Evidence map›Paper›PMID 28123751›Full record

ArticleBMJ open respiratory research2017

Timing of hypertonic saline and airway clearance techniques in adults with cystic fibrosis during pulmonary exacerbation: pilot data from a randomised crossover study.

Katherine O'Neill, Fidelma Moran, Michael M Tunney, J Stuart Elborn, Ian Bradbury, Damian G Downey, Jackie Rendall, Judy M Bradley

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in BMJ open respiratory research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01753869 (Timing of Hypertonic Saline Inhalation Relative to Airways Clearance in Cystic Fibrosis), which is not on this map. Cited by 10 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 6 pooled it
2.5field-weighted citation impact, top 11% 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.

NCT01753869 naterminatednot on this map

Timing of Hypertonic Saline Inhalation Relative to Airways Clearance in Cystic Fibrosis

TypeinterventionalSponsorBelfast Health and Social Care TrustRan2012 to 2016Enrolled14ConditionsCystic FibrosisArmsAirways clearance and Hypertonic saline inhalation
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 6 syntheses or guidelines pooled it, 26 citations in OpenAlex.

  1. Nebulised hypertonic saline for cystic fibrosis.The Cochrane database of systematic reviews · 2023
    Pooled it
  2. Active cycle of breathing technique for cystic fibrosis.The Cochrane database of systematic reviews · 2023
    Pooled it
  3. Oscillating devices for airway clearance in people with cystic fibrosis.The Cochrane database of systematic reviews · 2020
    Pooled it
  4. Timing of hypertonic saline inhalation for cystic fibrosis.The Cochrane database of systematic reviews · 2020
    Pooled it
  5. Nebulised hypertonic saline for cystic fibrosis.The Cochrane database of systematic reviews · 2018
    Pooled it
  6. Oscillating devices for airway clearance in people with cystic fibrosis.The Cochrane database of systematic reviews · 2017
    Pooled it
  7. Trial
  8. Trial
  9. Article
  10. 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

8 authors at 4 institutions in 1 country.

Katherine O'NeillCentre for Experimental Medicine, Queen's University Belfast , Belfast , UK.
Fidelma MoranSchool of Health Sciences, Ulster University , Jordanstown , UK.
Michael M TunneySchool of Pharmacy, Queen's University Belfast , Belfast , UK.
J Stuart ElbornCentre for Experimental Medicine, Queen's University Belfast , Belfast , UK.
Ian BradburyFrontier Science (Scotland) Ltd , Scotland , UK.
Damian G DowneyBelfast Health and Social Care Trust , Belfast , UK.
Jackie RendallBelfast Health and Social Care Trust , Belfast , UK.
Judy M BradleyClinical Research Facility, Queen's University Belfast , Belfast , UK.
Queen's University Belfast · GBBelfast Health and Social Care Trust · GBFrontier Agriculture (United Kingdom) · GBUniversity of Ulster · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundStreamlining the timing of treatments in cystic fibrosis (CF) is important to optimise adherence while ensuring efficacy. The optimal timing of treatment with hypertonic saline (HTS) and airway clearance techniques (ACT) is unknown.

objectivesThis study hypothesised that HTS before ACT would be more effective than HTS during ACT as measured by Lung Clearance Index (LCI).

methodsAdults with CF providing written informed consent were randomised to a crossover trial of HTS before ACT or HTS during ACT on consecutive days. ACT treatment consisted of Acapella Duet. Patients completed LCI and spirometry at baseline and 90 min post treatment. Mean difference (MD) and 95% CIs were reported.

results13 subjects completed the study (mean (SD) age 33 (12) years, forced expiratory volume in 1second % (FEV

conclusionsIn this pilot study, HTS before ACT was no more effective than HTS during ACT as measured by LCI. TRIAL REGISTRATION NUMBER: NCT01753869; Pre-results.

Indexed as

Cystic FibrosisRespiratory Measurement

Identifiers

PMID28123751
PMCPMC5253607
OpenAlexW2576583770

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.