Evidence map›Paper›PMID 27695310›Full record

ArticleInternational journal of chronic obstructive pulmonary disease2016

Prevalence of comorbidities according to predominant phenotype and severity of chronic obstructive pulmonary disease.

Gianna Camiciottoli, Francesca Bigazzi, Chiara Magni, Viola Bonti, Stefano Diciotti, Maurizio Bartolucci, Mario Mascalchi, Massimo Pistolesi

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in International journal of chronic obstructive pulmonary disease, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03611699 (Static Lung Hyperinflation and Sympathetic Nerve Activity-Associated Large Artery Stiffness in COPD Patients), which is not on this map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
7.2field-weighted citation impact, top 2% 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.

NCT03611699 phase4completednot on this mapstarted 2019, after this paper: background citation

Static Lung Hyperinflation and Sympathetic Nerve Activity-Associated Large Artery Stiffness in COPD Patients

TypeinterventionalSponsorGary L. PierceRan2019 to 2020Enrolled15ConditionsCOPDArmsUmeclidinium / Vilanterol Dry Powder Inhaler, Placebo
3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 56 citations in OpenAlex.

  1. The Disproportionate Burden of Cardiovascular Disease in Mild-to-Moderate COPD.International journal of chronic obstructive pulmonary disease · 2026
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  2. Review
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  6. Article
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  11. Review
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  15. Article
  16. Increased rate of osteoporosis, low lean mass, and fragility fractures in COPD patients: association with disease severity.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2018
    Article
  17. Article
  18. Review
  19. Article
  20. The relationship between sleep disturbance and health status in patients with COPD.International journal of chronic obstructive pulmonary disease · 2018
    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

8 authors at 2 institutions in 1 country.

Gianna CamiciottoliSection of Respiratory Medicine, Department of Clinical and Experimental Medicine; Department of Clinical and Experimental Biomedical Sciences, University of Florence, Florence.
Francesca BigazziSection of Respiratory Medicine, Department of Clinical and Experimental Medicine.
Chiara MagniSection of Respiratory Medicine, Department of Clinical and Experimental Medicine.
Viola BontiSection of Respiratory Medicine, Department of Clinical and Experimental Medicine.
Stefano DiciottiDepartment of Electrical, Electronic, and Information Engineering "Guglielmo Marconi," University of Bologna, Cesena.
Maurizio BartolucciDepartment of Diagnostic Imaging, Careggi University Hospital.
Mario MascalchiRadiodiagnostic Section, Department of Clinical and Experimental Biomedical Sciences, University of Florence, Florence, Italy.
Massimo PistolesiSection of Respiratory Medicine, Department of Clinical and Experimental Medicine.
University of Florence · ITLaboratori Guglielmo Marconi (Italy) · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn addition to lung involvement, several other diseases and syndromes coexist in patients with chronic obstructive pulmonary disease (COPD). Our purpose was to investigate the prevalence of idiopathic arterial hypertension (IAH), ischemic heart disease, heart failure, peripheral vascular disease (PVD), diabetes, osteoporosis, and anxious depressive syndrome in a clinical setting of COPD outpatients whose phenotypes (predominant airway disease and predominant emphysema) and severity (mild and severe diseases) were determined by clinical and functional parameters.

methodsA total of 412 outpatients with COPD were assigned either a predominant airway disease or a predominant emphysema phenotype of mild or severe degree according to predictive models based on pulmonary functions (forced expiratory volume in 1 second/vital capacity; total lung capacity %; functional residual capacity %; and diffusing capacity of lung for carbon monoxide %) and sputum characteristics. Comorbidities were assessed by objective medical records.

resultsEighty-four percent of patients suffered from at least one comorbidity and 75% from at least one cardiovascular comorbidity, with IAH and PVD being the most prevalent ones (62% and 28%, respectively). IAH prevailed significantly in predominant airway disease, osteoporosis prevailed significantly in predominant emphysema, and ischemic heart disease and PVD prevailed in mild COPD. All cardiovascular comorbidities prevailed significantly in predominant airway phenotype of COPD and mild COPD severity.

conclusionSpecific comorbidities prevail in different phenotypes of COPD; this fact may be relevant to identify patients at risk for specific, phenotype-related comorbidities. The highest prevalence of comorbidities in patients with mild disease indicates that these patients should be investigated for coexisting diseases or syndromes even in the less severe, pauci-symptomatic stages of COPD. The simple method employed to phenotype and score COPD allows these results to be translated easily into daily clinical practice.

Indexed as

AgedComorbidityFemaleHumansItalyLungMaleMiddle AgedPhenotypePrevalencePulmonary Disease, Chronic ObstructivePulmonary EmphysemaRetrospective StudiesRisk FactorsSeverity of Illness IndexcomorbiditiesCOPD phenotypesCOPD severity

Identifiers

PMID27695310
PMCPMC5028079
OpenAlexW2520221865

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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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.