Evidence map›Paper›PMID 27040103›Full record

ArticleIntensive care medicine2016

Personalized medicine for ARDS: the 2035 research agenda.

Jeremy R Beitler, Ewan C Goligher, Matthieu Schmidt, Peter M Spieth, Alberto Zanella, Ignacio Martin-Loeches, Carolyn S Calfee, Alexandre B Cavalcanti, ARDSne(x)t Investigators

Abstract read
In one paragraph

Article in Intensive care medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 49 papers.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed
–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

49 citing papers in PubMed.

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  7. Study on subtyping and Traditional Chinese Medicine treatment of depression based on machine learning and text mining.Journal of traditional Chinese medicine = Chung i tsa chih ying wen pan · 2025
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  15. Endotyping in ARDS: one step forward in precision medicine.European journal of medical research · 2024
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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

9 authors.

Jeremy R BeitlerDivision of Pulmonary and Critical Care Medicine, University of California, San Diego, 200 West Arbor Drive, #8409, San Diego, CA, 92103, USA. jbeitler@ucsd.edu.
Ewan C GoligherInterdepartmental Division of Critical Care Medicine, Department of Physiology, University of Toronto, Toronto, Canada.
Matthieu SchmidtService de Réanimation Médicale, iCAN, Institute of Cardiometabolism and Nutrition, Hôpital de la Pitié-Salpêtrière, Paris, France.
Peter M SpiethDepartment of Anesthesiology and Critical Care Medicine, University Hospital Carl Gustav Carus, Technische Universität Dresden, Dresden, Germany.
Alberto ZanellaDipartimento di Anestesia, Rianimazione ed Emergenza Urgenza, Fondazione IRCCS Ca' Granda - Ospedale Maggiore Policlinico, Milan, Italy.
Ignacio Martin-LoechesMultidisciplinary Intensive Care Research Organization (MICRO), Wellcome Trust - HRB Clinical Research, Department of Clinical Medicine, Trinity Centre for Health Sciences, St James's University Hospital, Dublin, Ireland.
Carolyn S CalfeeDivision of Pulmonary and Critical Care Medicine and Cardiovascular Research Institute, Departments of Medicine and Anesthesia, University of California, San Francisco, San Francisco, CA, USA.
Alexandre B CavalcantiResearch Institute, HCor, Hospital do Coração, São Paulo, Brazil.
ARDSne(x)t Investigators

Funding

Molecular Endotypes of ARDS: Identification, Biology, and Differential Response to TherapyR01HL131621 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI CALFEE, CAROLYN · 2016 to 2017
$806k
NHLBI NIH HHS L30 HL129438NHLBI NIH HHS R01 HL131621
6 · The paper itself

Abstract

In the last 20 years, survival among patients with acute respiratory distress syndrome (ARDS) has increased substantially with advances in lung-protective ventilation and resuscitation. Building on this success, personalizing mechanical ventilation to patient-specific physiology for enhanced lung protection will be a top research priority for the years ahead. However, the ARDS research agenda must be broader in scope. Further understanding of the heterogeneous biology, from molecular to mechanical, underlying early ARDS pathogenesis is essential to inform therapeutic discovery and tailor treatment and prevention strategies to the individual patient. The ARDSne(x)t research agenda for the next 20 years calls for bringing personalized medicine to ARDS, asking simultaneously both whether a treatment affords clinically meaningful benefit and for whom. This expanded scope necessitates standard acquisition of highly granular biological, physiological, and clinical data across studies to identify biologically distinct subgroups that may respond differently to a given intervention. Clinical trials will need to consider enrichment strategies and incorporate long-term functional outcomes. Tremendous investment in research infrastructure and global collaboration will be vital to fulfilling this agenda.

Indexed as

Biomedical ResearchPrecision MedicineClinical Trials as TopicDecision MakingForecastingHumansRespiration, ArtificialRespiratory Distress SyndromeAcute lung injuryAcute respiratory distress syndromeClinical trialsPositive-pressure respirationRespiratory mechanicsVentilator-induced lung injury

Identifiers

PMID27040103
PMCPMC4850840

What OpenQuestion holds

Textmetadata
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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.