Evidence map›Paper›PMID 15047953›Full record

ArticleThorax2004

The need to redefine non-cystic fibrosis bronchiectasis in childhood.

K M Eastham, A J Fall, L Mitchell, D A Spencer

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Thorax, 2004. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02555865 (Aetiology of Children With Bronchiectasis in China--A Multicenter Retrospective Study), which is not on this map. Cited by 55 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
55citing papers in PubMed, 5 pooled it
7.4field-weighted citation impact, top 3% 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.

NCT02555865 unknown statusnot on this mapstarted 2016, after this paper: background citation

Aetiology of Children With Bronchiectasis in China--A Multicenter Retrospective Study

TypeobservationalSponsorBeijing Children's HospitalRan2016 to 2022Enrolled300ConditionsBronchiectasis
3 · Its place in the literature

Who cites it

55 citing papers in PubMed, 5 syntheses or guidelines pooled it, 196 citations in OpenAlex.

  1. Guideline
  2. Exercise training for bronchiectasis.The Cochrane database of systematic reviews · 2021
    Pooled it
  3. Head-to-head trials of antibiotics for bronchiectasis.The Cochrane database of systematic reviews · 2018
    Pooled it
  4. Pooled it
  5. Pooled it
  6. Observational
  7. Review
  8. Observational
  9. Article
  10. Review
  11. Article
  12. Review
  13. The radiological diagnosis of bronchiectasis: what's in a name?European respiratory review : an official journal of the European Respiratory Society · 2020
    Review
  14. Observational
  15. Review
  16. Review
  17. Article
  18. Article
  19. Review
  20. Gender differences in bronchiectasis: a real issue?Breathe (Sheffield, England) · 2018
    Review
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

4 authors at 1 institution in 1 country.

K M EasthamSir James Spence Institute of Child Health, Royal Victoria Infirmary, Newcastle upon Tyne NE1 4LP, UK.
A J Fall
L Mitchell
D A Spencer
Royal Victoria Infirmary · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNon-cystic fibrosis (CF) bronchiectasis has previously been reported to be rare and progressive in children living in western societies.

methodA clinical and radiological review was undertaken of 93 children with non-CF bronchiectasis defined by high resolution computed tomographic (HRCT) scanning presenting to a tertiary paediatric respiratory centre since 1996.

resultsCases constituted 9.6% of all new referrals. Male to female ratio was 2:1. Median age at symptom onset was 1.1 years (range 0-16) and of HRCT diagnosis was 7.2 years (1.6-18.8). The most common referral diagnosis of asthma was refuted in 39 of 45 cases. Associations were previous pneumonic illness (30%), immunocompromise (21%), obliterative bronchiolitis (9%), congenital lung abnormality (5%), chronic aspiration (3%), eosinophilic oesophagitis (2%), familial syndrome (2%), primary ciliary dyskinesia (1%), and right middle lobe syndrome (1%). 8% had two associated diagnoses and 18% were idiopathic. There was agreement between the chest radiograph and HRCT scan for diagnosis and lobe affected in only five cases (5%). A repeat HRCT scan in 18 cases at a minimum interval of 18 months showed total resolution of the changes in six, improvement in one, progression in five, and was unchanged in six.

conclusionsRadiologically defined non-CF bronchiectasis in children is not uncommon. Diagnostic delay is a problem. The most common association is a previous pneumonia. Chest radiography is of little diagnostic value, but resolution is possible on HRCT scanning. Bronchiectasis is currently defined as a condition which is both permanent and progressive. This term is not necessarily appropriate for all paediatric patients for whom we suggest an alternative nomenclature.

Indexed as

Cystic FibrosisAdolescentAsthmaBronchiectasisChildChild, PreschoolCohort StudiesFemaleHumansImmunologic Deficiency SyndromesInfantLung DiseasesMaleReferral and ConsultationRespiratory Tract InfectionsRetrospective Studies

Identifiers

PMID15047953
PMCPMC1763810
OpenAlexW2157294852

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.