Evidence map›Paper›PMID 23011715›Full record

ArticleJAMA2012

Caring for the older person with chronic obstructive pulmonary disease.

Terri R Fried, Carlos A Vaz Fragoso, Michael W Rabow

Abstract read
In one paragraph

Article in JAMA, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed
2.4field-weighted citation impact, top 11% 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

40 citing papers in PubMed, 79 citations in OpenAlex.

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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.

Terri R FriedDepartment of Medicine, Yale University School of Medicine, New Haven, Connecticut, USA. terri.fried@yale.edu
Carlos A Vaz Fragoso
Michael W Rabow
Yale University · US

Funding

Yale Study Support Suite (YES3): Dashboard and Web Portal Software Supporting Research Workflow through integrated, customizable REDCap External ModulesP30AG021342 · NIA · YALE UNIVERSITY · PI Denise Esserman · 2002 to 2026
$37.9M
Expanding Treatment Options for Older PersonsK24AG028443 · NIA · YALE UNIVERSITY · PI FRIED, TERRI R. · 2007 to 2011
$914k
"Defining Chronic Obstructive Pulmonary Disease in Older Persons"R03AG037051 · NIA · YALE UNIVERSITY · PI FRAGOSO, CARLOS A. VAZ · 2010 to 2011
$133k
NIA NIH HHS K24 AG028443NIA NIH HHS K24AG028443NIA NIH HHS P30 AG021342NIA NIH HHS R03 AG037051NIA NIH HHS R03AG037051
6 · The paper itself

Abstract

Chronic obstructive pulmonary disease (COPD), a common disease in elderly patients, is characterized by high symptom burden, health care utilization, mortality, and unmet needs of patients and caregivers. Respiratory failure and dyspnea may be exacerbated by heart failure, pulmonary embolism, and anxiety; by medication effects; and by other conditions, including deconditioning and malnutrition. Randomized controlled trials, which provide the strongest evidence for guideline recommendations, may underestimate the risk of adverse effects of interventions for older patients with COPD. The focus of guidelines on disease-modifying therapies may not address the full spectrum of patient and caregiver needs, particularly the high rates of bothersome symptoms, risk of functional and cognitive decline, and need for end-of-life care planning. Meeting the many needs of older patients with COPD and their families requires that clinicians supplement guideline-recommended care with treatment decision making that takes into account older persons' comorbid conditions, recognizes the trade-offs engendered by the increased risk of adverse events, focuses on symptom relief and function, and prepares patients and their loved ones for further declines in the patient's health and their end-of-life care. A case of COPD in an 81-year-old man hospitalized with severe dyspnea and respiratory failure highlights both the challenges in managing COPD in the elderly and the limitations in applying guidelines to geriatric patients.

Indexed as

Evidence-Based PracticePatient Care PlanningActivities of Daily LivingAgedAged, 80 and overAge FactorsCognition DisordersCommunicationDyspneaGeriatric AssessmentHumansMalePractice Guidelines as TopicPrognosisPulmonary Disease, Chronic ObstructiveRespiratory Insufficiency

Identifiers

PMID23011715
PMCPMC3815613
OpenAlexW2071740508

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.