Diagnosis and detection of sarcoidosis: an official American Thoracic Society Clinical Practice Guideline
Am. j. respir. crit. care med
; 201(8): e26-e51, Apr. 15, 2020.
Artigo
em Inglês
| BIGG - guias GRADE
| ID: biblio-1117227
Biblioteca responsável:
BR1.1
ABSTRACT
The diagnosis of sarcoidosis is not standardized but is based on three major criteria a compatible clinical presentation, finding nonnecrotizing granulomatous inflammation in one or more tissue samples, and the exclusion of alternative causes of granulomatous disease. There are no universally accepted measures to determine if each diagnostic criterion has been satisfied; therefore, the diagnosis of sarcoidosis is never fully secure. Systematic reviews and, when appropriate, meta-analyses were performed to summarize the best available evidence. The evidence was appraised using the Grading of Recommendations, Assessment, Development, and Evaluation approach and then discussed by a multidisciplinary panel. Recommendations for or against various diagnostic tests were formulated and graded after the expert panel weighed desirable and undesirable consequences, certainty of estimates, feasibility, and acceptability. The clinical presentation, histopathology, and exclusion of alternative diagnoses were summarized. On the basis of the available evidence, the expert committee made 1 strong recommendation for baseline serum calcium testing, 13 conditional recommendations, and best practice statement. All evidence was very low quality.The panel used systematic reviews of the evidence to inform clinical recommendations in favor of or against various diagnostic tests in patients with suspected or known sarcoidosis. The evidence and recommendations should be revisited as new evidence becomes available.
Texto completo:
Disponível
Coleções:
Bases de dados temática
Contexto em Saúde:
ODS3 - Saúde e Bem-Estar
Problema de saúde:
Meta 3.4: Reduzir as mortes prematuras devido doenças não transmissíveis
Base de dados:
BIGG - guias GRADE
Assunto principal:
Sarcoidose
/
Doenças Raras
/
Granuloma
/
Hipertensão Pulmonar
/
Pneumopatias
Tipo de estudo:
Estudo diagnóstico
/
Guia de prática clínica
Idioma:
Inglês
Revista:
Am. j. respir. crit. care med
Ano de publicação:
2020
Tipo de documento:
Artigo