Evidence map›Paper›PMID 28479113›Full record

ArticleChest2017

Pharmacotherapy for Non-Cystic Fibrosis Bronchiectasis: Results From an NTM Info & Research Patient Survey and the Bronchiectasis and NTM Research Registry.

Emily Henkle, Timothy R Aksamit, Alan F Barker, Jeffrey R Curtis, Charles L Daley, M Leigh Anne Daniels, Angela DiMango, Edward Eden, Kevin Fennelly, David E Griffith and 16 more

Open access · greenAbstract readMulticenter Study
In one paragraph

Article in Chest, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
5.5field-weighted citation impact, top 4% 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.

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

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 47 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Epidemiology of bronchiectasis.European respiratory review : an official journal of the European Respiratory Society · 2024
    Review
  4. EMBARCing on a new era for bronchiectasis: a review series for the Seventh World Bronchiectasis Conference.European respiratory review : an official journal of the European Respiratory Society · 2024
    Article
  5. The COPD Foundation on Its Twentieth Anniversary.Chronic obstructive pulmonary diseases (Miami, Fla.) · 2024
    Article
  6. Article
  7. Review
  8. Article
  9. Observational
  10. Article
  11. Article
  12. Nutrition and Markers of Disease Severity in Patients With Bronchiectasis.Chronic obstructive pulmonary diseases (Miami, Fla.) · 2020
    Article
  13. Review
  14. Article
  15. Non-Cystic Fibrosis Bronchiectasis: Microbiology, Clinical Outcomes, and Pharmacotherapy Practices.American journal of respiratory and critical care medicine · 2019
    Article
  16. Review
  17. Article
  18. Medical management of bronchiectasis.Journal of thoracic disease · 2018
    Review
  19. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

26 authors at 18 institutions in 1 country.

Emily HenkleOHSU-PSU School of Public Health, Portland, OR. Electronic address: emhenkle@gmail.com.
Timothy R AksamitDivision of Pulmonary and Critical Care Medicine, Mayo Clinic, Rochester, MN.
Alan F BarkerDivision of Pulmonology and Critical Care, Department of Medicine, Oregon Health & Science University, Portland, OR.
Jeffrey R CurtisDivision of Clinical Immunology and Rheumatology, University of Alabama at Birmingham, Birmingham AL.
Charles L DaleyDivision of Mycobacterial and Respiratory Infections, National Jewish Health, Denver, CO.
M Leigh Anne DanielsDepartment of Medicine and the Marsico Lung Institute, and UNC Center for Bronchiectasis Care, University of North Carolina at Chapel Hill, Chapel Hill, NC.
Angela DiMangoCenter for Chest Disease, Columbia College of Physicians and Surgeons, New York, NY.
Edward EdenIcahn School of Medicine, Mt. Sinai, NY.
Kevin FennellyPulmonary Clinical Medicine Section, National Heart Lung and Blood Institute, National Institutes of Health, Bethesda, MD.
David E GriffithPulmonary Infectious Disease Section, University of Texas Health Science Center Northesast, Tyler, TX.
Margaret JohnsonDivision of Pulmonary and Critical Care Medicine, Mayo Clinic Florida, Jacksonville, FL.
Michael R KnowlesDepartment of Medicine and the Marsico Lung Institute, and UNC Center for Bronchiectasis Care, University of North Carolina at Chapel Hill, Chapel Hill, NC.
Amy LeitmanNTM Info & Research, Coral Gables, FL.
Philip LeitmanNTM Info & Research, Coral Gables, FL.
Elisha MalangaCOPD Foundation, Washington, DC.
Mark L MeterskyDivision of Pulmonary and Critical Care Medicine, University of Connecticut School of Medicine, Farmington, CT.
Peadar G NooneDepartment of Medicine and the Marsico Lung Institute, and UNC Center for Bronchiectasis Care, University of North Carolina at Chapel Hill, Chapel Hill, NC.
Anne E O'DonnellDivision of Pulmonary, Critical Care, and Sleep Medicine, Georgetown University Hospital, Washington, DC.
Kenneth N OlivierPulmonary Clinical Medicine Section, National Heart Lung and Blood Institute, National Institutes of Health, Bethesda, MD.
Delia PrietoCOPD Foundation, Washington, DC.
Matthias SalatheDivision of Pulmonary and Critical Care Medicine, Miller School of Medicine, University of Miami, Miami, FL.
Byron ThomashowCenter for Chest Disease, Columbia College of Physicians and Surgeons, New York, NY.
Gregory TinoDepartment of Medicine, Penn Presbyterian Medical Center and Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.
Gerard TurinoIcahn School of Medicine, Mt. Sinai, NY.
Susan WisclennyNTM Info & Research, Coral Gables, FL.
Kevin L WinthropOHSU-PSU School of Public Health, Portland, OR; Division of Infectious Disease, Department of Medicine, Oregon Health & Science University, Portland, OR.
American Orchid Society · USColumbia University · USCOPD Foundation · USIcahn School of Medicine at Mount Sinai · USOregon Health & Science University · USUniversity of North Carolina at Chapel Hill · USGeorgetown University · USLung Institute · USMayo Clinic · USMayo Clinic in Florida · USNational Heart Lung and Blood Institute · USNational Institutes of Health · USThe University of Texas Health Science Center at Tyler · USUniversity of Alabama at Birmingham · USUniversity of Colorado Denver · USUniversity of Connecticut · USUniversity of Miami · USUniversity of Pennsylvania · US

Funding

Bronchiectasis and chronic airway infectionZIAHL006200 · NHLBI · NATIONAL HEART, LUNG, AND BLOOD INSTITUTE · PI FENNELLY, KEVIN · 2015 to 2025
$25.1M
6 · The paper itself

Abstract

backgroundNon-cystic fibrosis bronchiectasis ("bronchiectasis") is a chronic inflammatory lung disease often associated with nontuberculous mycobacteria (NTM) infection. Very little data exist to guide bronchiectasis management decisions. We sought to describe patterns of inhaled corticosteroid (ICS) and antibiotic therapy in the United States.

methodsWe invited 2,000 patients through NTM Info & Research (NTMir) to complete an anonymous electronic survey. We separately queried baseline clinical and laboratory data from the US Bronchiectasis and NTM Research Registry (BRR).

resultsAmong 511 NTMir survey responders with bronchiectasis, whose median age was 67 years, 85 (17%) reported asthma and 99 (19%) reported COPD. History of ICS use was reported by 282 (55%), 171 (61%) of whom were treated 1 year or longer, and 150 (53%) were currently taking ICSs. Fewer reported ever taking azithromycin for non-NTM bronchiectasis (203 responders [40%]) or inhaled tobramycin (78 responders [15%]). The median age of 1,912 BRR patients was 69 years; 528 (28%) had asthma and 360 (19%) had COPD. Among 740 patients (42%) without NTM, 314 were taking ICSs at baseline. Among patients without NTM who were taking ICSs, only 178 (57%) had a concurrent diagnosis of COPD or asthma that could explain ICS use. Fewer were taking suppressive macrolides (96 patients [13%]), and of the 70 patients (10%) taking inhaled suppressive antibiotics, 48 (68%) had chronic Pseudomonas aeruginosa infection.

conclusionsICS use was common in two national samples of patients with bronchiectasis, with relatively few patients taking suppressive antibiotic therapies. Further research is needed to clarify the safety and effectiveness of these therapies in patients with bronchiectasis.

Indexed as

RegistriesSurveys and QuestionnairesAdministration, InhalationAgedBiomedical ResearchBronchiBronchiectasisFemaleFibrosisGlucocorticoidsHumansIncidenceMacrolidesMaleMiddle AgedMycobacterium Infections, NontuberculousGlucocorticoidsMacrolidesbronchiectasisinhaled antibioticsinhaled corticosteroidsmacrolides

Identifiers

PMID28479113
PMCPMC6026272
OpenAlexW2610600568

What OpenQuestion holds

Textmetadata
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.