Evidence map›Paper›PMID 21357888›Full record

ReviewEuropean respiratory review : an official journal of the European Respiratory Society2011

Update on the roles of distal airways in COPD.

P-R Burgel, A Bourdin, P Chanez, F Chabot, A Chaouat, T Chinet, J de Blic, P Devillier, A Deschildre, A Didier and 10 more

Erratum issuedAbstract readReview
In one paragraph

Review in European respiratory review : an official journal of the European Respiratory Society, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 43 papers.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed
–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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

43 citing papers in PubMed.

  1. Trial
  2. Trial
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  4. Non-viral gene delivery for non-small cell lung cancer.Annals of translational medicine · 2025
    Article
  5. Article
  6. Reduced FEVInternational journal of chronic obstructive pulmonary disease · 2025
    Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Review
  15. WNT Signalling in Lung Physiology and Pathology.Handbook of experimental pharmacology · 2021
    Article
  16. Review
  17. Article
  18. Article
  19. COPD beyond proximal bronchial obstruction: phenotyping and related tools at the bedside.European respiratory review : an official journal of the European Respiratory Society · 2019
    Review
  20. Assessing pulmonary hypertension in COPD. Is there a role for computed tomography?International journal of chronic obstructive pulmonary disease · 2019
    Review
4 · The record

Corrections and comments

  • Erratum issued
5 · Who and what money

Authors and funding

20 authors.

P-R BurgelService de Pneumologie, Hôpital Cochin, 27 rue du Faubourg St Jacques, Université Paris Descartes, Paris, France.
A Bourdin
P Chanez
F Chabot
A Chaouat
T Chinet
J de Blic
P Devillier
A Deschildre
A Didier
G Garcia
G Jebrak
F Laurent
H Morel
T Perez
C Pilette
N Roche
I Tillie-Leblond
S Verbanck
D Dusser

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This review is the summary of a workshop on the role of distal airways in chronic obstructive pulmonary disease (COPD), which took place in 2009 in Vence, France. The evidence showing inflammation and remodelling in distal airways and the possible involvement of these in the pathobiology, physiology, clinical manifestations and natural history of COPD were examined. The usefulness and limitations of physiological tests and imaging techniques for assessing distal airways abnormalities were evaluated. Ex vivo studies in isolated lungs and invasive measurements of airway resistance in living individuals have revealed that distal airways represent the main site of airflow limitation in COPD. Structural changes in small conducting airways, including increased wall thickness and obstruction by muco-inflammatory exudates, and emphysema (resulting in premature airway closure), were important determinants of airflow limitation. Infiltration of small conducting airways by phagocytes (macrophages and neutrophils), dendritic cells and T and B lymphocytes increased with airflow limitation. Distal airways abnormalities were associated with patient-related outcomes (e.g. dyspnoea and reduced health-related quality of life) and with the natural history of the disease, as reflected by lung function decline and mortality. These data provide a clear rationale for targeting distal airways in COPD.

Indexed as

Airway RemodelingAirway ResistanceCongresses as TopicDiagnostic ImagingHumansLungPredictive Value of TestsPulmonary Disease, Chronic ObstructiveRespiratory Function Tests

Identifiers

PMID21357888
PMCPMC9487728

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.