Evidence map›Paper›PMID 28482883›Full record

SynthesisRespiratory research2017

Rescue medication use as a patient-reported outcome in COPD: a systematic review and regression analysis.

Yogesh Suresh Punekar, Sheetal Sharma, Ankit Pahwa, Jitender Takyar, Ian Naya, Paul W Jones

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Respiratory research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
2.9field-weighted citation impact, top 9% 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

23 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.

  1. Pooled it
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  8. Short-acting βERJ open research · 2025
    Article
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  10. High use of short-acting βERJ open research · 2023
    Article
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  12. Comparative Effectiveness of Umeclidinium/Vilanterol versus Inhaled Corticosteroid/Long-Acting βInternational journal of chronic obstructive pulmonary disease · 2023
    Article
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  17. Observational
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  19. Review
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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

6 authors at 3 institutions in 2 countries.

Yogesh Suresh PunekarHealth Outcomes, ViiV Healthcare, 980 Great West Road, Brentford, Middlesex, TW8 9GS, UK. yogesh.q.punekar@gsk.com.
Sheetal SharmaPAREXEL® Access Consulting, PAREXEL® International, Chandigarh, India.
Ankit PahwaPAREXEL® Access Consulting, PAREXEL® International, Chandigarh, India.
Jitender TakyarPAREXEL® Access Consulting, PAREXEL® International, Chandigarh, India.
Ian NayaRespiratory Medical, GSK, Brentford, Middlesex, UK.
Paul W JonesInstitute of Infection and Immunity, St George's, University of London, London, UK.
PAREXEL International (India) · INSt George's, University of London · GBViiV Healthcare (United Kingdom) · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundReducing rescue medication use is a guideline-defined goal of asthma treatment, however, little is known about the validity of rescue medicine use as a marker of symptoms in chronic obstructive pulmonary disease (COPD). To improve patient outcomes, greater insight is needed into the relationship between rescue medication use and alternative COPD outcomes.

methodsA systematic search of electronic databases (Embase®, MEDLINE® and Cochrane CENTRAL) was conducted from database start to 26 May, 2015. Studies of bronchodilator therapy with a duration of ≥24 weeks were included if they reported either mean change from baseline (CFB) in rescue medication use in puffs/day or % rescue-free days (%RFD), and at least one other COPD endpoint. Correlation and meta-regression analyses were undertaken to test the association between rescue medication use and other COPD outcomes using weighted means (weights proportional to the sample size of the treatment group) and unweighted means (equal weight for each treatment group). Each association was assessed at 6 months and study end.

resultsForty-six studies involving 46,531 patients provided mean data from 145 treatment groups for evaluation. Changes in both measures of rescue medication use were correlated with changes in trough forced expiratory volume in one second ([FEV

conclusionThis analysis provides clear evidence of associations at a patient group level between rescue medication use and other clinically important COPD outcomes.

Indexed as

Proportional Hazards ModelsSelf ReportAdministration, InhalationAdultBiomarkersBronchodilator AgentsFemaleHumansMaleMiddle AgedPatient Reported Outcome MeasuresPrevalencePulmonary Disease, Chronic ObstructiveRegression AnalysisReproducibility of ResultsRisk FactorsBiomarkersBronchodilator AgentsCOPDInhaled corticosteroidLong-acting muscarinic antagonistLong-acting β2-agonistLung function outcomesPatient-reported outcomesRescue medication use

Identifiers

PMID28482883
PMCPMC5422957
OpenAlexW2613601294

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.