Evidence map›Paper›PMID 28542286›Full record

ArticlePloS one2017

Clinical impact of chronic obstructive pulmonary disease on non-cystic fibrosis bronchiectasis. A study on 1,790 patients from the Spanish Bronchiectasis Historical Registry.

David De la Rosa, Miguel-Angel Martínez-Garcia, Rosa Maria Giron, Montserrat Vendrell, Casilda Olveira, Luis Borderias, Luis Maiz, Antoni Torres, Eva Martinez-Moragon, Olga Rajas and 3 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
2.7field-weighted citation impact, top 10% 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

11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 28 citations in OpenAlex.

  1. Pooled it
  2. A systematic literature review of the clinical and socioeconomic burden of bronchiectasis.European respiratory review : an official journal of the European Respiratory Society · 2024
    Pooled it
  3. The importance of symptoms in bronchiectasis.European respiratory review : an official journal of the European Respiratory Society · 2026
    Review
  4. Article
  5. Observational
  6. Article
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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

13 authors at 12 institutions in 1 country.

David De la RosaDepartment of Pneumology, Hospital Plató, Barcelona, Spain.ORCID http://orcid.org/0000-0003-0753-1771
Miguel-Angel Martínez-GarciaDepartment of Pneumology, Hospital de Requena, Valencia, Spain.
Rosa Maria GironDepartament of Pneumology, Instituto de Investigación Sanitaria, Hospital Universitario de la Princesa, Madrid, Spain.
Montserrat VendrellDepartment of Pneumology, Hospital Josep Trueta Biomedical Research Institute (IDIBGI), Girona, Spain.
Casilda OlveiraDepartment of Pneumology, Hospital Regional Universitario de Málaga, Instituto de Biomedicina de Málaga (IBIMA), Facultad de Medicina de Málaga, Spain.
Luis BorderiasDepartment of Pneumology, Hospital General San Jorge, Huesca, Spain.
Luis MaizDepartment of Pneumology, Hospital Ramón y Cajal, Madrid, Spain.
Antoni TorresRespiratory Institute, Hospital Clinic i Provincial, Barcelona, Spain.
Eva Martinez-MoragonDepartment of Pneumology, Hospital de Sagunto, Valencia, Spain.
Olga RajasDepartament of Pneumology, Instituto de Investigación Sanitaria, Hospital Universitario de la Princesa, Madrid, Spain.
Francisco CasasDepartment of Pneumology, Hospital Universitario San Cecilio, Granada, Spain.
Rosa CordovillaDepartment of Pneumology, Hospital Universitario de Salamanca, Salamanca, Spain.
Javier de GraciaDepartment of Pneumology, Hospital Universitari Vall d'Hebron, Barcelona, Spain.
Hospital Universitario de La Princesa · ESComplejo Hospitalario de Salamanca · ESHospital Arnau de Vilanova · ESHospital Clínic de Barcelona · ESHospital de Sagunto · ESHospital General San Jorge · ESHospital Plató · ESHospital Regional Universitario de Málaga · ESHospital Universitario Ramón y Cajal · ESInstitut d'Investigació Biomèdica de Girona · ESInstituto de Investigación Biosanitaria de Granada · ESVall d'Hebron Hospital Universitari · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFew studies have evaluated the coexistence of bronchiectasis (BE) and chronic obstructive pulmonary disease (COPD) in series of patients diagnosed primarily with BE. The aim of this study was to analyse the characteristics of patients with BE associated with COPD included in the Spanish Bronchiectasis Historical Registry and compare them to the remaining patients with non-cystic fibrosis BE.

methodsWe conducted a multicentre observational study of historical cohorts, analysing the characteristics of 1,790 patients who had been included in the registry between 2002 and 2011. Of these, 158 (8.8%) were registered as BE related to COPD and were compared to the remaining patients with BE of other aetiologies.

resultsPatients with COPD were mostly male, older, had a poorer respiratory function and more frequent exacerbations. There were no differences in the proportion of patients with chronic bronchial colonisation or in the isolated microorganisms. A significantly larger proportion of patients with COPD received treatment with bronchodilators, inhaled steroids and intravenous antibiotics, but there was no difference in the use of long term oral or inhaled antibiotherapy. During a follow-up period of 3.36 years, the overall proportion of deaths was 13.8%. When compared to the remaining aetiologies, patients with BE associated with COPD presented the highest mortality rate. The multivariate analysis showed that the diagnosis of COPD in a patient with BE as a primary diagnosis increased the risk of death by 1.77.

conclusionPatients with BE related to COPD have the same microbiological characteristics as patients with BE due to other aetiologies. They receive treatment with long term oral and inhaled antibiotics aimed at controlling chronic bronchial colonisation, even though the current COPD treatment guidelines do not envisage this type of therapy. These patients' mortality is notably higher than that of remaining patients with non-cystic fibrosis BE.

Indexed as

RegistriesAgedBronchiectasisFemaleHumansMaleMiddle AgedPulmonary Disease, Chronic ObstructiveRespirationSpainSurvival Analysis

Identifiers

PMID28542286
PMCPMC5436841
OpenAlexW2618695457

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.