Evidence map›Paper›PMID 22183479›Full record

SynthesisThe European respiratory journal2012

Risk factors for COPD spirometrically defined from the lower limit of normal in the BOLD project.

Richard Hooper, Peter Burney, William M Vollmer, Mary Ann McBurnie, Thorarinn Gislason, Wan C Tan, Anamika Jithoo, Ali Kocabas, Tobias Welte, A Sonia Buist

Open access · bronzeAbstract readMeta-Analysis
In one paragraph

Synthesis in The European respiratory journal, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 54 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
54citing papers in PubMed, 5 pooled it
4.5field-weighted citation impact, top 5% 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.

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

54 citing papers in PubMed, 5 syntheses or guidelines pooled it, 110 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
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  5. Pooled it
  6. Article
  7. Mendelian causes of early-onset emphysema: a review of the current literature.European respiratory review : an official journal of the European Respiratory Society · 2025
    Review
  8. Review
  9. Per and poly-fluoroalkyl substances and respiratory health in an Inuit community.Environmental health : a global access science source · 2024
    Article
  10. Article
  11. The Incidence, Risk Factors, and Predictive Model of Obstructive Disease in Post-Tuberculosis Patients.International journal of chronic obstructive pulmonary disease · 2024
    Article
  12. Article
  13. Article
  14. Article
  15. Trends in the Burden of COPD Attributable to Ambient PMRisk management and healthcare policy · 2023
    Article
  16. Article
  17. Article
  18. Review
  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

10 authors at 6 institutions in 6 countries.

Richard HooperNational Heart and Lung Institute, Imperial College, Emmanuel Kaye Building, 1 Manresa Road, London SW3 6LR, UK. p.burney@imperial.ac.uk
Peter Burney
William M Vollmer
Mary Ann McBurnie
Thorarinn Gislason
Wan C Tan
Anamika Jithoo
Ali Kocabas
Tobias Welte
A Sonia Buist
University of Iceland · ISImperial College London · GBKaiser Permanente Center for Health Research · USCukurova University · TRMedizinische Hochschule Hannover · DEUniversity of British Columbia · CA

Funding

Wellcome Trust 085790
6 · The paper itself

Abstract

Chronic obstructive pulmonary disease (COPD) is predicted to become the third most common cause of death and disability worldwide by 2020. The prevalence of COPD defined by the lower limit of normal was estimated using high-quality spirometry in surveys of 14 populations aged ≥ 40 yrs. The strength and consistency of associations were assessed using random effects meta-analysis. Pack-years of smoking were associated with risk of COPD at each site. After adjusting for this effect, we still observed significant associations of COPD risk with age (OR 1.52 for a 10 yr age difference, 95% CI 1.35-1.71), body mass index in obese compared with normal weight (OR 0.50, 95% CI 0.37-0.67), level of education completed (OR 0.76, 95% CI 0.67-0.87), hospitalisation with a respiratory problem before age 10 yrs (OR 2.35, 95% CI 1.42-3.91), passive cigarette smoke exposure (OR 1.24, 95% CI 1.05-1.47), tuberculosis (OR 1.78, 95%CI 1.17-2.72) and a family history of COPD (OR 1.50, 95% CI 1.19-1.90). Although smoking is the most important risk factor for COPD, other risk factors are also important. More research is required to elucidate relevant risk factors in low- and middle-income countries where the greatest impact of COPD will occur.

Indexed as

AdultAgedBody Mass IndexEducational StatusFemaleHumansMaleMiddle AgedMulticenter Studies as TopicPrevalencePulmonary Disease, Chronic ObstructiveRisk FactorsSmokingSpirometryTobacco Smoke PollutionTuberculosis, PulmonaryTobacco Smoke Pollution

Identifiers

PMID22183479
PMCPMC3378500
OpenAlexW2166219158

What OpenQuestion holds

Textmetadata
LicenceTDM
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.