Evidence map›Paper›PMID 26566790›Full record

ArticleLung2016

Utility of Exhaled Nitric Oxide Fraction for the Diagnosis of Hypersensitivity Pneumonitis.

I Ojanguren, M J Cruz, A Villar, M Barrecheguren, F Morell, X Muñoz

Abstract read
PubMed Publisher
In one paragraph

Article in Lung, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

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

  1. Pooled it
  2. The value of fractional exhaled nitric oxide in occupational diseases - a systematic review.Journal of occupational medicine and toxicology (London, England) · 2022
    Article
  3. OccupationERJ open research · 2020
    Article
  4. 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

6 authors.

I OjangurenRespiratory Service, Department of Medicine, Vall d'Hebron University Hospital, Autonomous University of Barcelona, Passeig Vall d'Hebron, 119, 08035, Barcelona, Catalonia, Spain.
M J CruzRespiratory Service, Department of Medicine, Vall d'Hebron University Hospital, Autonomous University of Barcelona, Passeig Vall d'Hebron, 119, 08035, Barcelona, Catalonia, Spain. mj.cruz@vhir.org.
A VillarRespiratory Service, Department of Medicine, Vall d'Hebron University Hospital, Autonomous University of Barcelona, Passeig Vall d'Hebron, 119, 08035, Barcelona, Catalonia, Spain.
M BarrechegurenRespiratory Service, Department of Medicine, Vall d'Hebron University Hospital, Autonomous University of Barcelona, Passeig Vall d'Hebron, 119, 08035, Barcelona, Catalonia, Spain.
F MorellRespiratory Service, Department of Medicine, Vall d'Hebron University Hospital, Autonomous University of Barcelona, Passeig Vall d'Hebron, 119, 08035, Barcelona, Catalonia, Spain.
X MuñozRespiratory Service, Department of Medicine, Vall d'Hebron University Hospital, Autonomous University of Barcelona, Passeig Vall d'Hebron, 119, 08035, Barcelona, Catalonia, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere is very little evidence of the utility of the exhaled fraction of NO (FeNO) for the diagnosis of interstitial lung disease and nearly all of it is related with connective tissue disease. Some authors have suggested that in patients with hypersensitivity pneumonitis (HP), evolution to pulmonary fibrosis may be mediated by a Th2 mechanism, which could redound in a potential utility of FeNO. The aim of this study was to investigate the values of FeNO before and after antigenic exposure with the specific inhalation challenge (SIC) and to analyze its potential utility for the diagnosis of HP.

methodsIt was a prospective, cross-sectional study of all patients older than 18 years referred to our center for suspected chronic HP between May 2012 and May 2014 and who underwent a SIC. FeNO was collected before and after SIC.

resultsThe study sample comprised 25 patients. Eleven were diagnosed with chronic HP; six had been exposed to avian proteins and five to fungal agents. Of these 11 patients, seven had positive SICs. In the 14 patients with diagnoses other than HP, all the SICs were negative. No significant differences in baseline characteristics were observed according to HP diagnosis, except in the BAL lymphocyte count. No differences were found after the test in patients diagnosed with HP; nor were there differences in baseline FeNO in patients diagnosed with HP and those who received alternative diagnoses.

conclusionsThe results suggest that FeNO measurement is not useful for the diagnosis of chronic HP.

Indexed as

AdultAgedAlveolitis, Extrinsic AllergicBird Fancier's LungBreath TestsBronchial Provocation TestsBronchoalveolar Lavage FluidCarbon MonoxideCross-Sectional StudiesFemaleHumansLymphocyte CountMaleMiddle AgedNitric OxideProspective StudiesCarbon MonoxideNitric OxideInflammationInterstitial lung diseasePulmonary fibrosisSpecific inhalation challenge

Identifiers

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.