D., Lynch, David A., Brown, Kevin K., Johannson, Kerri A., Selman, Moisés, Ryu, Jay H., Wells, Athol U., Tony Huang, Yuh-Chin, Pereira, Carlos A.C., Scholand, Mary-Beth, Villar, Ana, Inase, Naohiko, Evans, Richard B., Mette, Stephen A., Frazer-Green, Lindsy, and Mette, Stephen

Subjects
HYPERSENSITIVITY pneumonitis, EXPERT evidence, MEDICAL personnel, DELPHI method, OCCUPATIONAL exposure, IDIOPATHIC pulmonary fibrosis
Abstract

Background: The purpose of this summary is to provide a synopsis of evidence-based and consensus-derived guidance for clinicians to improve individual diagnostic decision-making for hypersensitivity pneumonitis (HP) and decrease diagnostic practice variability.Study Design and Methods: Approved panelists developed key questions regarding the diagnosis of HP using the PICO (Population, Intervention, Comparator, and Outcome) format. MEDLINE (via PubMed) and the Cochrane Library were systematically searched for relevant literature, which was supplemented by manual searches. References were screened for inclusion and vetted evaluation tools were used to assess the quality of included studies, to extract data, and to grade the level of evidence supporting each recommendation or statement. The quality of the evidence was assessed using the GRADE (Grading of Recommendations, Assessment, Development, and Evaluation) approach. Graded recommendations and ungraded consensus-based statements were drafted and voted on using a modified Delphi technique to achieve consensus.Results: The systematic review of the literature based on 14 PICO questions resulted in 14 key action statements: 12 evidence-based, graded recommendations, and 2 ungraded consensus-based statements. All evidence was of very low quality.Interpretation: Diagnosis of HP should employ a patient-centered approach and include a multidisciplinary assessment that incorporates the environmental and occupational exposure history and CT pattern to establish diagnostic confidence prior to considering BAL and/or lung biopsy. Additional research is needed on the performance characteristics and generalizability of exposure assessment tools and traditional and new diagnostic tests in modifying clinical decision-making for HP, particularly among those with a provisional diagnosis. [ABSTRACT FROM AUTHOR]

Published
2021
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9. Effect of Pirfenidone on All-Cause Mortality in Patients With Idiopathic Pulmonary Fibrosis (IPF): Comparison of Pooled Analysis With Meta-analysis From the ASCEND and CAPACITY Trials

Author

Nathan, Steven, primary, Albera, Carlo, additional, Bradford, Williamson, additional, Costabel, Ulrich, additional, Daigl, Monica, additional, Kirchgaessler, Klaus-Uwe, additional, du Bois, Roland, additional, Glaspole, Ian, additional, Glassberg, Marilyn, additional, King, Talmadge, additional, Lancaster, Lisa, additional, Lederer, David, additional, Pereira, Carlos, additional, Swigris, Jeffrey, additional, Valeyre, Dominique, additional, and Noble, Paul, additional

Published
2015
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10. Effect of Pirfenidone on IPF-Related Mortality Outcome Measures in Patients With Idiopathic Pulmonary Fibrosis (IPF): Pooled Data Analysis From the ASCEND and CAPACITY Trials

Author

Nathan, Steven, primary, Albera, Carlo, additional, Bradford, Williamson, additional, Kardatzke, David, additional, Costabel, Ulrich, additional, du Bois, Roland, additional, Glaspole, Ian, additional, Glassberg, Marilyn, additional, King, Talmadge, additional, Kirchgaessler, Klaus-Uwe, additional, Lancaster, Lisa, additional, Lederer, David, additional, Pereira, Carlos, additional, Swigris, Jeffrey, additional, Valeyre, Dominique, additional, and Noble, Paul, additional

Published
2015
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12. Relationship between the questionnaire of quality of life (SF-36) and clinical symptoms in a group undergoing heart rehabilitation. (Application of respiratory function in health and disease: 12:00pm-1:45pm)

Author

Sette, Andrea Aparecida, Pereira, Carlos Alberto de Castro, Furlan, Valter, Stephan, Davi Cury, Lazzari, Jaqueline Andreolo, and Alfieri, Roberto Guimaraes

Subjects
Health
Abstract

PURPOSE: The present study has been conducted for investigating the relationship between improvements shown by SF-36 Questionnaire of Quality of Life and breathing symptoms applied to a group of patients [...]

Published
2002

13. FEV1/FEV6 for Detection of Airflow Obstruction.

Author

Pereira, Carlos A. C., Jiijong Jing, Tiancha Huang, Wei Gui, and Hua-hao Shen

Subjects
*LETTERS to the editor, *AIR flow
Abstract

A letter to the editor is presented in response to the article on the diagnosis of airflow obstruction for forced expiratory volume in 1 (FEV1) / forced expiratory volume in 6 (FEV6) ratio.

Published
2009
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