An Official ATS/ERS/JRS/ALAT Statement: Idiopathic Pulmonary Fibrosis: Evidence-based Guidelines for Diagnosis and Management

作者：Ganesh Raghu, Harold R. Collard, Jim John Egan, Fernando J. Martínez, Juergen Behr, Kevin M. Brown, Thomas Vail Colby, Jean-François Cordier, Kevin R. Flaherty, Joseph A. Lasky, David A. Lynch, Jay Hoon Ryu, Jeffrey J. Swigris, Athol Umfrey Wells, Julio Ancochea, Demosthenes E. Bouros, Carlos Roberto Ribeiro de Carvalho, Ulrich Costabel, Masahito Ebina, David M. Hansell, Takeshi Johkoh, Dong Soon Kim, Talmadge E. King, Yasuhiro Kondoh, Jeffrey L. Myers, Nestor L. Müller, Andrew Gordon Nicholson, Luca Richeldi, Moisés Selman, Rosalind Farnam Dudden, Barbara S. Griss, Shandra Protzko, Holger Jens Schünemann · 发表于：American Journal of Respiratory and Critical Care Medicine · 年份：2011 · DOI：10.1164/rccm.2009-040gl · 被引用次数：7347 · 研究领域：Interstitial Lung Diseases and Idiopathic Pulmonary Fibrosis、Respiratory and Cough-Related Research、Occupational exposure and asthma

This document is an international evidence-based guideline on the diagnosis and management of idiopathic pulmonary fibrosis, and is a collaborative effort of the American Thoracic Society, the European Respiratory Society, the Japanese Respiratory Society, and the Latin American Thoracic Association. It represents the current state of knowledge regarding idiopathic pulmonary fibrosis (IPF), and contains sections on definition and epidemiology, risk factors, diagnosis, natural history, staging and prognosis, treatment, and monitoring disease course. For the diagnosis and treatment sections, pragmatic GRADE evidence-based methodology was applied in a question-based format. For each diagnosis and treatment question, the committee graded the quality of the evidence available (high, moderate, low, or very low), and made a recommendation (yes or no, strong or weak). Recommendations were based on majority vote. It is emphasized that clinicians must spend adequate time with patients to discuss patients' values and preferences and decide on the appropriate course of action.