CHEST Guidelines and Consensus Statements


NEW! Pharmacological Therapy for Pulmonary Arterial Hypertension in Adults: CHEST Guideline (Online First June 17, 2014) contains 79 recommendations and expert consensus statements to aid clinicians in the management of PAH using the latest drug therapies for adults with the condition.

Diagnosis and Management of Lung Cancer, 3rd Ed: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines (May 2013) includes 274 recommendations that incorporate clinical and methodological advances and new research in the field to provide comprehensive, evidence-based recommendations for patient-focused care.

Monitoring of Nonsteroidal Immunosuppressive Drugs in Patients With Lung Disease and Lung Transplant Recipients: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines (November 2012) includes strategies for minimizing risks when administering immunosuppressive drugs in patients with lung disease and lung transplant patients. 

Antithrombotic Therapy and the Prevention of Thrombosis, 9th ed: American College of Chest Physicians Evidence-based Guidelines (February 2012) Included are over 600 recommendations for the prevention, diagnosis, and treatment of thrombosis, addressing a comprehensive list of clinical conditions, including medical, surgery, orthopedic surgery, atrial fibrillation, stroke, cardiovascular disease, pregnancy, neonates and children, among others. Resources related to these guidelines can be found on the ACCP Antithrombotic Guidelines 9th Ed page. These Guidelines replace the Antithrombotic and Thrombolytic Therapy, 8th ed: ACCP Guidelines. (June 2008).

Effectiveness of CME Educational Guidelines (March 2009) Provides a comprehensive evaluation of how current CME practices impact physician knowledge, applications of knowledge, practice performance, and clinical outcomes. The guidelines also identify gaps in each of these areas, as well as CME research as a whole.

Diagnosis and Management of Lung Cancer: ACCP Guidelines (2nd Edition) (September 2007) Provides 260 of the most comprehensive recommendations related to lung cancer. Topics include prevention, screening, diagnosis, staging, and medical and surgical treatments. The American Association for Bronchology and Interventional Pulmonology and The Society of Thoracic Surgeons are among the endorsing groups.

Joint American College of Chest Physicians/American Association ofCardiovascular and Pulmonary Rehabilitation Evidence-Based ClinicalPractice Guidelines (May 2007) Evidence-based guidelines on pulmonary rehabilitation for patients with chronic lung disease include recommendations on exercise training protocols, optimal timeframe for rehabilitation, maintenance strategies, education, and use of supplemental oxygen.

Diagnosis and Management of Cough: ACCP Evidence-Based Clinical Practice Guidelines (January 2006) Evidence-based guidelines on the treatment and underlying causes of cough. Scientific evidence and treatment recommendations are provided for each condition. The American Thoracic Society and Canadian Thoracic Society endorse these guidelines.

American College of Chest Physicians Guidelines for the Prevention and Management of Postoperative Atrial Fibrillation after Cardiac Surgery (August 2005) Addresses specific recommendations on a variety of interventions and treatments, valuable resources, and future directions.

Device Selection and Outcomes of Aerosol Therapy: Evidence-Based Guidelines: American College of Chest Physicians/American College of Asthma, Allergy, and Immunology (January 2005) The proliferation of inhaler devices has resulted in a confusing number of choices for clinicians who are selecting a delivery device for aerosol therapy. There are advantages and disadvantages associated with each device category. Evidence-based guidelines for the selection of the appropriate aerosol delivery device in specific clinical settings are needed.

Diagnosis and Management of Pulmonary Arterial Hypertension: ACCP Evidence-Based Clinical Practice Guidelines (July 2004) + Medical Therapy for Pulmonary Arterial Hypertension: Updated ACCP Evidence-Based Clinical Practice Guidelines (June 2007) Evidence-based findings for help in the diagnosis and treatment of PAH patients. Updates published in June 2007.

About CHEST Guidelines The American College of Chest Physicians  has successfully provided clinical practice guidelines for many years. Over the last several years, an effort has been supervised by the CHEST Guidelines Oversight Committee to ensure that these documents move as close as possible to an evidence-based platform. The reader is invited to visit the Guidelines Oversight Committee website to learn more about the process of CHEST in developing evidence-based guidelines. All of these documents provide the best available evidence-based recommendations for the particular clinical topics at hand, based on the system of grading and evaluation in place when each was developed.



American College of Chest Physicians and Society of Thoracic Surgeons Consensus Statement for Evaluation and Management for High-Risk Patients with Stage I Non-Small Cell Lung Cancer (December 2012)

American College of Chest Physicians Consensus Statement on the Use of Topical Anesthesia, Analgesia, and Sedation During Flexible Bronchoscopy in Adult Patients (November 2011)

American College of Chest Physicians Consensus Statement on Management of Dyspnea in Patients With Advanced Lung or Heart Disease (March 2010)

American College of Chest Physicians Consensus Statement on the Respiratory Effects of Asbestos: Results of a Delphi Study (June 2009)

American College of Chest Physicians/La Societe de Reanimation de Langue Francaise Statement on Competence in Critical Care Ultrasonography (February 2009)

Diagnosis and Management of Work-Related Asthma: ACCP Consensus Statement (September 2008)

American College of Chest Physicians Consensus Statement on the Respiratory and Related Management of Patients With Duchenne Muscular Dystrophy (December 2007)

Palliative and End-of-Life Care for Patients With Cardiopulmonary Diseases: American College of Chest Physicians Position Statement (November 2007)

American College of Chest Physicians and American Association for Bronchology Consensus Statement: Prevention of Flexible Bronchoscopy-Associated Infection (September 2005)

Management of Community-Acquired Pneumonia in the Home: An American College of Chest Physicians Clinical Position Statement (May 2005)

Interventional Pulmonary Procedures: Guidelines from the American College of Chest Physicians (May 2003)

Management of Spontaneous Pneumothorax: An American College of Chest Physicians Delphi Consensus Statement (February 2001)

Institutional Control Measures for Tuberculosis in the Era of Multiple Drug Resistance (December 1995)

About CHEST Consensus Statements The CHEST Consensus Statement is defined as a written document that represents the collective opinions of a convened expert panel. The opinions expressed in the Consensus Statement are derived by a systematic approach and a traditional literature review where randomized control trials do not commonly exist. "Suggestions made" in Consensus Statements are derived by this standardized process.

  • CHEST Journal
    Print ISSN: 0012-3692
    Online ISSN: 1931-3543