Evidence map›Paper›PMID 26334728›Full record

ArticleBMC pulmonary medicine2015

Different KCO and VA combinations exist for the same DLCO value in patients with diffuse parenchymal lung diseases.

Jean Pastre, Laurent Plantier, Carole Planes, Raphaël Borie, Hilario Nunes, Christophe Delclaux, Dominique Israël-Biet

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in BMC pulmonary medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
0.7field-weighted citation impact, top 25% 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

13 citing papers in PubMed, 15 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Observational
  6. Review
  7. Article
  8. Article
  9. Original Article: Clinical Research.Sarcoidosis, vasculitis, and diffuse lung diseases : official journal of WASOG · 2021
    Article
  10. Article
  11. Article
  12. Physiology of the lung in idiopathic pulmonary fibrosis.European respiratory review : an official journal of the European Respiratory Society · 2018
    Review
  13. Debunking myths in pulmonary function testing.Canadian journal of respiratory therapy : CJRT = Revue canadienne de la therapie respiratoire : RCTR · 2017
    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

7 authors at 4 institutions in 1 country.

Jean PastreUniversité Paris Descartes, Sorbonne Paris Cité and AP-HP, Service de Pneumologie, Hôpital Européen Georges Pompidou, Paris, France. jean.pastre@egp.aphp.fr.
Laurent PlantierUniversité Paris Diderot, Sorbonne Paris Cité and AP-HP, Service de Physiologie, Hôpital Bichat-Claude Bernard, Paris, France. laurent.plantier@aphp.fr.
Carole PlanesUniversité Paris 13, Sorbonne Paris Cité and AP-HP, Service de Physiologie, Hôpital Avicenne, Bobigny, France. carole.planes@aphp.fr.
Raphaël BorieUniversité Paris Descartes, Sorbonne Paris Cité and AP-HP, Service de Pneumologie, Hôpital Bichat-Claude Bernard, Paris, France. raphael.borie@aphp.fr.
Hilario NunesUniversité Paris 13, Sorbonne Paris Cité and AP-HP, Service de Pneumologie, Hôpital Avicenne, Bobigny, France. hilario.nunes@aphp.fr.
Christophe DelclauxUniversité Paris Descartes, Sorbonne Paris Cité and AP-HP, Service de Physiologie, Hôpital Européen Georges Pompidou, Paris, France. christophe.delclaux@egp.aphp.fr.
Dominique Israël-BietUniversité Paris Descartes, Sorbonne Paris Cité and AP-HP, Service de Pneumologie, Hôpital Européen Georges Pompidou, Paris, France. dominique.israel-biet@egp.aphp.fr.
Sorbonne Paris Cité · FRAssistance Publique – Hôpitaux de Paris · FRHôpital Européen Georges-Pompidou · FRUniversité Paris Cité · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDLCO is the product of the CO transfer coefficient (KCO) by the "accessible" alveolar volume (VA). In theory, the same DLCO may result from various combinations of KCO and VA values, each of which reflect different injury sites and mechanisms. We sought to determine in this study the potential variability of both VA and KCO for fixed values of DLCO in diffuse parenchymal lung diseases (DPLD).

methodsTo this end, we designed a retrospective, cross-sectional study of three distinct types of DPLD and analysed pulmonary function test (PFT) datasets.

resultsWe show here that for the same value of DLCO (50% predicted), KCO varied from 60 to 95% predicted and VA from 55 to 85% predicted in various types of DPLD idiopathic pulmonary fibrosis, sarcoidosis and connective tissue disease-associated DPLD, indicating distinct pathogenic mechanisms in these diseases. In addition, a comparison of VA with total lung capacity may help to evidence the distal airway obstruction sometimes associated with certain DPLD particularly sarcoidosis.

conclusionClinicians should take into account not only DLCO but also VA and KCO values when managing patients with DPLD.

Indexed as

AgedAirway ObstructionCarbon MonoxideCross-Sectional StudiesFemaleHumansLungLung Diseases, InterstitialMaleMiddle AgedPulmonary Diffusing CapacityRetrospective StudiesTotal Lung CapacityCarbon Monoxide

Identifiers

PMID26334728
PMCPMC4557311
OpenAlexW2121514509

What OpenQuestion holds

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LicenceCC BY
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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.