Evidence map›Paper›PMID 19554195›Full record

ReviewInternational journal of chronic obstructive pulmonary disease2009

Exacerbation rate, health status and mortality in COPD--a review of potential interventions.

Terence A R Seemungal, John R Hurst, Jadwiga A Wedzicha

4 registry-linked trialsOpen access · goldAbstract readReview
In one paragraph

Review in International journal of chronic obstructive pulmonary disease, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 4 registered trials, which are not on this map. Cited by 103 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
103citing papers in PubMed, 6 pooled it
9.3field-weighted citation impact, top 2% 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.

NCT01295359 naunknown statusnot on this mapstarted 2011, after this paper: background citation

Impact of a Hospital Physical Therapy Program on Exacerbated Chronic Obstructive Pulmonary Disease Patients: A Randomized Controlled Trial

TypeinterventionalSponsorUniversidade Federal de Sao CarlosRan2011 to 2012Enrolled40ConditionsChronic Obstructive Pulmonary DiseaseArmsGround Walking Program
NCT06377410 narecruitingnot on this mapstarted 2024, after this paper: background citation

A Randomised, Open Label, Interventional Study Evaluating the Efficacy & Safety of Dry Powder Ivy Extract (Syrup Prospan) Versus NAC Among COPD Patients (SyProNAC Trial)

TypeinterventionalSponsorNational University of MalaysiaRan2024 to 2026Enrolled100ConditionsChronic Obstructive Pulmonary DiseaseArmsSyrup Prospan, N-Acetylcysteine
NCT06419036 enrolling by invitationnot on this mapstarted 2024, after this paper: background citation

The Use of Medical Devices to Monitor COPD Patients Study - An Observational Feasibility Study

TypeobservationalSponsorUniversity of StrathclydeRan2024 to 2025Enrolled30ConditionsCOPD Exacerbation AcuteArmsPneumowave DC
NCT06419062 enrolling by invitationnot on this mapstarted 2024, after this paper: background citation

The Use of Medical Devices to Monitor COPD Patients Study - An Observational Feasibility Study

TypeobservationalSponsorUniversity of StrathclydeRan2024 to 2026Enrolled30ConditionsCOPD Exacerbation AcuteArmsFrontier X2
3 · Its place in the literature

Who cites it

103 citing papers in PubMed, 6 syntheses or guidelines pooled it, 189 citations in OpenAlex.

  1. Differentiating the start of an exacerbation from day-to-day variation in people with COPD: a systematic review.European respiratory review : an official journal of the European Respiratory Society · 2026
    Pooled it
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  4. Methods to assess COPD medications adherence in healthcare databases: a systematic review.European respiratory review : an official journal of the European Respiratory Society · 2023
    Pooled it
  5. Mucolytics for acute exacerbations of chronic obstructive pulmonary disease: a meta-analysis.European respiratory review : an official journal of the European Respiratory Society · 2023
    Pooled it
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43 more citing papers are in PubMed but not listed here.

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

3 authors at 1 institution in 1 country.

Terence A R SeemungalDepartment of Clinical Medical Sciences, University of the West Indies, St. Augustine Campus, Trinidad and Tobago. terence.seemungal@sta.uwi.edu
John R Hurst
Jadwiga A Wedzicha
University of the West Indies · TT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

COPD is prevalent in Western society and its incidence is rising in the developing world. Acute exacerbations of COPD, about 50% of which are unreported, lead to deterioration in quality of life and contribute significantly to disease burden. Quality of life deteriorates with time; thus, most of the health burden occurs in more severe disease. COPD severity and frequent and more severe exacerbations are all related to an increased risk of mortality. Inhaled corticosteroids (ICS) have similar effects on quality of life but ICS/long-acting bronchodilator combinations and the long-acting antimuscarinic tiotropium all improve health status and exacerbation rates and are likely to have an effect on mortality but perhaps only with prolonged use. Erythromycin has been shown to decrease the rate of COPD exacerbations. Pulmonary rehabilitation and regular physical activity are indicated in all severities of COPD and improve quality of life. Noninvasive ventilation is associated with improved quality of life. Long-term oxygen therapy improves mortality but only in hypoxic COPD patients. The choice of an inhaler device is a key component of COPD therapy and this requires more attention from physicians than perhaps we are aware of. Disease management programs, characterized as they are by patient centeredness, improve quality of life and decrease hospitalization rates. Most outcomes in COPD can be modified by interventions and these are well tolerated and have acceptable safety profiles.

Indexed as

ExerciseHealth StatusOxygen Inhalation TherapyQuality of LifeRespiration, ArtificialAdministration, InhalationAdrenal Cortex HormonesAgedBronchodilator AgentsCombined Modality TherapyCost of IllnessDisability EvaluationDrug Therapy, CombinationFemaleHealth Care CostsHumansAdrenal Cortex HormonesBronchodilator AgentsMuscarinic AntagonistsRespiratory System AgentsCOPDdisease management programexacerbationexercisehealth burdeninhaled steroidslong-acting antimuscarinic agentslong-acting bronchodilatorsmacrolidemortalitypulmonary rehabilitationsafetytolerability

Identifiers

PMID19554195
PMCPMC2699821
OpenAlexW2155734497

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.