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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 J+Rheumatol
2015 ; 42
(11
): 2168-71
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Connective Tissue Disease-associated Interstitial Lung Diseases (CTD-ILD) -
Report from OMERACT CTD-ILD Working Group
#MMPMID25729034
Khanna D
; Mittoo S
; Aggarwal R
; Proudman SM
; Dalbeth N
; Matteson EL
; Brown K
; Flaherty K
; Wells AU
; Seibold JR
; Strand V
J Rheumatol
2015[Nov]; 42
(11
): 2168-71
PMID25729034
show ga
OBJECTIVE: Interstitial lung disease (ILD) is common in connective tissue disease
(CTD) and is the leading cause of mortality. Investigators have used certain
outcome measures in randomized controlled trials (RCT) in CTD-ILD, but the lack
of a systematically developed, CTD-specific index that captures all measures
relevant and meaningful to patients with CTD-ILD has left a large and conspicuous
gap in CTD-ILD research. METHODS: The CTD-ILD working group, under the aegis of
the Outcome Measures in Rheumatology (OMERACT) initiative, has completed a
consensus group exercise to reach harmony on core domains and items for inclusion
in RCT in CTD-ILD. During the OMERACT 12 meeting, consensus was sought on domains
and core items for inclusion in RCT. In addition, consensus was pursued on a
definition of response in RCT. Consensus was defined as ? 75% agreement among the
participants. RESULTS: OMERACT 12 participants endorsed the domains with minimal
modifications. Clinically meaningful progression for CTD-ILD was proposed as ?
10% relative decline in forced vital capacity (FVC) or ? 5% to < 10% relative
decline in FVC and ? 15% relative decline in DLCO. CONCLUSION: There is consensus
on domains for inclusion in RCT in CTD-ILD and on a definition of clinically
meaningful progression. Data-driven approaches to validate these results in
different cohorts and RCT are needed.
|*Consensus Development Conferences as Topic
[MESH]