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GUIDELINES
Year : 2020  |  Volume : 37  |  Issue : 4  |  Page : 359-378

Management of interstitial lung diseases: A consensus statement of the Indian Chest Society (ICS) and National College of Chest Physicians (NCCP)


1 Department of Respiratory Medicine, SMS Medical College, Jaipur, Rajasthan, India
2 Department of Medicine, SMS Medical College, Jaipur, Rajasthan, India
3 Centre for Community Medicine, All India Institute of Medical Sciences, New Delhi, India
4 Department of Pulmonary, Sleep and Critical Care Medicine, ESI-PGIMSR, Delhi, India
5 Department of Pulmonary Medicine, TNMC and BYL Nair Hospital, Mumbai, Maharashtra, India
6 Division of Pulmonary and Critical Care Medicine, Metro Centre for Respiratory Diseases, Metro Multi Speciality Hospital, Noida, Uttar Pradesh, India
7 Department of Pulmonology, Fortis Hospital, Kolkata, West Bengal, India
8 Department of Public Health and Epidemiology, IIHMR University, Jaipur, Rajasthan, India
9 Jain Chest Care Center, Jaipur, Rajasthan, India
10 Department of Radio Diagnosis, Max Super Specialty Hospital, Noida, Uttar Pradesh, India
11 Department of Pulmonary, Critical Care and Sleep Medicine, AIIMS, New Delhi, India
12 Department of Internal and Pulmonary Medicine, Sher-I-Kashmir Institute of Medical Sciences, Srinagar, Jammu and Kashmir, India
13 Department of Respiratory Medicine, Geetanjali Medical College and Hospital, Udaipur, Rajasthan, India
14 Department of Respiratory, Critical Care, Sleep and Interventional Pulmonology, Getwell Hospital and Research Institute, Nagpur, Maharashtra, India
15 Department of Respiratory Medicine, School of Medical Science and Research, Sharda University, Greater Noida, Uttar Pradesh, India
16 Department of Respiratory Medicine, National Allergy Asthma Bronchitis Institute, Kolkata, West Bengal, India
17 Department of Respiratory Medicine, Bombay Hospital and Medical Research Center, Mumbai, Maharashtra, India
18 Department of Pathology, SMS Medical College, Jaipur, Rajasthan, India
19 Department of Radiodiagnosis, Jankharia Imaging, Mumbai, Maharashtra, India
20 Department of Pulmonary Medicine, DM Wayanad Institute of Medical Sciences, Wayanad, Kerala, India
21 Department of Pulmonary and Critical Care Medicine, Pt. B.D.S PGIMS, Rohtak, Haryana, India
22 Department of Pulmonary Medicine, PGIMER, Chandigarh, India
23 Department of Pulmonary Medicine, Christian Medical College, Vellore, Tamil Nadu, India
24 Department of Pulmonary Medicine, PSRI, Institute of Pulmonary, Critical Care and Sleep Medicine, New Delhi, India
25 Department of Chest Diseases, Institute of Medical Sciences, BHU, Varanasi, Uttar Pradesh, India
26 Department of Medicine, PGIMS, Rohtak, Haryana, India
27 Department of Respiratory Medicine, PGIMS, Rohtak, Haryana, India
28 Department of Community Medicine, RUHS College of Medical Sciences, Jaipur, Rajasthan, India
29 Department of Pulmonary and Sleep Medicine, Santokba Durlabhji Memorial Hospital, Jaipur, Rajasthan, India
30 Department of Pulmonary Medicine, MKCG Medical College and Hospital, Brahmapur, Odisha, India
31 Department of Pulmonary Medicine, Asthma Bhawan, Jaipur, Rajasthan, India
32 Department of Pulmonary Medicine, NIMS University, Jaipur, Rajasthan, India
33 Lung Care and Sleep Center, Institute of Pulmonology Medical Research and Development, Mumbai, Maharashtra, India
34 Department of Respiratory Medicine, Vallabhbhai Patel Chest Institute, University of Delhi, Delhi, India
35 Department of Respiratory Medicine, Critical Care and Sleep Disorders, Indraprastha Apollo Hospitals, New Delhi, India
36 Department of Respiratory Medicine, Critical Care and Sleep disorders, Jaipur Golden Hospital and Saroj Superspeciality Hospital, Delhi, India
37 Department of Respiratory Medicine, Apollo Hospitals, Chennai, Tamil Nadu, India
38 Department of Pulmonary Medicine, Apollo Spectra Hospital, Kanpur, Uttar Pradesh, India
39 Department of Pulmonology, The Chest and Allergy Center, Mumbai, Maharashtra, India
40 Department of Pulmonary Medicine, Apollo Gleneagles Hospital, Kolkata, West Bengal, India
41 Jindal Chest Clinic, Chandigarh, India
42 Chest Care Center, Kanpur, Uttar Pradesh, India
43 Department of Respiratory Medicine, GSVM Medical College and Hospital, Kanpur, Uttar Pradesh, India
44 Department of Respiratory Medicine, JLN Medical College & Hospital, Ajmer, India
45 Department of Pathology, PGIMS, Rohtak, Haryana, India
46 Department of Respiratory Medicine, KGMU, Lucknow, Uttar Pradesh, India
47 Department of Pulmonary Medicine, Hinduja Hospital, Mumbai, Maharashtra, India
48 Department of Medicine, University of Washington, Seattle, USA

Correspondence Address:
Dr. Virendra Singh
Department of Pulmonary Medicine, Asthma Bhawan, Vidyadhar Nagar, Jaipur - 302 023, Rajasthan
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/lungindia.lungindia_275_20

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Background: Interstitial lung disease (ILD) is a complex and heterogeneous group of acute and chronic lung diseases of several known and unknown causes. While clinical practice guidelines (CPG) for idiopathic pulmonary fibrosis (IPF) have been recently updated, CPG for ILD other than IPF are needed. Methods: A working group of multidisciplinary clinicians familiar with clinical management of ILD (pulmonologists, radiologist, pathologist, and rheumatologist) and three epidemiologists selected by the leaderships of Indian Chest Society and National College of Chest Physicians, India, posed questions to address the clinically relevant situation. A systematic search was performed on PubMed, Embase, and Cochrane databases. A modified GRADE approach was used to grade the evidence. The working group discussed the evidence and reached a consensus of opinions for each question following face-to-face discussions. Results: Statements have been made for each specific question and the grade of evidence has been provided after performing a systematic review of literature. For most of the questions addressed, the available evidence was insufficient and of low to very low quality. The consensus of the opinions of the working group has been presented as statements for the questions and not as an evidence-based CPG for the management of ILD. Conclusion: This document provides the guidelines made by consensus of opinions among experts following discussion of systematic review of evidence pertaining to the specific questions for management of ILD other than IPF. It is hoped that this document will help the clinician understand the accumulated evidence and help better management of idiopathic and nonidiopathic interstitial pneumonias.


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