Evidence map›Paper›PMID 28852826›Full record

Observational studyLung2017

Asymmetric Dimethylarginine Predicts Long-Term Outcome in Patients with Acute Exacerbation of Chronic Obstructive Pulmonary Disease.

Alaadin Vögeli, Manuel Ottiger, Marc A Meier, Christian Steuer, Luca Bernasconi, Andreas Huber, Mirjam Christ-Crain, Christoph Henzen, Claus Hoess, Robert Thomann and 3 more

Abstract readMulticenter StudyObservational Study
PubMed Publisher
In one paragraph

Observational study in Lung, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.8field-weighted citation impact, top 14% 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

8 citing papers in PubMed, 19 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Asymmetric Dimethylarginine in COPD Exacerbation.Sisli Etfal Hastanesi tip bulteni · 2022
    Article
  5. Review
  6. Article
  7. Article
  8. Article
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 6 institutions in 1 country.

Alaadin VögeliUniversity Department of Internal Medicine, Kantonsspital Aarau, Tellstrasse, Aarau, CH-5001, Switzerland.
Manuel OttigerUniversity Department of Internal Medicine, Kantonsspital Aarau, Tellstrasse, Aarau, CH-5001, Switzerland.
Marc A MeierUniversity Department of Internal Medicine, Kantonsspital Aarau, Tellstrasse, Aarau, CH-5001, Switzerland.
Christian SteuerDepartment of Laboratory Medicine, Kantonsspital, Aarau, Switzerland.
Luca BernasconiDepartment of Laboratory Medicine, Kantonsspital, Aarau, Switzerland.
Andreas HuberDepartment of Laboratory Medicine, Kantonsspital, Aarau, Switzerland.
Mirjam Christ-CrainEndocrinology, Diabetology and Metabolism, University Hospital Basel, Basel, Switzerland.
Christoph HenzenDepartment of Internal Medicine, Kantonsspital, Luzern, Switzerland.
Claus HoessDepartment of Internal Medicine, Kantonsspital, Münsterlingen, Switzerland.
Robert ThomannDepartment of Internal Medicine, Bürgerspital, Solothurn, Switzerland.
Werner ZimmerliUniversity Department of Internal Medicine, Kantonsspital, Baselland, Switzerland.
Beat MuellerUniversity Department of Internal Medicine, Kantonsspital Aarau, Tellstrasse, Aarau, CH-5001, Switzerland.
Philipp SchuetzUniversity Department of Internal Medicine, Kantonsspital Aarau, Tellstrasse, Aarau, CH-5001, Switzerland. schuetzph@gmail.com.
Kantonsspital Aarau · CHKantonsspital Baselland · CHKantonsspital Münsterlingen · CHLuzerner Kantonsspital · CHSolothurner Spitäler · CHUniversity Hospital of Basel · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionIn chronic obstructive pulmonary disease (COPD), there is an activation of the L-arginine nitric oxide pathway. Pulmonary obstruction causes to elevated nitric oxide (NO) levels, which lead to higher production of the NO-inhibiting metabolites asymmetric dimethylarginine (ADMA) and symmetric dimethylarginine (SDMA).

methodsWe investigated the association of L-arginine, ADMA, and SDMA with clinical outcomes in a well-defined observational cohort of 150 patients with acute exacerbation of COPD. We measured L-arginine, ADMA, and SDMA by mass spectrometry in patients with pneumonic or non-pneumonic exacerbation of COPD included in a Swiss multicenter trial. We used Cox regression models to investigate the associations between blood marker levels and disease severity as well as all-cause mortality over a follow-up of 6.1 years.

resultsSix-year all-cause mortality was 54%. Admission levels of ADMA and SDMA (μmol L

conclusionADMA was found to be an independent risk factor for long-term all-cause mortality in patients with acute exacerbation of COPD. Whether therapeutic modification of the L-arginine-nitric oxide pathway has the potential to improve outcome should be evaluated in future interventional trials.

Indexed as

Severity of Illness IndexAgedAged, 80 and overArginineBiomarkersDisease ProgressionFemaleHumansMaleMiddle AgedPrognosisProportional Hazards ModelsPulmonary Disease, Chronic ObstructiveRisk FactorsSurvival RateSwitzerlandArginineBiomarkersN,N-dimethylargininesymmetric dimethylarginineAsymmetric dimethylarginine (ADMA)BiomarkerChronic obstructive pulmonary disease (COPD)L-ArginineMortality predictionSymmetric dimethylarginine (SDMA)

Identifiers

PMID28852826
OpenAlexW2751336083

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.