Evidence map›Paper›PMID 23413893›Full record

Trial reportCOPD2013

Racial differences in CT phenotypes in COPD.

Nadia N Hansel, George R Washko, Marilyn G Foreman, MeiLan K Han, Eric A Hoffman, Dawn L DeMeo, R Graham Barr, Edwin J R Van Beek, Ella A Kazerooni, Robert A Wise and 9 more

Open access · bronzeAbstract readClinical TrialMulticenter Study
In one paragraph

Trial report in COPD, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
3.3field-weighted citation impact, top 8% 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

26 citing papers in PubMed, 1 synthesis or guideline pooled it, 39 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Review
  7. Review
  8. Article
  9. Article
  10. Observational
  11. Progression of Emphysema and Small Airways Disease in Cigarette Smokers.Chronic obstructive pulmonary diseases (Miami, Fla.) · 2021
    Article
  12. Contribution of Individual and Neighborhood Factors to Racial Disparities in Respiratory Outcomes.American journal of respiratory and critical care medicine · 2021
    Article
  13. Article
  14. Review
  15. Review
  16. Article
  17. Article
  18. Article
  19. Identifying Patients With COPD at High Risk of Readmission.Chronic obstructive pulmonary diseases (Miami, Fla.) · 2016
    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

19 authors at 11 institutions in 2 countries.

Nadia N HanselJohns Hopkins University, Baltimore, Maryland, USA. nhansel1@jhmi.edu
George R Washko
Marilyn G Foreman
MeiLan K Han
Eric A Hoffman
Dawn L DeMeo
R Graham Barr
Edwin J R Van Beek
Ella A Kazerooni
Robert A Wise
Robert H Brown
Jennifer Black-Shinn
John E Hokanson
Nicola A Hanania
Barry Make
Edwin K Silverman
James D Crapo
Mark T Dransfield
COPDGene Investigators
University of Colorado Denver · USHarvard University Press · USJohns Hopkins University · USMichigan Medicine · USBaylor College of Medicine · USCity University of New York · USJohns Hopkins Medicine · USMorehouse School of Medicine · USUniversity of Alabama at Birmingham · USUniversity of Edinburgh · GBUniversity of Iowa · US

Funding

Genetic Epidemiology of COPDU01HL089897 · NHLBI · NATIONAL JEWISH HEALTH · PI CRAPO, JAMES D · 2007 to 2021
$56.9M
Pulmonary Toxicology Facility CoreP30ES005605 · NIEHS · UNIVERSITY OF IOWA · PI Jong Sung Kim · 1990 to 2026
$40.5M
Metabolomic signatures of empysema and COPD progression in the COPDGene cohortR01HL089897 · NHLBI · NATIONAL JEWISH HEALTH · PI CRAPO, JAMES D · 2012 to 2016
$31.1M
Genetic Epidemiology of COPDU01HL089856 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI SILVERMAN, EDWIN K · 2007 to 2021
$20.7M
(2 of 2) Genetic Epidemiology of COPDR01HL089856 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI SILVERMAN, EDWIN K · 2012 to 2016
$18.9M
Genetic Analysis of Susceptibility to COPD ExacerbationsK01HL092601 · NHLBI · MOREHOUSE SCHOOL OF MEDICINE · PI FOREMAN, MARILYN G. · 2008 to 2012
$711k
NHLBI NIH HHS K01 HL092601NHLBI NIH HHS R01 HL089856NHLBI NIH HHS R01 HL089897NHLBI NIH HHS U01 HL089856NHLBI NIH HHS U01HL089856NHLBI NIH HHS U01 HL089897NHLBI NIH HHS U01HL089897NIEHS NIH HHS P30 ES005605
6 · The paper itself

Abstract

backgroundWhether African Americans (AA) are more susceptible to COPD than non-Hispanic Whites (NHW) and whether racial differences in disease phenotype exist is controversial. The objective is to determine racial differences in the extent of emphysema and airway remodeling in COPD.

methodsFirst, 2,500 subjects enrolled in the COPDGene study were used to evaluate racial differences in quantitative CT (QCT) parameters of% emphysema, air trapping and airway wall thickness. Independent variables studied included race, age, gender, education, BMI, pack-years, smoking status, age at smoking initiation, asthma, previous work in dusty job, CT scanner and center of recruitment.

resultsOf the 1,063 subjects with GOLD Stage II-IV COPD, 200 self-reported as AA. AAs had a lower mean% emphysema (13.1% vs. 16.1%, p = 0.005) than NHW and proportionately less emphysema in the lower lung zones. After adjustment for covariates, there was no statistical difference by race in air trapping or airway wall thickness. Measured QCT parameters were more predictive of poor functional status in NHWs compared to AAs.

conclusionsAAs have less emphysema than NHWs but the same degree of airway disease. Additional factors not easily assessed by current QCT techniques may account for the poor functional status in AAs.

Indexed as

Black or African AmericanTomography, X-Ray ComputedWhite PeopleAgedAirway RemodelingFemaleForced Expiratory VolumeHumansMaleMiddle AgedMultivariate AnalysisPhenotypePulmonary Disease, Chronic ObstructivePulmonary EmphysemaSeverity of Illness Index

Identifiers

PMID23413893
PMCPMC4321889
OpenAlexW2039465479

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.