Evidence map›Paper›PMID 29044160›Full record

SynthesisScientific reports2017

Eosinophilia and clinical outcome of chronic obstructive pulmonary disease: a meta-analysis.

Jeffery Ho, Wajia He, Matthew T V Chan, Gary Tse, Tong Liu, Sunny H Wong, Czarina C H Leung, Wai T Wong, Sharon Tsang, Lin Zhang and 6 more

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Scientific reports, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 1 pooled it
4.5field-weighted citation impact, top 5% 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

29 citing papers in PubMed, 1 synthesis or guideline pooled it, 53 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Clinical Characteristics and Outcomes of Eosinophilic Exacerbations of COPD.International journal of chronic obstructive pulmonary disease · 2025
    Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. From COPD to Lung Cancer: Mechanisms Linking, Diagnosis, Treatment, and Prognosis.International journal of chronic obstructive pulmonary disease · 2022
    Review
  13. Observational
  14. Observational
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. 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

16 authors at 4 institutions in 2 countries.

Jeffery HoDepartment of Anesthesia and Intensive Care, The Chinese University of Hong Kong, Hong kong Special Administrative Region, China.
Wajia HeDepartment of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hong Kong Special Administrative Region, China.
Matthew T V ChanDepartment of Anesthesia and Intensive Care, The Chinese University of Hong Kong, Hong kong Special Administrative Region, China.
Gary TseDepartment of Medicine & Therapeutics, The Chinese University of Hong Kong, Hong Kong Special Administrative Region, China.ORCID 0000-0001-5510-1253
Tong LiuTianjin Institute of Cardiology, Tianjin Medical University Hospital 2, Tianjin, People's Republic of China.
Sunny H WongState Key Laboratory of Digestive Disease, LKS Institute of Health Sciences, The Chinese University of Hong Kong, Hong Kong Special Administrative Region, China.ORCID 0000-0002-3354-9310
Czarina C H LeungDepartment of Anesthesia and Intensive Care, The Chinese University of Hong Kong, Hong kong Special Administrative Region, China.
Wai T WongDepartment of Anesthesia and Intensive Care, The Chinese University of Hong Kong, Hong kong Special Administrative Region, China.
Sharon TsangDepartment of Anesthesia and Intensive Care, The Chinese University of Hong Kong, Hong kong Special Administrative Region, China.
Lin ZhangDepartment of Anesthesia and Intensive Care, The Chinese University of Hong Kong, Hong kong Special Administrative Region, China.
Rose Y P ChanSchool of Nursing, Tung Wah College, Hong Kong Special Administrative Region, China.
Tony GinDepartment of Anesthesia and Intensive Care, The Chinese University of Hong Kong, Hong kong Special Administrative Region, China.
Joseph LeungDepartment of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hong Kong Special Administrative Region, China.
Benson W M LauDepartment of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hong Kong Special Administrative Region, China. Benson.Lau@polyu.edu.hk.
William K K WuDepartment of Anesthesia and Intensive Care, The Chinese University of Hong Kong, Hong kong Special Administrative Region, China. wukakei@cuhk.edu.hk.
Shirley P C NgaiDepartment of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hong Kong Special Administrative Region, China. shirley.ngai@polyu.edu.hk.
Chinese University of Hong Kong · HKHong Kong Polytechnic University · HKTianjin Medical University General Hospital · CNTung Wah College · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Numerous studies have investigated the association between eosinophilia and clinical outcome of patients with chronic obstructive pulmonary disease (COPD) but the evidence is conflicting. We conducted a pooled analysis of outcome measures comparing eosinophilic and non-eosinophilic COPD patients. We searched articles indexed in four databases using Medical Subject Heading or Title and Abstract words including COAD, COPD, eosinophil, eosinophilia, eosinopenia from inception to December 2016. Observational studies and randomized controlled trials with parallel groups comparing COPD patients with and without eosinophilia were included. Comparing to the non-eosinophilic group, those with eosinophilic COPD had a similar risk for exacerbation in 12 months [Odds ratio = 1.07, 95% confidence interval (CI) 0.86-1.32, P = 0.55] and in-hospital mortality [OR = 0.52, 95% CI 0.25-1.07]. Eosinophilia was associated with reduced length of hospital stay (P = 0.04). Subsequent to therapeutic interventions, eosinophilic outpatients performed better in pulmonary function tests [Mean Difference = 1.64, 95% CI 0.05-3.23, P < 0.001]. Inclusion of hospitalized patients nullified the effect. Improvement of quality of life was observed in eosinophilic subjects [Standardized Mean Difference = 1.83, 95% CI 0.02-3.64, P = 0.05], independent of hospitalization status. In conclusion, blood eosinophilia may be predictive of favorable response to steroidal and bronchodilator therapies in patients with stable COPD.

Indexed as

AgedAged, 80 and overBiomarkersEosinophiliaEosinophilsFemaleHumansMaleMiddle AgedOdds RatioPrognosisPulmonary Disease, Chronic ObstructiveQuality of LifeRespiratory Function TestsTreatment OutcomeBiomarkers

Identifiers

PMID29044160
PMCPMC5647332
OpenAlexW2761823135

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.