Evidence map›Paper›PMID 26666259›Full record

GuidelineThorax2016

US Cystic Fibrosis Foundation and European Cystic Fibrosis Society consensus recommendations for the management of non-tuberculous mycobacteria in individuals with cystic fibrosis.

R Andres Floto, Kenneth N Olivier, Lisa Saiman, Charles L Daley, Jean-Louis Herrmann, Jerry A Nick, Peadar G Noone, Diana Bilton, Paul Corris, Ronald L Gibson and 11 more

Registry-linked trialOpen access · hybridAbstract readConsensus StatementPractice Guideline
In one paragraph

Guideline in Thorax, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03339063 (The Italian Registry of Pulmonary Non-tuberculous Mycobacteria), which is not on this map. Cited by 219 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
219citing papers in PubMed, 4 pooled it
22.7field-weighted citation impact, top 1% 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.

NCT03339063 unknown statusnot on this mapstarted 2017, after this paper: background citation

The Italian Registry of Pulmonary Non-tuberculous Mycobacteria

Typeobservational_patient_registrySponsorFondazione IRCCS Ca' Granda, Ospedale Maggiore PoliclinicoRan2017 to 2022Enrolled500ConditionsNontuberculous Mycobacteria
3 · Its place in the literature

Who cites it

219 citing papers in PubMed, 4 syntheses or guidelines pooled it, 463 citations in OpenAlex.

  1. A systematic review of tetracyclines for nontuberculous mycobacteria: focus on rapidly growing mycobacteria.European respiratory review : an official journal of the European Respiratory Society · 2025
    Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Evaluation of the drug interaction between rifabutin and elexacaftor/tezacaftor/ivacaftor (ETI).Journal of cystic fibrosis : official journal of the European Cystic Fibrosis Society · 2026
    Trial
  6. Trial
  7. Trial
  8. Article
  9. Review
  10. Observational
  11. Article
  12. Article
  13. Article
  14. Physical compatibility of omadacycline with intravenous agents used in the treatment of Mycobacteroides abscessus pulmonary disease.American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists · 2026
    Article
  15. From colonisation to chronicity: adaptation ofMicrobiology (Reading, England) · 2026
    Article
  16. Article
  17. Article
  18. Article
  19. Phosphatidylserine liposomes forFrontiers in immunology · 2026
    Article
  20. Article

159 more citing papers are in PubMed but not listed here.

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

21 authors at 18 institutions in 5 countries.

R Andres FlotoCambridge Institute for Medical Research, University of Cambridge, Cambridge, UK Cambridge Centre for Lung Infection, Papworth Hospital, Cambridge, UK.ORCID http://orcid.org/0000-0002-2188-5659
Kenneth N OlivierCardiovascular and Pulmonary Branch, National Heart, Lung, and Blood Institute, NIH, Bethesda, Maryland, USA.
Lisa SaimanDepartment of Pediatrics, Columbia University Medical Center, Pediatric Infectious Diseases, New York, New York, USA.
Charles L DaleyDivision of Mycobacterial and Respiratory Infections, National Jewish Health, Denver, Colorado, USA.
Jean-Louis HerrmannINSERM U1173, UFR Simone Veil, Versailles-Saint-Quentin University, Saint-Quentin en Yvelines, France AP-HP, Service de Microbiologie, Hôpital Raymond Poincaré, Garches, France.
Jerry A NickDepartment of Medicine, National Jewish Health, Denver, Colorado, USA.
Peadar G NooneThe University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
Diana BiltonDepartment of Respiratory Medicine, Royal Brompton Hospital, London, UK.
Paul CorrisDepartment of Respiratory Medicine, Freeman Hospital, High Heaton, Newcastle, UK.
Ronald L GibsonDepartment of Pediatrics University of Washington School of Medicine, Seattle, Washington, USA.
Sarah E HempsteadThe Dartmouth Institute for Health Policy and Clinical Practice, Geisel School of Medicine at Dartmouth, Lebanon, New Hampshire, USA.
Karsten KoetzDepartment of Pediatrics, Sahlgrenska University Hospital, Gothenburg, Sweden.
Kathryn A SabadosaThe Dartmouth Institute for Health Policy and Clinical Practice, Geisel School of Medicine at Dartmouth, Lebanon, New Hampshire, USA.
Isabelle Sermet-GaudelusService de Pneumo-Pédiatrie, Université René Descartes, Hôpital Necker-Enfants Malades, Paris, France.
Alan R SmythDivision of Child Health, Obstetrics & Gynaecology, University of Nottingham, Nottingham, UK.
Jakko van IngenDepartment of Medical Microbiology, Radboud University Medical Center, Nijmegen, The Netherlands.
Richard J WallaceDepartment of Microbiology, University of Texas Health Science Center, Tyler, Texas, USA.
Kevin L WinthropOregon Health and Sciences University, Portland, Oregon, USA.
Bruce C MarshallCystic Fibrosis Foundation, Bethesda, Maryland, USA.
Charles S HaworthCambridge Centre for Lung Infection, Papworth Hospital, Cambridge, UK.
US Cystic Fibrosis Foundation and European Cystic Fibrosis Society
Dartmouth Institute for Health Policy and Clinical Practice · USNational Jewish Health · USColumbia University Irving Medical Center · USCystic Fibrosis Foundation · USFreeman Hospital · GBHôpital Necker-Enfants Malades · FRInserm · FRNational Heart Lung and Blood Institute · USOregon Health & Science University · USPapworth Hospital · GBRadboud University Nijmegen · NLRoyal Brompton Hospital · GBSahlgrenska University Hospital · SEThe University of Texas Health Science Center at Tyler · USUniversity of Cambridge · GBUniversity of North Carolina at Chapel Hill · USUniversity of Nottingham · GBUniversity of Washington · US

Funding

Bronchiectasis and chronic airway infectionZIAHL006200 · NHLBI · NATIONAL HEART, LUNG, AND BLOOD INSTITUTE · PI FENNELLY, KEVIN · 2015 to 2025
$25.1M
Intramural NIH HHSWellcome Trust
6 · The paper itself

Abstract

Non-tuberculous mycobacteria (NTM) are ubiquitous environmental organisms that can cause chronic pulmonary infection, particularly in individuals with pre-existing inflammatory lung disease such as cystic fibrosis (CF). Pulmonary disease caused by NTM has emerged as a major threat to the health of individuals with CF but remains difficult to diagnose and problematic to treat. In response to this challenge, the US Cystic Fibrosis Foundation (CFF) and the European Cystic Fibrosis Society (ECFS) convened an expert panel of specialists to develop consensus recommendations for the screening, investigation, diagnosis and management of NTM pulmonary disease in individuals with CF. Nineteen experts were invited to participate in the recommendation development process. Population, Intervention, Comparison, Outcome (PICO) methodology and systematic literature reviews were employed to inform draft recommendations. An anonymous voting process was used by the committee to reach consensus. All committee members were asked to rate each statement on a scale of: 0, completely disagree, to 9, completely agree; with 80% or more of scores between 7 and 9 being considered 'good' agreement. Additionally, the committee solicited feedback from the CF communities in the USA and Europe and considered the feedback in the development of the final recommendation statements. Three rounds of voting were conducted to achieve 80% consensus for each recommendation statement. Through this process, we have generated a series of pragmatic, evidence-based recommendations for the screening, investigation, diagnosis and treatment of NTM infection in individuals with CF as an initial step in optimising management for this challenging condition.

Indexed as

Nontuberculous MycobacteriaAnti-Bacterial AgentsCystic FibrosisEuropeHumansInjections, IntravenousMass ScreeningMycobacterium Infections, NontuberculousPneumonia, BacterialRisk FactorsSocieties, MedicalUnited StatesAnti-Bacterial AgentsBacterial InfectionCystic Fibrosis

Identifiers

PMID26666259
PMCPMC4717371
OpenAlexW4232928776

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.