Evidence map›Paper›PMID 27089018›Full record

ArticleAmerican journal of respiratory and critical care medicine2016

Daily Home Spirometry: An Effective Tool for Detecting Progression in Idiopathic Pulmonary Fibrosis.

Anne-Marie Russell, Huzaifa Adamali, Philip L Molyneaux, Pauline T Lukey, Richard P Marshall, Elisabetta A Renzoni, Athol U Wells, Toby M Maher

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in American journal of respiratory and critical care medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07673237 (Remote Evaluation and Surveillance of Patients With Interstitial Lung Disease), which is not on this map. Cited by 100 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
100citing papers in PubMed, 2 pooled it
15.4field-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.

NCT07673237 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

Remote Evaluation and Surveillance of Patients With Interstitial Lung Disease: Transforming ILD Care Delivery With Remote Monitoring

TypeinterventionalSponsorUniversity of California, San FranciscoRan2026 to 2028Enrolled200ConditionsFibrotic Interstitial Lung Disease, IPF and PPF, Lung Fibrosis InterstitialArmsHome Monitoring in Patients with f-ILD
3 · Its place in the literature

Who cites it

100 citing papers in PubMed, 2 syntheses or guidelines pooled it, 187 citations in OpenAlex.

  1. Unsupervised home spirometryEuropean respiratory review : an official journal of the European Respiratory Society · 2023
    Pooled it
  2. Prognosis of idiopathic pulmonary fibrosis without anti-fibrotic therapy: a systematic review.European respiratory review : an official journal of the European Respiratory Society · 2020
    Pooled it
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40 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Anne-Marie Russell1 National Institute for Health Research Biomedical Research Unit, Royal Brompton Hospital, London, United Kingdom.
Huzaifa Adamali3 Bristol Interstitial Lung Disease Service, North Bristol Lung Centre, Southmead Hospital, Westbury-on-Trym, United Kingdom; and.
Philip L Molyneaux1 National Institute for Health Research Biomedical Research Unit, Royal Brompton Hospital, London, United Kingdom.
Pauline T Lukey4 Fibrosis and Lung Injury DPU, GlaxoSmithKline R&D, Stevenage, Herts, United Kingdom.
Richard P Marshall4 Fibrosis and Lung Injury DPU, GlaxoSmithKline R&D, Stevenage, Herts, United Kingdom.
Elisabetta A Renzoni1 National Institute for Health Research Biomedical Research Unit, Royal Brompton Hospital, London, United Kingdom.
Athol U Wells1 National Institute for Health Research Biomedical Research Unit, Royal Brompton Hospital, London, United Kingdom.
Toby M Maher1 National Institute for Health Research Biomedical Research Unit, Royal Brompton Hospital, London, United Kingdom.ORCID 0000-0001-7192-9149
National Institute for Health Research · GBGlaxoSmithKline (United Kingdom) · GBSouthmead Hospital · GB

Funding

Department of Health CDRF-2012-03-053Department of Health PB-PG-0712-28073HSRD VA CDA 13-017Versus Arthritis 20719
6 · The paper itself

Abstract

rationaleRecent clinical trial successes have created an urgent need for earlier and more sensitive endpoints of disease progression in idiopathic pulmonary fibrosis (IPF). Domiciliary spirometry permits more frequent measurement of FVC than does hospital-based assessment, which therefore affords the opportunity for a more granular insight into changes in IPF progression.

objectivesTo determine the feasibility and reliability of measuring daily FVC in individuals with IPF.

methodsSubjects with IPF were given handheld spirometers and instruction on how to self-administer spirometry. Subjects recorded daily FEV MEASUREMENTS AND MAIN

resultsDaily spirometry was recorded by 50 subjects for a median period of 279 days (range, 13-490 d). There were 18 deaths during the active study period. Home spirometry showed excellent correlation with hospital-obtained readings. The rate of decline in FVC was highly predictive of outcome and subsequent mortality when measured at 3 months (hazard ratio [HR], 1.040; 95% confidence interval [CI], 1.021-1.062; P ≤ 0.001), 6 months (HR, 1.024; 95% CI, 1.014-1.033; P < 0.001), and 12 months (HR, 1.012; 95% CI, 1.007-1.016; P = 0.001).

conclusionsMeasurement of daily home spirometry in patients with IPF is highly clinically informative and is feasible to perform for most of these patients. The relationship between mortality and rate of change of FVC at 3 months suggests that daily FVC may be of value as a primary endpoint in short proof-of-concept IPF studies.

Indexed as

AgedDisease ProgressionFemaleHumansIdiopathic Pulmonary FibrosisMaleProportional Hazards ModelsSelf CareSpirometryTime FactorsVital Capacitybiomarkerclinical trialsinterstitial lung diseasepersonalized medicine

Identifiers

PMID27089018
PMCPMC5067818
OpenAlexW2336917368

What OpenQuestion holds

Textmetadata
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.