Evidence map›Paper›PMID 27956645›Full record

SynthesisChronic respiratory disease2017

Amino terminal pro brain natriuretic peptide predicts all-cause mortality in patients with chronic obstructive pulmonary disease: Systematic review and meta-analysis.

Rita Pavasini, Guido Tavazzi, Simone Biscaglia, Federico Guerra, Alessandro Pecoraro, Fatima Zaraket, Francesco Gallo, Giosafat Spitaleri, Marco Contoli, Roberto Ferrari and 1 more

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Chronic respiratory disease, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 2 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.

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

29 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. NT-proBNP in Different Patient Groups of COPD: A Systematic Review and Meta-Analysis.International journal of chronic obstructive pulmonary disease · 2023
    Pooled it
  2. Natriuretic peptides in bronchopulmonary dysplasia: a systematic review.Journal of perinatology : official journal of the California Perinatal Association · 2020
    Pooled it
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  18. Management of the COPD Patient with Comorbidities: An Experts Recommendation Document.International journal of chronic obstructive pulmonary disease · 2020
    Article
  19. Insights into Chronic Obstructive Pulmonary Disease as Critical Risk Factor for Cardiovascular Disease.International journal of chronic obstructive pulmonary disease · 2020
    Review
  20. 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

11 authors.

Rita Pavasini1 Cardiology Unit, Azienda Ospedaliero-Universitaria S.Anna, Cona (FE), Italy.
Guido Tavazzi2 Department of Anesthesia, Intensive Care and Pain Therapy, University of Pavia, Italy.
Simone Biscaglia1 Cardiology Unit, Azienda Ospedaliero-Universitaria S.Anna, Cona (FE), Italy.
Federico Guerra4 Cardiology and Arrhythmology Clinic, Marche Polytechnic, University of Ancona, Ancona, Italy.
Alessandro Pecoraro1 Cardiology Unit, Azienda Ospedaliero-Universitaria S.Anna, Cona (FE), Italy.
Fatima Zaraket1 Cardiology Unit, Azienda Ospedaliero-Universitaria S.Anna, Cona (FE), Italy.
Francesco Gallo1 Cardiology Unit, Azienda Ospedaliero-Universitaria S.Anna, Cona (FE), Italy.
Giosafat Spitaleri1 Cardiology Unit, Azienda Ospedaliero-Universitaria S.Anna, Cona (FE), Italy.
Marco Contoli5 Research Centre on Asthma and COPD, Section of Internal and Cardio-Respiratory Medicine, University of Ferrara, Ferrara, Italy.
Roberto Ferrari1 Cardiology Unit, Azienda Ospedaliero-Universitaria S.Anna, Cona (FE), Italy.
Gianluca Campo1 Cardiology Unit, Azienda Ospedaliero-Universitaria S.Anna, Cona (FE), Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Natriuretic peptides (NPs) are a family of prognostic biomarkers in patients with heart failure (HF). HF is one of the most frequent comorbidities in patients with chronic obstructive pulmonary disease (COPD). However, the prognostic role of NP in COPD patients remains unclear. The aim of this meta-analysis was to evaluate the relation between NP and all-cause mortality in COPD patients. We performed a systematic review and meta-analysis of observational studies assessing prognostic implications of elevated NP levels on all-cause mortality in COPD patients. Nine studies were considered for qualitative analysis for a total of 2788 patients. Only two studies focused on Mid Regional-pro Atrial Natriuretic Peptide (MR-proANP) and brain natriuretic peptide (BNP), respectively, but seven studies focused on pro-BNP (NT-proBNP) and were included in the quantitative analysis. Elevated NT-proBNP values were related to increased risk of all-cause mortality in COPD patients both with and without exacerbation (hazard ratio (HR): 2.87, p < 0.0001 and HR: 3.34, p = 0.04, respectively). The results were confirmed also after meta-regression analysis for confounding factors (previous cardiovascular history, hypertension, HF, forced expiratory volume at 1 second and mean age). NT-proBNP may be considered a reliable predictive biomarker of poor prognosis in patients with COPD.

Indexed as

Cause of DeathBiomarkersHumansNatriuretic Peptide, BrainPeptide FragmentsPredictive Value of TestsPrognosisPulmonary Disease, Chronic ObstructiveBiomarkersNatriuretic Peptide, BrainPeptide Fragmentspro-brain natriuretic peptide (1-76)Chronic obstructive pulmonary diseaseexacerbationmortalityNT-proBNPoutcome

Identifiers

PMID27956645
PMCPMC5720220

What OpenQuestion holds

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LicenceCC BY-NC
Read underepoch 390

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.