Abstract：
BACKGROUND: Interstitial lung disease is a leading cause of mortality in patients with systemic sclerosis. Currently, there is a lack of consensus regarding screening, rescreening, diagnosis, and follow-up practices in interstitial lung disease associated with systemic sclerosis (SSc-ILD) in Colombia.
METHODS: A structured survey focused on clinical practices in patients with SSc-ILD was conducted. Members of the Asociación Colombiana de Neumología y Cirugía de Tórax (Asoneumocito) and the Asociación Colombiana de Reumatología (Asoreuma) were invited to participate from March 2023 to May 2023.
RESULTS: We surveyed 51 pulmonologists and 44 rheumatologists. Overall, 51.6% reported having access to multidisciplinary team discussion in ILD. Among the 95 participants, 78.9% would routinely perform a high-resolution computed tomography scan of the chest once a diagnosis of systemic sclerosis was established. This practice is more frequent among rheumatologists (84.1%) than among pulmonologists (74.5%). Approximately half of the participants would rescreen patients annually with computed tomography scan (56.8%) if baseline images were negative. Spirometry (81.1%), diffusing capacity of the lung for carbon monoxide (80.0%), and 6-min walk test (55.8%) were the most frequently performed tests upon diagnosis of systemic sclerosis. During follow-up, participants would consider repeating pulmonary function tests mostly every 6 months.
CONCLUSIONS: Screening of SSc-ILD is high among pulmonologists and rheumatologists. Decision-making on diagnosis and follow-up is similar between specialties, but there are variations in their frequency and indications. Further research is needed to evaluate how to adapt recommendations for assessing SSc-ILD in different settings.
METHODS: A structured survey focused on clinical practices in patients with SSc-ILD was conducted. Members of the Asociación Colombiana de Neumología y Cirugía de Tórax (Asoneumocito) and the Asociación Colombiana de Reumatología (Asoreuma) were invited to participate from March 2023 to May 2023.
RESULTS: We surveyed 51 pulmonologists and 44 rheumatologists. Overall, 51.6% reported having access to multidisciplinary team discussion in ILD. Among the 95 participants, 78.9% would routinely perform a high-resolution computed tomography scan of the chest once a diagnosis of systemic sclerosis was established. This practice is more frequent among rheumatologists (84.1%) than among pulmonologists (74.5%). Approximately half of the participants would rescreen patients annually with computed tomography scan (56.8%) if baseline images were negative. Spirometry (81.1%), diffusing capacity of the lung for carbon monoxide (80.0%), and 6-min walk test (55.8%) were the most frequently performed tests upon diagnosis of systemic sclerosis. During follow-up, participants would consider repeating pulmonary function tests mostly every 6 months.
CONCLUSIONS: Screening of SSc-ILD is high among pulmonologists and rheumatologists. Decision-making on diagnosis and follow-up is similar between specialties, but there are variations in their frequency and indications. Further research is needed to evaluate how to adapt recommendations for assessing SSc-ILD in different settings.
摘要：
背景：间质性肺病是系统性硬化症患者死亡的主要原因。目前,在筛查方面缺乏共识，重新筛选,诊断,以及哥伦比亚与系统性硬化症（SSc-ILD）相关的间质性肺病的随访实践。
方法：进行了一项针对SSc-ILD患者临床实践的结构化调查。从2023年3月至2023年5月，哥伦比亚新科和西鲁加·德·托拉克斯协会（Asoneumocito）和哥伦比亚新科协会（Asoreuma）的成员应邀参加。
结果：我们调查了51名肺科医师和44名风湿病医师。总的来说,51.6%的人报告有机会参加ILD的多学科小组讨论。在95名参与者中，一旦确定了系统性硬化症的诊断，78.9％的人会常规进行胸部高分辨率计算机断层扫描。风湿病学家（84.1％）比肺科医师（74.5％）更频繁。如果基线图像为阴性，大约一半的参与者将每年用计算机断层扫描对患者进行重新筛查（56.8％）。肺活量测定（81.1%），肺对一氧化碳的扩散能力（80.0%），6分钟步行测试（55.8％）是诊断为系统性硬化症时最常见的测试。随访期间,参与者通常会考虑每6个月重复一次肺功能检查.
结论：肺科医师和风湿病医师对SSc-ILD的筛查率很高。诊断和随访的决策在专业之间是相似的，但是它们的频率和适应症有所不同。需要进一步的研究来评估如何在不同的环境中调整评估SSc-ILD的建议。
方法：进行了一项针对SSc-ILD患者临床实践的结构化调查。从2023年3月至2023年5月，哥伦比亚新科和西鲁加·德·托拉克斯协会（Asoneumocito）和哥伦比亚新科协会（Asoreuma）的成员应邀参加。
结果：我们调查了51名肺科医师和44名风湿病医师。总的来说,51.6%的人报告有机会参加ILD的多学科小组讨论。在95名参与者中，一旦确定了系统性硬化症的诊断，78.9％的人会常规进行胸部高分辨率计算机断层扫描。风湿病学家（84.1％）比肺科医师（74.5％）更频繁。如果基线图像为阴性，大约一半的参与者将每年用计算机断层扫描对患者进行重新筛查（56.8％）。肺活量测定（81.1%），肺对一氧化碳的扩散能力（80.0%），6分钟步行测试（55.8％）是诊断为系统性硬化症时最常见的测试。随访期间,参与者通常会考虑每6个月重复一次肺功能检查.
结论：肺科医师和风湿病医师对SSc-ILD的筛查率很高。诊断和随访的决策在专业之间是相似的，但是它们的频率和适应症有所不同。需要进一步的研究来评估如何在不同的环境中调整评估SSc-ILD的建议。
