Evidence mapPaperPMID 41397518Full record

ReviewChest2025

Systemic Sclerosis-Associated Interstitial Lung Disease: What We Know and How to Incorporate Guidelines Into Clinical Practice.

Anthony J Esposito, Kavitha C Selvan, Carrie Richardson, Dinesh Khanna, Bradford C Bemiss, Elana J Bernstein, Jonathan H Chung, Christian W Cox, Jane E Dematte, Christopher P Denton and 7 more

Abstract readReview
In one paragraph

Review in Chest, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors.

Anthony J EspositoDivision of Pulmonary and Critical Care, Chicago, IL. Electronic address: anthony.esposito@northwestern.edu.
Kavitha C SelvanDivision of Pulmonary and Critical Care, Chicago, IL.
Carrie RichardsonDivision of Rheumatology, Northwestern University Feinberg School of Medicine, Chicago, IL.
Dinesh KhannaDivision of Rheumatology, University of Michigan Medical School, Ann Arbor, MI.
Bradford C BemissDivision of Pulmonary and Critical Care, Chicago, IL.
Elana J BernsteinDivision of Rheumatology, Columbia University Irving Medical Center, New York, NY.
Jonathan H ChungSection of Cardiopulmonary Imaging, Department of Radiology, University of California San Diego School of Medicine, San Diego, CA.
Christian W CoxDepartment of Radiology, Creighton University School of Medicine, Omaha, NE.
Jane E DematteDivision of Pulmonary and Critical Care, Chicago, IL.
Christopher P DentonDivision of Medicine, University College London, London, England.
Oliver DistlerDepartment of Rheumatology, University Hospital Zurich, University of Zurich, Zurich, Switzerland.
Monique E HinchcliffSection of Rheumatology, Allergy, and Immunology, Yale School of Medicine, New Haven, CT.
Vanessa SmithDepartment of Rheumatology and Internal Medicine, Ghent University Hospital and Unit for Molecular Immunology and Inflammation, VIB Inflammation Research Center (IRC), Ghent, Belgium.
Mary E StrekSection of Pulmonary and Critical Care Medicine, University of Chicago, Chicago, IL.
John VargaDivision of Rheumatology, University of Michigan Medical School, Ann Arbor, MI.
Anna-Maria Hoffmann-VoldDepartment of Rheumatology, University Hospital Zurich, University of Zurich, Zurich, Switzerland; Department of Rheumatology, Oslo University Hospital, Oslo, Norway.
Elizabeth R VolkmannDivision of Rheumatology, David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, CA.

Funding

Functional Response Biomarkers for Systemic Sclerosis-Associated Interstitial Lung DiseaseR01HL174555 · UNIVERSITY OF CALIFORNIA LOS ANGELES · 2025 to 2025
$694k
NHLBI NIH HHS K23 HL150237NHLBI NIH HHS R01 HL174555
6 · The paper itself

Abstract

topic importanceInterstitial lung disease (ILD) affects 40% to 60% of patients with systemic sclerosis (SSc) and represents the leading cause of death. Although treatment options for SSc with ILD remain limited, randomized controlled trials have demonstrated the safety and efficacy of approved and unapproved therapies. However, numerous unanswered questions remain regarding management of SSc with ILD, and 3 recently published clinical practice guidelines highlight the complexity of treating this condition. These guidelines offer distinct and sometimes contrasting views on treatment of SSc with ILD, creating unique challenges for clinicians. The present review aimed to synthesize evidence regarding the management of SSc with ILD with a focus on how to apply the recent guidelines into practice, beginning with screening for disease and extending to the intricate decision-making surrounding treatment. REVIEW

findingsAlthough an abundance of evidence supports screening all patients with SSc for ILD with high-resolution CT imaging of the chest at the time of diagnosis, emerging evidence underscores the importance of rescreening patients who possess ≥ 1 high-risk factors (male sex, Black race, advanced age, diffuse cutaneous disease, high modified Rodnan skin score, antitopoisomerase antibody positivity, nucleolar antinuclear antibodies, and impaired lung function) or if physiologic changes, new respiratory symptoms, or both attributable to ILD emerge. Patients with established SSc with ILD should be monitored closely for the development of progressive pulmonary fibrosis. The guidelines all recommended, with varying degrees of conditionality, treatment with mycophenolate, tocilizumab, rituximab, cyclophosphamide, and nintedanib. The quality of evidence was rated as low for most therapies, and the only therapy strongly recommended for SSc with ILD was mycophenolate. SUMMARY: This review provides a comprehensive appraisal of current approaches to the diagnosis and treatment of SSc with ILD. It also highlights gaps in knowledge and proposes future opportunities to develop a precision-guided approach to diagnosing and treating SSc with ILD.

Indexed as

guidelinesinterstitial lung diseasescreeningsystemic sclerosistreatment

Identifiers

PMID41397518
PMCPMC13094512

What Socratic holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.