Evidence map›Paper›PMID 24159258›Full record

Observational studyInternational journal of chronic obstructive pulmonary disease2013

SOSPES: SPIRIVA® observational study measuring SGRQ score in routine medical practice in Central and Eastern Europe.

Matjaž Fležar, Karina Jahnz-Różyk, Gloria Enache, Tatiana Martynenko, Peter Kristufek, Sanda Škrinjarić-Cincar, Pavla Kadlecová, Goran Martinovic

Open access · goldAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in International journal of chronic obstructive pulmonary disease, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.9field-weighted citation impact, top 21% 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

1 citing paper in PubMed, 6 citations in OpenAlex.

  1. Observational
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 at 7 institutions in 8 countries.

Matjaž FležarUniversity Clinic of Respiratory and Allergic Diseases Golnik, Golnik, Slovenia.
Karina Jahnz-Różyk
Gloria Enache
Tatiana Martynenko
Peter Kristufek
Sanda Škrinjarić-Cincar
Pavla Kadlecová
Goran Martinovic
Boehringer Ingelheim (Austria) · ATClinical Emergency Hospital Bucharest · ROKlinički bolnički centar Osijek · HRNational Academy of Medicine · USRegional Public Health Care Institution "City Hospital No. 5, Barnaul" · RUSlovak Medical University · SKUniversity Clinic of Pulmonary and Allergic Diseases Golnik · SI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe long-acting inhaled anticholinergic agent, tiotropium, is recommended as first-line maintenance therapy for moderate to very severe Chronic Obstructive Pulmonary Disease (COPD) to improve symptoms, exercise tolerance, health status, and to reduce exacerbations. Few studies have evaluated the therapeutic efficacy of tiotropium in patients in routine clinical conditions. The current study was designed to investigate the therapeutic efficacy of tiotropium delivered via the HandiHaler® device on the health status of patients with COPD with Global initiative for chronic Obstructive Lung Disease (GOLD) disease classification 2-4 in six central and eastern European countries in a real-life clinical setting.

methodsThe study was an open-label, prospective, uncontrolled, and single-arm surveillance study with three clinic visits during a 6-month observation period (baseline, and months 3 and 6). Health status was measured using the disease-specific St George's Respiratory Questionnaire (SGRQ). The primary efficacy endpoint was the mean change from baseline in SGRQ total score at the end of the 6-month observational period.

resultsPatients treated with tiotropium 18 μg once daily showed statistically significant and clinically meaningful reduction (improvement) of 21.7 units in the SGRQ total score, regardless of smoking status or cardiac comorbidities at enrollment (P < 0.0001). The analysis also showed that age, treatment compliance, and GOLD disease classification were significant factors that impact the health status of patients with COPD differently.

conclusionThese results provide further support for the use of the tiotropium HandiHaler® as first-line maintenance treatment of patients with COPD with a clinician-assessed disease.

Indexed as

Surveys and QuestionnairesAdministration, InhalationAgedAge FactorsBronchodilator AgentsCholinergic AntagonistsDrug Administration ScheduleEurope, EasternFemaleHealth StatusHumansLungMaleMedication AdherenceMiddle AgedMultivariate AnalysisBronchodilator AgentsCholinergic AntagonistsScopolamine DerivativesTiotropium Bromidechronic obstructive pulmonary diseaseHandiHaler®health-related quality of lifetiotropium

Identifiers

PMID24159258
PMCPMC3806120
OpenAlexW2158087798

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.