Evidence map›Paper›PMID 20214820›Full record

Trial reportRespiratory research2010

Anxiety is associated with diminished exercise performance and quality of life in severe emphysema: a cross-sectional study.

Nicholas D Giardino, Jeffrey L Curtis, Adin-Cristian Andrei, Vincent S Fan, Joshua O Benditt, Mark Lyubkin, Keith Naunheim, Gerard Criner, Barry Make, Robert A Wise and 6 more

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Respiratory research, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00000606 (National Emphysema Treatment Trial), which is not on this map. Cited by 31 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

NCT00000606 phase3completednot on this map

National Emphysema Treatment Trial (NETT)

TypeinterventionalSponsorNational Heart, Lung, and Blood Institute (NHLBI)Ran1996 to 2005ConditionsEmphysema, Lung Diseases, Lung Diseases, Obstructive, Chronic Obstructive Pulmonary DiseaseArmsLung volume reduction surgery
3 · Its place in the literature

Who cites it

31 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Observational
  9. Article
  10. Article
  11. Interoceptive dimensions across cardiac and respiratory axes.Philosophical transactions of the Royal Society of London. Series B, Biological sciences · 2016
    Article
  12. Article
  13. Article
  14. Managing comorbidities in COPD.International journal of chronic obstructive pulmonary disease · 2015
    Review
  15. Prevalence and correlates of suicide ideation in patients with COPD: a mixed methods study.International journal of chronic obstructive pulmonary disease · 2015
    Observational
  16. Article
  17. Comorbidities in patients with COPD and pulmonary rehabilitation: do they matter?European respiratory review : an official journal of the European Respiratory Society · 2014
    Review
  18. Article
  19. Article
  20. Article
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

16 authors.

Nicholas D GiardinoMental Health Service, VA Ann Arbor Healthcare System, Ann Arbor, MI, USA. ngiardin@umich.edu
Jeffrey L Curtis
Adin-Cristian Andrei
Vincent S Fan
Joshua O Benditt
Mark Lyubkin
Keith Naunheim
Gerard Criner
Barry Make
Robert A Wise
Susan K Murray
Alfred P Fishman
Frank C Sciurba
Israel Liberzon
Fernando J Martinez
NETT Research Group

Funding

PREDICTING RESPONSE TO THERAPY IN IDIOPATHIC PULMONARY FK24HL004212 · NHLBI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MARTINEZ, FERNANDO J · 2000 to 2009
$1.2M
CLINICAL COORDINATING CENTER FOR LVRS-N01HR76119-268076119-268076119N01HR076119 · HR · JOHNS HOPKINS UNIVERSITY · PI PIANTADOSI, STEVEN · 1997 to 2006
$871k
LUNG VOLUME REDUCTION SURGERY--CLINICAL CENTERN01HR076118 · HR · UNIVERSITY OF WASHINGTON · PI ALBERT, RICHARD K · 1997 to 2000
$225k
LUNG VOLUME REDUCTION SURGERY--CLINICAL CENTERN01HR076113 · HR · UNIVERSITY OF PENNSYLVANIA · PI KAISER, LARRY · 1997 to 2000
$208k
CLNICAL CENTER FOR LVRSN01HR076104 · HR · CEDARS-SINAI MEDICAL CENTER · PI MCKENNA, RICHARD · 1997 to 2000
$153k
CLNICAL CENTER FOR THE LVRSN01HR076102 · HR · BRIGHAM AND WOMEN'S HOSPITAL · PI REILLY, JOHN J · 1997 to 2000
$150k
CLINICAL CENTER FOR LVRSN01HR076114 · HR · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI KEENAN, ROBERT J · 1997 to 2000
$147k
LUNG VOLUME REDUCTION SURGERY--CLINICAL CENTERN01HR076110 · HR · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI FERNANDO, MARTINEZ J · 1997 to 2000
$146k
LUNG VOLUME REDUCTION SURGERY--CLINICAL CENTERN01HR076111 · HR · NATIONAL JEWISH HEALTH · PI CHERNIACK, REUBEN M · 1997 to 2000
$144k
CLINICAL CENTER FOR THE LUNG VOLUME REDUCTION SURGERYN01HR076106 · HR · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI GINSBURG, MARK E · 1997 to 2000
$143k
CLINICAL CENTER FOR THE LUNG VOLUME REDUCTION SURGERYN01HR076103 · HR · UNIVERSITY OF CALIFORNIA SAN DIEGO · PI RIES, ANDREW L · 1997 to 2000
$142k
CLNICAL CENTER FOR LVRSN01HR076105 · HR · CLEVELAND CLINIC FOUNDATION · PI MAURER, JANET R. · 1997 to 2000
$137k
NHLBI NIH HHS 2 K24 HL04212NHLBI NIH HHS N01HR76101NHLBI NIH HHS N01HR76102NHLBI NIH HHS N01HR76103NHLBI NIH HHS N01HR76104NHLBI NIH HHS N01HR76105NHLBI NIH HHS N01HR76106NHLBI NIH HHS N01HR76107NHLBI NIH HHS N01HR76108NHLBI NIH HHS N01HR76109NHLBI NIH HHS N01HR76110NHLBI NIH HHS N01HR76111NHLBI NIH HHS N01HR76112NHLBI NIH HHS N01HR76113NHLBI NIH HHS N01HR76114NHLBI NIH HHS N01HR76115NHLBI NIH HHS N01HR76116NHLBI NIH HHS N01HR76118NHLBI NIH HHS N01HR76119
6 · The paper itself

Abstract

backgroundAnxiety in patients with chronic obstructive pulmonary disease (COPD) is associated with self-reported disability. The purpose of this study is to determine whether there is an association between anxiety and functional measures, quality of life and dyspnea.

methodsData from 1828 patients with moderate to severe emphysema enrolled in the National Emphysema Treatment Trial (NETT), collected prior to rehabilitation and randomization, were used in linear regression models to test the association between anxiety symptoms, measured by the Spielberger State Trait Anxiety Inventory (STAI) and: (a) six-minute walk distance test (6 MWD), (b) cycle ergometry peak workload, (c) St. Georges Respiratory Questionnaire (SRGQ), and (d) UCSD Shortness of Breath Questionnaire (SOBQ), after controlling for potential confounders including age, gender, FEV1 (% predicted), DLCO (% predicted), and the Beck Depression Inventory (BDI).

resultsAnxiety was significantly associated with worse functional capacity [6 MWD (B = -0.944, p < .001), ergometry peak workload (B = -.087, p = .04)], quality of life (B = .172, p < .001) and shortness of breath (B = .180, p < .001). Regression coefficients show that a 10 point increase in anxiety score is associated with a mean decrease in 6 MWD of 9 meters, a 1 Watt decrease in peak exercise workload, and an increase of almost 2 points on both the SGRQ and SOBQ.

conclusionIn clinically stable patients with moderate to severe emphysema, anxiety is associated with worse exercise performance, quality of life and shortness of breath, after accounting for the influence of demographic and physiologic factors known to affect these outcomes.

trial registrationClinicalTrials.gov NCT00000606.

Indexed as

Exercise ToleranceQuality of LifeAgedAnxietyComorbidityCross-Sectional StudiesEmphysemaFemaleHumansIncidenceMalePulmonary Disease, Chronic ObstructiveRisk AssessmentRisk FactorsUnited States

Identifiers

PMID20214820
PMCPMC2848143

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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.