Evidence map›Paper›PMID 27980401›Full record

ReviewInternational journal of chronic obstructive pulmonary disease2016

Effects of aclidinium on determinants of COPD severity: symptoms and quality of life.

Marco Contoli, Paolo Solidoro, Fabiano Di Marco, Nicola Scichilone, Angelo Corsico, Fulvio Braido, Pierachille Santus

Abstract readReview
In one paragraph

Review 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. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Review
  2. Observational
  3. Day and Night Control of COPD and Role of Pharmacotherapy: A Review.International journal of chronic obstructive pulmonary disease · 2020
    Review
  4. 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

7 authors.

Marco ContoliResearch Centre on Asthma and COPD, Department of Medical Sciences, University of Ferrara, Ferrara, Italy.
Paolo SolidoroCardiovascular and Thoracic Department, Città della Salute, Turin, Italy.
Fabiano Di MarcoDepartment of Health Sciences, University of Milan, Milan, Italy; Respiratory Unit, San Paolo Hospital, Milan, Italy.
Nicola ScichiloneDepartment of Internal Medicine, Section of Pulmonology (DIBIMIS), University of Palermo, Palermo, Italy.
Angelo CorsicoDepartment of Molecular Medicine, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.
Fulvio BraidoAllergy and Respiratory Diseases Clinic, DIMI, University of Genoa, IRCS AOU San Martino-IST, Genoa, Italy.
Pierachille SantusRespiratory Unit, San Paolo Hospital, Milan, Italy; Pulmonary Rehabilitation Unit, Fondazione Salvatore Maugeri, Scientific Institute of Milan-IRCCS, Milan, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The pathophysiology of chronic obstructive pulmonary disease (COPD) includes persistent airflow limitation, altered gas exchange, and enhanced chronic inflammatory response. According to disease severity in individual patients, exacerbations and comorbidities frequently occur. The overall nocturnal and daily symptoms have a strong impact on patient quality of life and clinical outcomes. Bronchodilators, by targeting two important aspects of COPD pathophysiology, ie, bronchoconstriction and lung hyperinflation, are the mainstay of therapy for COPD. Aclidinium bromide in particular is an anticholinergic molecule, approved for maintenance bronchodilator treatment of stable COPD, that combines high antimuscarinic activity with strong kinetic selectivity for the M3 receptor subtype. Moreover, the elevated plasma clearance of aclidinium has been related to low systemic bioavailability and low incidence of anticholinergic adverse events, whereas the reduced residence time at M2 receptors provides good cardiovascular safety. Altogether, these characteristics result in a high safety and tolerability profile. This review aims to reappraise the contribution of symptoms and of the level of quality of life determinants on COPD severity and to evaluate how therapeutic strategies with aclidinium may positively impact on these specific determinants of disease severity.

Indexed as

Quality of LifeBronchoconstrictionBronchodilator AgentsHumansLungMuscarinic AntagonistsPulmonary Disease, Chronic ObstructiveRecovery of FunctionSeverity of Illness IndexTime FactorsTreatment OutcomeTropanesaclidinium bromideBronchodilator AgentsMuscarinic AntagonistsTropanesaclidiniumCOPDdaily symptomsLAMAquality of life

Identifiers

PMID27980401
PMCPMC5147412

What OpenQuestion holds

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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.