Occupational interstitial lung diseases

Francesca K. Litow, Edward Lee Petsonk, Bruce K. Bohnker, Carl A. Brodkin, Clayton T. Cowl, Tee L. Guidotti, Philip I Harber, Jeremy J. Biggs, Kurt T. Hegmann

Research output: Contribution to journalArticle

4 Scopus citations

Abstract

Objective: Evidence-based diagnostic and treatment guidelines for occupationally related interstitial lung diseases (ILDs) have been developed and are summarized herein. Methods: Compre-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. Results: Re-Recommendations for diagnosis (n=12) and management (n=4) 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. 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.

Original languageEnglish (US)
Pages (from-to)1250-1254
Number of pages5
JournalJournal of occupational and environmental medicine / American College of Occupational and Environmental Medicine
Volume57
Issue number11
DOIs
StatePublished - 2015
Externally publishedYes

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

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    Litow, F. K., Petsonk, E. L., Bohnker, B. K., Brodkin, C. A., Cowl, C. T., Guidotti, T. L., Harber, P. I., Biggs, J. J., & Hegmann, K. T. (2015). Occupational interstitial lung diseases. Journal of occupational and environmental medicine / American College of Occupational and Environmental Medicine, 57(11), 1250-1254. https://doi.org/10.1097/JOM.0000000000000608