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MMC / MCR No. (optional for CME points, Malaysia/Singapore HCPs only)

Institution

When do you usually screen for PPF (eg, PFTs, HRCT)?

When I recognize signs of an ILD from the clinical assessment

When the patient reports symptoms of an ILD

When I recognize that the patient is at high risk of developing ILD through assessment of risk factors (eg, demographics, disease manifestations, and antibody profiles)

I do not screen for ILD/PPF

When do you initiate antifibrotic treatment in PPF patients?

Immediately upon detection of first signs of progression regardless of the underlying disease and existing treatment

When pulmonary symptoms worsen

When immunosuppressants/disease-modifying antirheumatic drugs (DMARDs)/corticosteroids fail

I do not consider nor initiate antifibrotic treatment

I refer patients to a pulmonologist when I believe antifibrotic treatment is necessary

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RA-ILD risk calculator

Pulmonary Auscultation

Medical history of respiratory symptoms

Perform RA-ILD risk scoring

Perform HRCT scan directly

Perform Spirometry + DLCO + Chest  X-ray. Depending on the results, a high-resolution chest CT will be considered

The RA-ILD risk scoring of your patient is 5

For RA-ILD risk score of 5 or 6, perform spirometry + DLCO + chest X-ray. Depending on the results, a high-resolution chest CT will be considered

The RA-ILD risk scoring of your patient is 4

For a RA-ILD risk score ≤4, no complementary tests are required to rule out ILD at the present time

The RA-ILD risk scoring of your patient is 9

For a RA-ILD risk score ≥7, perform high resolution chest CT directly

Footnote

References

RA-ILD risk calculator

Pulmonary Auscultation Wrapper

Pulmonary Auscultation

Medical history of respiratory symptoms Wrapper

Medical history of respiratory symptoms

Perform RA-ILD risk scoring Wrapper

Perform RA-ILD risk scoring

Perform HRCT scan directly

Perform Spirometry + DLCO + Chest X-ray. Depending on the results, a high-resolution chest CT will be considered

The RA-ILD risk scoring of your patient is 5 section

ra_ild_risk_score_5_text_wrapper

The RA-ILD risk scoring of your patient is 5

For RA-ILD risk score of 5 or 6, perform spirometry + DLCO + chest X-ray. Depending on the results, a high-resolution chest CT will be considered

The RA-ILD risk scoring of your patient is 4 section

ra_ild_risk_score_4_text_wrapper