Evidence map›Paper›PMID 25914531›Full record

ArticleInternational journal of chronic obstructive pulmonary disease2015

Differential changes in quality of life components over 5 years in chronic obstructive pulmonary disease patients.

Katsura Nagai, Hironi Makita, Masaru Suzuki, Kaoruko Shimizu, Satoshi Konno, Yoichi M Ito, Masaharu Nishimura, Hokkaido COPD Cohort Study Investigators

Abstract read
In one paragraph

Article in International journal of chronic obstructive pulmonary disease, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing 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.

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

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

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  15. Impact of mild exacerbation on COPD symptoms in a Japanese cohort.International journal of chronic obstructive pulmonary disease · 2016
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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

8 authors.

Katsura NagaiFirst Department of Medicine, Hokkaido University School of Medicine, Sapporo, Japan.
Hironi MakitaFirst Department of Medicine, Hokkaido University School of Medicine, Sapporo, Japan.
Masaru SuzukiFirst Department of Medicine, Hokkaido University School of Medicine, Sapporo, Japan.
Kaoruko ShimizuFirst Department of Medicine, Hokkaido University School of Medicine, Sapporo, Japan.
Satoshi KonnoFirst Department of Medicine, Hokkaido University School of Medicine, Sapporo, Japan.
Yoichi M ItoDepartment of Biostatistics, Hokkaido University Graduate School of Medicine, Sapporo, Japan.
Masaharu NishimuraFirst Department of Medicine, Hokkaido University School of Medicine, Sapporo, Japan.
Hokkaido COPD Cohort Study Investigators

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe aim of the study was to examine the longitudinal change in quality of life components of patients with chronic obstructive pulmonary disease (COPD).

methodsIn the Hokkaido COPD Cohort Study, 261 subjects were appropriately treated and followed over 5 years with a 74% follow-up rate at the end. The longitudinal changes in St George's Respiratory Questionnaire (SGRQ) scores were annually evaluated with forced expiratory volume in 1 second (FEV1). The subjects were classified into the rapid decliners, slow decliners, and sustainers based on ΔFEV1/year.

resultsThe activity component of SGRQ generally deteriorated over time, and its annual decline was the greatest in the rapid decliners (<25th percentile). In contrast, the symptom component improved significantly year by year in the sustainers (>75 percentile), and it did not deteriorate even in the rapid decliners. Of the baseline data, predictors for worsening of the activity component were older age and lower body mass index. Larger reversibility was related to symptom component improvement. Of the follow-up data, ΔFEV1/year was the best predictor for worsening of the components of SGRQ. Continuous smoking was another factor for worsening of the activity component. For the symptom component, a history of exacerbation by admission definition was the determinant of its deterioration, whereas use of beta agonists was related to improvement.

conclusionThe longitudinal changes of quality of life and their determinants are markedly different and independent between its components. The activity component of SGRQ generally deteriorated over years, while the symptom component rather improved in some patients with COPD under appropriate treatment.

Indexed as

Quality of LifeAdrenergic beta-AgonistsAge FactorsBody Mass IndexBronchodilator AgentsDisease ProgressionFemaleForced Expiratory VolumeHumansJapanLongitudinal StudiesLungMalePredictive Value of TestsPulmonary Disease, Chronic ObstructiveRisk FactorsAdrenergic beta-AgonistsBronchodilator Agentsannual changeexacerbationforced expiratory volume in 1 secondSGRQsmoking

Identifiers

PMID25914531
PMCPMC4401330

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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.