Evidence map›Paper›PMID 12037220›Full record

ArticleThorax2002

Peripheral airway obstruction in primary pulmonary hypertension.

F J Meyer, R Ewert, M M Hoeper, H Olschewski, J Behr, J Winkler, H Wilkens, C Breuer, W Kübler, M M Borst and 1 more

Registry-linked trialOpen access · bronzeAbstract readComparative StudyMulticenter Study
In one paragraph

Article in Thorax, 2002. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02108743 (Albuterol and Dynamic Hyperinflation in Idiopathic Pulmonary Arterial Hypertension), which is not on this map. Cited by 45 papers.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed
2.6field-weighted citation impact, top 11% of its field
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.

NCT02108743 phase2withdrawnnot on this mapstarted 2014, after this paper: background citation

Albuterol and Dynamic Hyperinflation in Idiopathic Pulmonary Arterial Hypertension

TypeinterventionalSponsorAmerican Medical Association FoundationRan2014 to 2016Enrolled0ConditionsIdiopathic Pulmonary Arterial Hypertension.ArmsAlbuterol., Normal saline placebo
3 · Its place in the literature

Who cites it

45 citing papers in PubMed, 178 citations in OpenAlex.

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  18. The physiological basis of pulmonary arterial hypertension.The European respiratory journal · 2022
    Review
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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

11 authors at 1 institution in 1 country.

F J MeyerDepartment of Internal Medicine III, Ruprecht-Karls-University, Heidelberg, Germany.
R Ewert
M M Hoeper
H Olschewski
J Behr
J Winkler
H Wilkens
C Breuer
W Kübler
M M Borst
German PPH Study Group
Heidelberg University · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAs there is controversy about changes in lung function in primary pulmonary hypertension (PPH), lung mechanics were assessed with a focus on expiratory airflow in relation to pulmonary haemodynamics.

methodsA cross sectional study was performed in 64 controls and 171 patients with PPH (117 women) of mean (SD) age 45 (13) years, pulmonary artery pressure (PAPmean) 57 (15) mm Hg, and pulmonary vascular resistance 1371 (644) dyne.s/cm(5).

resultsMean (SD) total lung capacity was similar in patients with PPH and controls (98 (12)% predicted v 102 (17)% predicted, mean difference -4 (95% confidence interval (CI) -7.89 to -0.11); residual volume (RV) was increased (118 (24)% predicted v 109 (27)% predicted, mean difference 9 (95% CI 1.86 to 16.14); and vital capacity (VC) was decreased (91 (16)% predicted v 102 (10)% predicted, mean difference -11 (95% CI 15.19 to -6.80). RV/TLC was increased (117 (27)% predicted v 97 (29)% predicted, mean difference 20 (95% CI 12.3 to 27.8)) and correlated with PAPmean (r=0.31, p<0.001). In patients with PAPmean above the median of 56 mm Hg, RV/TLC was further increased (125 (32)% predicted v 111 (22)% predicted, mean difference -14 (95% CI -22.2 to -5.8)). Expiratory flow-volume curves were reduced and curvilinear in patients with PPH.

conclusionsPeripheral airway obstruction is common in PPH and is more pronounced in severe disease. This may contribute to symptoms. Reversibility of bronchodilation and relation to exercise capacity need further evaluation.

Indexed as

Airway ObstructionCohort StudiesCross-Sectional StudiesFemaleForced Expiratory VolumeHemodynamicsHumansHypertension, PulmonaryMaleMaximal Expiratory Flow RateMiddle AgedRespiratory MechanicsTotal Lung CapacityVital Capacity

Identifiers

PMID12037220
PMCPMC1746348
OpenAlexW2016978338

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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 OpenQuestion graph.