Elisabeth Bendstrup

Diagnosis of hypersensitivity pneumonitis in adults: An official ATS/JRS/ALAT clinical practice guideline

Research output: Contribution to journal/Conference contribution in journal/Contribution to newspaperReviewResearchpeer-review

Standard

Diagnosis of hypersensitivity pneumonitis in adults : An official ATS/JRS/ALAT clinical practice guideline. / American Thoracic Society, Japanese Respiratory Society, and Asociación Latinoamericana de Tórax.

In: American Journal of Respiratory and Critical Care Medicine, Vol. 202, No. 3, 08.2020, p. E36-E69.

Research output: Contribution to journal/Conference contribution in journal/Contribution to newspaperReviewResearchpeer-review

Harvard

American Thoracic Society, Japanese Respiratory Society, and Asociación Latinoamericana de Tórax 2020, 'Diagnosis of hypersensitivity pneumonitis in adults: An official ATS/JRS/ALAT clinical practice guideline', American Journal of Respiratory and Critical Care Medicine, vol. 202, no. 3, pp. E36-E69. https://doi.org/10.1164/rccm.202005-2032ST

APA

American Thoracic Society, Japanese Respiratory Society, and Asociación Latinoamericana de Tórax (2020). Diagnosis of hypersensitivity pneumonitis in adults: An official ATS/JRS/ALAT clinical practice guideline. American Journal of Respiratory and Critical Care Medicine, 202(3), E36-E69. https://doi.org/10.1164/rccm.202005-2032ST

CBE

American Thoracic Society, Japanese Respiratory Society, and Asociación Latinoamericana de Tórax. 2020. Diagnosis of hypersensitivity pneumonitis in adults: An official ATS/JRS/ALAT clinical practice guideline. American Journal of Respiratory and Critical Care Medicine. 202(3):E36-E69. https://doi.org/10.1164/rccm.202005-2032ST

MLA

American Thoracic Society, Japanese Respiratory Society, and Asociación Latinoamericana de Tórax. "Diagnosis of hypersensitivity pneumonitis in adults: An official ATS/JRS/ALAT clinical practice guideline". American Journal of Respiratory and Critical Care Medicine. 2020, 202(3). E36-E69. https://doi.org/10.1164/rccm.202005-2032ST

Vancouver

American Thoracic Society, Japanese Respiratory Society, and Asociación Latinoamericana de Tórax. Diagnosis of hypersensitivity pneumonitis in adults: An official ATS/JRS/ALAT clinical practice guideline. American Journal of Respiratory and Critical Care Medicine. 2020 Aug;202(3):E36-E69. https://doi.org/10.1164/rccm.202005-2032ST

Author

American Thoracic Society, Japanese Respiratory Society, and Asociación Latinoamericana de Tórax. / Diagnosis of hypersensitivity pneumonitis in adults : An official ATS/JRS/ALAT clinical practice guideline. In: American Journal of Respiratory and Critical Care Medicine. 2020 ; Vol. 202, No. 3. pp. E36-E69.

Bibtex

@article{bf78458752a64f7aa05c8f57203e5c18,
title = "Diagnosis of hypersensitivity pneumonitis in adults: An official ATS/JRS/ALAT clinical practice guideline",
abstract = "Background: This guideline addresses the diagnosis of hypersensitivity pneumonitis (HP). It represents a collaborative effort among the American Thoracic Society, Japanese Respiratory Society, and Asociaci{\'o}n Latinoamericana del T{\'o}rax. Methods: Systematic reviews were performed for six questions. Theevidencewas discussed, andthenrecommendations were formulated by amultidisciplinary committee of experts in the field of interstitial lung disease and HP using the GRADE (Grading of Recommendations, Assessment, Development, and Evaluation) approach. Results: The guideline committee defined HP, and clinical, radiographic, andpathological features were described.HPwas classified into nonfibrotic and fibrotic phenotypes. There was limited evidence that was directly applicable to all questions. The need for a thorough history and a validated questionnaire to identify potential exposureswas agreed on. Serum IgG testing against potential antigens associated with HP was suggested to identify potential exposures. For patients with nonfibrotic HP, a recommendation was made in favor of obtaining bronchoalveolar lavage (BAL) fluid for lymphocyte cellular analysis, and suggestions for transbronchial lung biopsy and surgical lung biopsywere also made. For patients with fibrotic HP, suggestionsweremade in favor of obtaining BAL for lymphocyte cellular analysis, transbronchial lung cryobiopsy, and surgical lung biopsy. Diagnostic criteria were established, and a diagnostic algorithmwas created by expert consensus. Knowledge gaps were identified as future research directions. Conclusions: The guideline committee developed a systematic approach to the diagnosis of HP. The approach should be reevaluated as new evidence accumulates.",
keywords = "Fibrotic hypersensitivity pneumonitis, Hypersensitivity pneumonitis, Interstitial lung disease, Nonfibrotic hypersensitivity pneumonitis, Pulmonary fibrosis",
author = "Ganesh Raghu and Wilson, {Kevin C.} and Elena Bargagli and Elisabeth Bendstrup and Chami, {Hassan A.} and Chua, {Abigail T.} and Chung, {Jonathan H.} and Collins, {Bridget F.} and Corte, {Tamera J.} and Dalphin, {Jean Charles} and Danoff, {Sonye K.} and Diaz, {Javier Mendoza} and Abhijit Duggal and Ryoko Egashira and Thomas Ewing and Mridu Gulati and Yoshikazu Inoue and Jenkins, {Alex R.} and Johannson, {Kerri A.} and Takeshi Johkoh and Masanori Kitaichi and Knight, {Shandra L.} and Dirk Koschel and Michael Kreuter and Lederer, {David J.} and Yolanda Mageto and Maier, {Lisa A.} and Carlos Matiz and Ferran Morell and Myers, {Jeffrey L.} and Nicholson, {Andrew G.} and Setu Patolia and Pereira, {Carlos A.} and Remy, {Martine Jardin} and Renzoni, {Elisabetta A.} and Ryerson, {Christopher J.} and Salisbury, {Margaret L.} and Moises Selman and Tamae, {Maximiliano Kakazu} and Martina Vasakova and Walsh, {Simon L.F.} and Wuyts, {Wim A.} and {American Thoracic Society, Japanese Respiratory Society, and Asociaci{\'o}n Latinoamericana de T{\'o}rax}",
year = "2020",
month = aug,
doi = "10.1164/rccm.202005-2032ST",
language = "English",
volume = "202",
pages = "E36--E69",
journal = "American Journal of Respiratory and Critical Care Medicine",
issn = "1073-449X",
publisher = "American Thoracic Society",
number = "3",

}

RIS

TY - JOUR

T1 - Diagnosis of hypersensitivity pneumonitis in adults

T2 - An official ATS/JRS/ALAT clinical practice guideline

AU - Raghu, Ganesh

AU - Wilson, Kevin C.

AU - Bargagli, Elena

AU - Bendstrup, Elisabeth

AU - Chami, Hassan A.

AU - Chua, Abigail T.

AU - Chung, Jonathan H.

AU - Collins, Bridget F.

AU - Corte, Tamera J.

AU - Dalphin, Jean Charles

AU - Danoff, Sonye K.

AU - Diaz, Javier Mendoza

AU - Duggal, Abhijit

AU - Egashira, Ryoko

AU - Ewing, Thomas

AU - Gulati, Mridu

AU - Inoue, Yoshikazu

AU - Jenkins, Alex R.

AU - Johannson, Kerri A.

AU - Johkoh, Takeshi

AU - Kitaichi, Masanori

AU - Knight, Shandra L.

AU - Koschel, Dirk

AU - Kreuter, Michael

AU - Lederer, David J.

AU - Mageto, Yolanda

AU - Maier, Lisa A.

AU - Matiz, Carlos

AU - Morell, Ferran

AU - Myers, Jeffrey L.

AU - Nicholson, Andrew G.

AU - Patolia, Setu

AU - Pereira, Carlos A.

AU - Remy, Martine Jardin

AU - Renzoni, Elisabetta A.

AU - Ryerson, Christopher J.

AU - Salisbury, Margaret L.

AU - Selman, Moises

AU - Tamae, Maximiliano Kakazu

AU - Vasakova, Martina

AU - Walsh, Simon L.F.

AU - Wuyts, Wim A.

AU - American Thoracic Society, Japanese Respiratory Society, and Asociación Latinoamericana de Tórax

PY - 2020/8

Y1 - 2020/8

N2 - Background: This guideline addresses the diagnosis of hypersensitivity pneumonitis (HP). It represents a collaborative effort among the American Thoracic Society, Japanese Respiratory Society, and Asociación Latinoamericana del Tórax. Methods: Systematic reviews were performed for six questions. Theevidencewas discussed, andthenrecommendations were formulated by amultidisciplinary committee of experts in the field of interstitial lung disease and HP using the GRADE (Grading of Recommendations, Assessment, Development, and Evaluation) approach. Results: The guideline committee defined HP, and clinical, radiographic, andpathological features were described.HPwas classified into nonfibrotic and fibrotic phenotypes. There was limited evidence that was directly applicable to all questions. The need for a thorough history and a validated questionnaire to identify potential exposureswas agreed on. Serum IgG testing against potential antigens associated with HP was suggested to identify potential exposures. For patients with nonfibrotic HP, a recommendation was made in favor of obtaining bronchoalveolar lavage (BAL) fluid for lymphocyte cellular analysis, and suggestions for transbronchial lung biopsy and surgical lung biopsywere also made. For patients with fibrotic HP, suggestionsweremade in favor of obtaining BAL for lymphocyte cellular analysis, transbronchial lung cryobiopsy, and surgical lung biopsy. Diagnostic criteria were established, and a diagnostic algorithmwas created by expert consensus. Knowledge gaps were identified as future research directions. Conclusions: The guideline committee developed a systematic approach to the diagnosis of HP. The approach should be reevaluated as new evidence accumulates.

AB - Background: This guideline addresses the diagnosis of hypersensitivity pneumonitis (HP). It represents a collaborative effort among the American Thoracic Society, Japanese Respiratory Society, and Asociación Latinoamericana del Tórax. Methods: Systematic reviews were performed for six questions. Theevidencewas discussed, andthenrecommendations were formulated by amultidisciplinary committee of experts in the field of interstitial lung disease and HP using the GRADE (Grading of Recommendations, Assessment, Development, and Evaluation) approach. Results: The guideline committee defined HP, and clinical, radiographic, andpathological features were described.HPwas classified into nonfibrotic and fibrotic phenotypes. There was limited evidence that was directly applicable to all questions. The need for a thorough history and a validated questionnaire to identify potential exposureswas agreed on. Serum IgG testing against potential antigens associated with HP was suggested to identify potential exposures. For patients with nonfibrotic HP, a recommendation was made in favor of obtaining bronchoalveolar lavage (BAL) fluid for lymphocyte cellular analysis, and suggestions for transbronchial lung biopsy and surgical lung biopsywere also made. For patients with fibrotic HP, suggestionsweremade in favor of obtaining BAL for lymphocyte cellular analysis, transbronchial lung cryobiopsy, and surgical lung biopsy. Diagnostic criteria were established, and a diagnostic algorithmwas created by expert consensus. Knowledge gaps were identified as future research directions. Conclusions: The guideline committee developed a systematic approach to the diagnosis of HP. The approach should be reevaluated as new evidence accumulates.

KW - Fibrotic hypersensitivity pneumonitis

KW - Hypersensitivity pneumonitis

KW - Interstitial lung disease

KW - Nonfibrotic hypersensitivity pneumonitis

KW - Pulmonary fibrosis

UR - http://www.scopus.com/inward/record.url?scp=85089126056&partnerID=8YFLogxK

U2 - 10.1164/rccm.202005-2032ST

DO - 10.1164/rccm.202005-2032ST

M3 - Review

C2 - 32706311

AN - SCOPUS:85089126056

VL - 202

SP - E36-E69

JO - American Journal of Respiratory and Critical Care Medicine

JF - American Journal of Respiratory and Critical Care Medicine

SN - 1073-449X

IS - 3

ER -