Evidence map›Paper›PMID 23899210›Full record

Trial reportRespiratory research2013

Factors associated with change in exacerbation frequency in COPD.

Gavin C Donaldson, Hanna Müllerova, Nicholas Locantore, John R Hurst, Peter M A Calverley, Jorgen Vestbo, Antonio Anzueto, Jadwiga A Wedzicha

Registry-linked trialAbstract readClinical Trial
In one paragraph

Trial report in Respiratory research, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00292552 (A Multicentre 3 Year Longitudinal Prospective Study to Identify Novel Endpoints and Compare These With Forced Expiratory Volume in 1 Second), which is not on this map. Cited by 37 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing 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.

NCT00292552 completednot on this map

A Multicentre 3 Year Longitudinal Prospective Study to Identify Novel Endpoints and Compare These With Forced Expiratory Volume in 1 Second (FEV1) for Their Ability to Measure and Predict COPD Severity and Its Progression Over Time

TypeobservationalSponsorGlaxoSmithKlineRan2005 to 2010Enrolled2,747ConditionsPulmonary Disease, Chronic ObstructiveArmsNovel endpoint determination
3 · Its place in the literature

Who cites it

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

  1. Pooled it
  2. Trial
  3. Trial
  4. Determinants of exacerbation risk in patients with COPD in the TIOSPIR study.International journal of chronic obstructive pulmonary disease · 2017
    Trial
  5. Trial
  6. Trial
  7. Article
  8. Article
  9. Article
  10. Towards precision in defining COPD exacerbations.Breathe (Sheffield, England) · 2021
    Review
  11. Observational
  12. Article
  13. Article
  14. Article
  15. Management of the COPD Patient with Comorbidities: An Experts Recommendation Document.International journal of chronic obstructive pulmonary disease · 2020
    Article
  16. Article
  17. Haplotype inInternational journal of molecular sciences · 2019
    Article
  18. Article
  19. Patient Preferences for Endobronchial Valve Treatment of Severe Emphysema.Chronic obstructive pulmonary diseases (Miami, Fla.) · 2018
    Article
  20. At the Root: Defining and Halting Progression of Early Chronic Obstructive Pulmonary Disease.American journal of respiratory and critical care medicine · 2018
    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

8 authors.

Gavin C DonaldsonCentre for Respiratory Medicine, UCL Medical School, Royal Free Campus, Rowland Hill Street Hampstead, London NW3 2PF, UK. g.donaldson@ucl.ac.uk
Hanna Müllerova
Nicholas Locantore
John R Hurst
Peter M A Calverley
Jorgen Vestbo
Antonio Anzueto
Jadwiga A Wedzicha

Funding

Medical Research Council G0800570Medical Research Council G1001365Medical Research Council G1001372
6 · The paper itself

Abstract

backgroundPatients with chronic obstructive pulmonary disease (COPD) can be categorized as having frequent (FE) or infrequent (IE) exacerbations depending on whether they respectively experience two or more, or one or zero exacerbations per year. Although most patients do not change category from year to year, some will, and the factors associated with this behaviour have not been examined.

methods1832 patients completing two year follow-up in the Evaluation of COPD Longitudinally to Identify Predictive Surrogate End-points (ECLIPSE) study were examined at baseline and then yearly. Exacerbations were defined by health care utilisation. Patient characteristics compared between those patients who did or did not change exacerbation category from year 1 to year 2.

findingsBetween years 1 and 2, 221 patients (17%) changed from IE to FE and 210 patients (39%) from FE to IE. More severe disease was associated with changing from IE to FE and less severe disease from FE to IE. Over the preceding year, small falls in FEV1 and 6-minute walking distance were associated with changing from IE to FE, and small falls in platelet count associated with changing from FE to IE.

conclusionNo parameter clearly predicts an imminent change in exacerbation frequency category.

trial registrationSCO104960, clinicaltrials.gov identifier NCT00292552.

Indexed as

Disease ProgressionAdultAgedAge DistributionExercise TestExercise ToleranceFemaleHumansMaleMiddle AgedPlatelet CountPrevalencePulmonary Disease, Chronic ObstructiveRisk FactorsSex DistributionSmoking

Identifiers

PMID23899210
PMCPMC3733814

What OpenQuestion holds

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LicenceCC BY
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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.