Evidence map›Paper›PMID 27698560›Full record

SynthesisInternational journal of chronic obstructive pulmonary disease2016

The effect of domiciliary noninvasive ventilation on clinical outcomes in stable and recently hospitalized patients with COPD: a systematic review and meta-analysis.

Janine Dretzke, David Moore, Chirag Dave, Rahul Mukherjee, Malcolm J Price, Sue Bayliss, Xiaoying Wu, Rachel E Jordan, Alice M Turner

2 registry-linked trialsAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis 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 2 registered trials, which are not on this map. Cited by 21 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 5 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.

NCT03584269 naterminatednot on this mapstarted 2018, after this paper: background citation

Non Invasive Ventilation and Nocturnal Alveolar Hypoventilation in Patients With Chronic Obstructive Pulmonary Disease (COPD) Treated by Long Term Oxygen Therapy at Home

TypeinterventionalSponsorUniversity Hospital, GrenobleRan2018 to 2019Enrolled45ConditionsChronic Obstructive Pulmonary DiseaseArmsNIV Device + LTOT, LTOT
NCT05008211 nacompletednot on this mapstarted 2021, after this paper: background citation

Effectiveness of an Information-Motivation-Behavioral Skills Model-based Intervention on Adherence to Domiciliary Non-invasive Ventilation of Patients With Chronic Hypercapnic Respiratory Failure: A Randomized Controlled Study

TypeinterventionalSponsorThe University of Hong KongRan2021 to 2025Enrolled124ConditionsHypercapnic Respiratory Failure, Noninvasive VentilationArmsInformation-Motivation-Behavioral skills (IMB) model-based intervention, Control - usual care
3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Chronic non-invasive ventilation for chronic obstructive pulmonary disease.The Cochrane database of systematic reviews · 2021
    Pooled it
  4. Guideline
  5. Pooled it
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Home Non-Invasive Ventilation in COPD: A Global Systematic Review.Chronic obstructive pulmonary diseases (Miami, Fla.) · 2022
    Article
  13. Article
  14. Article
  15. Observational
  16. Article
  17. Article
  18. Review
  19. Article
  20. Review
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.

Janine DretzkeInstitute of Applied Health Research, College of Medical and Dental Sciences, University of Birmingham, Edgbaston.
David MooreInstitute of Applied Health Research, College of Medical and Dental Sciences, University of Birmingham, Edgbaston.
Chirag DaveHeart of England NHS Foundation Trust, Heartlands Hospital.
Rahul MukherjeeHeart of England NHS Foundation Trust, Heartlands Hospital.
Malcolm J PriceInstitute of Applied Health Research, College of Medical and Dental Sciences, University of Birmingham, Edgbaston.
Sue BaylissInstitute of Applied Health Research, College of Medical and Dental Sciences, University of Birmingham, Edgbaston.
Xiaoying WuInstitute of Applied Health Research, College of Medical and Dental Sciences, University of Birmingham, Edgbaston.
Rachel E JordanInstitute of Applied Health Research, College of Medical and Dental Sciences, University of Birmingham, Edgbaston.
Alice M TurnerHeart of England NHS Foundation Trust, Heartlands Hospital; Queen Elizabeth Hospital Research Laboratories, University of Birmingham, Edgbaston, Birmingham, UK.

Funding

Department of Health 11/27/01
6 · The paper itself

Abstract

introductionNoninvasive ventilation (NIV) improves survival among patients with hypercapnic respiratory failure in hospital, but evidence for its use in domiciliary settings is limited. A patient's underlying risk of having an exacerbation may affect any potential benefit that can be gained from domiciliary NIV. This is the first comprehensive systematic review to stratify patients based on a proxy for exacerbation risk: patients in a stable state and those immediately post-exacerbation hospitalization.

methodsA systematic review of nonrandomized and randomized controlled trials (RCTs) was undertaken in order to compare the relative effectiveness of different types of domiciliary NIV and usual care on hospital admissions, mortality, and health-related quality of life. Standard systematic review methods were used for identifying studies (until September 2014), quality appraisal, and synthesis. Data were presented in forest plots and pooled where appropriate using random-effects meta-analysis.

resultsThirty-one studies were included. For stable patients, there was no evidence of a survival benefit from NIV (relative risk [RR] 0.88 [0.55, 1.43],

conclusionThe effectiveness of domiciliary NIV remains uncertain; however, some patients may benefit. Further research is required to identify these patients and to explore the relevance of improvements in hypercapnia in influencing clinical outcomes. Optimum time points for commencing domiciliary NIV and equipment settings need to be established.

Indexed as

Home Care ServicesHospitalizationDisease ProgressionHumansHypercapniaLungNoninvasive VentilationPatient ReadmissionPulmonary Disease, Chronic ObstructiveQuality of LifeRisk FactorsTreatment OutcomeCOPDdomiciliaryhospitalizationmeta-analysisnoninvasive ventilationsystematic review

Identifiers

PMID27698560
PMCPMC5034919

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.