Evidence map›Paper›PMID 29268398›Full record

ArticleJournal of thoracic disease2017

Perception of circadian variation of symptoms in Chinese patients with chronic obstructive pulmonary disease.

Ming Lu, Xiaohong Wang, Baiqiang Cai, Kewu Huang, Jie Cao, Jinping Zheng, Yongchang Sun, Fuqiang Wen, Huili Zhu, Xin Zhou and 4 more

Open access · hybridAbstract read
In one paragraph

Article in Journal of thoracic disease, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 24% 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.

  1. Pooled it
  2. Observational
  3. The Relationship Between Morning Symptoms and the Risk of Future Exacerbations in COPD.International journal of chronic obstructive pulmonary disease · 2020
    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

14 authors at 11 institutions in 2 countries.

Ming LuDepartment of Respiratory Medicine, Peking University Third Hospital, Beijing 100083, China.
Xiaohong WangDepartment of Respiratory Medicine, Peking University Third Hospital, Beijing 100083, China.
Baiqiang CaiDepartment of Respiratory Medicine, Peking Union Medical College Hospital, Beijing 100000, China.
Kewu HuangDepartment of Pulmonary and Critical Care Medicine, Beijing Chao-Yang Hospital, Capital Medical University, Beijing 100000, China.
Jie CaoDepartment of Respiratory Medicine, Tianjin Medical University General Hospital, Tianjin 300000, China.
Jinping ZhengNational Clinical Research Center of Respiratory Disease, State Key Laboratory of Respiratory Disease, Guangzhou Institute of Respiratory Disease, First Affiliated Hospital of Guangzhou Medical University, Guangzhou 510120, China.
Yongchang SunDepartment of Respiratory Medicine, Beijing Tongren Hospital, Capital Medical University, Beijing 100000, China.
Fuqiang WenDepartment of Respiratory Medicine, West China Hospital, Sichuan University, Chengdu 610041, China.
Huili ZhuDepartment of Respiratory Medicine, Huadong Hospital, Fudan University, Shanghai 200433, China.
Xin ZhouDepartment of Respiratory Medicine, Shanghai First People's Hospital, Shanghai Jiao Tong University, Shanghai 200240, China.
Jianping ZhaoDepartment of Respiratory Medicine, Tongji Hospital, Tongji Medical College of Hua Zhong University of Science and Technology, Wuhan 430030, China.
Yanfei GuoDepartment of Respiratory Medicine, Beijing Hospital, Beijing 100000, China.
Xia LingAstraZeneca China, Shanghai 200120, China.
Wanzhen YaoDepartment of Respiratory Medicine, Peking University Third Hospital, Beijing 100083, China.
Peking University Third Hospital · CNAstraZeneca (Germany) · DEBeijing Tongren Hospital · CNCapital Medical University · CNChinese Academy of Medical Sciences & Peking Union Medical College · CNHuadong Hospital · CNPeking University · CNShanghai Jiao Tong University · CNState Key Laboratory of Respiratory Disease · CNTianjin Medical University General Hospital · CNWest China Hospital of Sichuan University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlthough, the variable pattern of asthmatic symptoms is well recognized, little is known about the respiratory symptoms variability in patients of chronic obstructive pulmonary disease (COPD). The present study evaluated the variability of the respiratory symptoms in a day and their influence on the daily activities in a cohort of Chinese COPD patients.

methodsAn observational cross-sectional study was conducted in 11 medical centers of China. Participants were outpatient ≥40 years old with stable COPD, post-bronchodilator forced expiratory volume in 1 second (FEV1) <80% predicted. Overall, data of 1,032 eligible patients were valid for final analysis.

resultsMean post bronchodilator FEV1 (predicted %) was 46.5%. Cough, expectoration and dyspnea were the most commonly observed symptoms (73.6%, 68.8% and 61.4%, respectively). Daily symptom variability was experienced by 50.2% of symptomatic patients. The wake up time in the morning was the worst and the most troublesome time during the day (39.3%), followed by the nighttime (21.3%). The morning activities were most affected by COPD symptoms. Multivariate analyses revealed that COPD assessment test (CAT) scores was the only factor correlated with patients' symptom variability [odds ratio (OR) =0.463, P<0.0001].

conclusionsPatient-perceived symptoms vary during the day in Chinese COPD patients. They experience the greatest increase in respiratory symptoms early in the morning. This variation should be considered as a potential new target in the long-term COPD management.

Indexed as

Chinesechronic obstructive pulmonary disease (COPD)COPD assessment test (CAT)quality of lifesymptom variability

Identifiers

PMID29268398
PMCPMC5723802
OpenAlexW2757732394

What OpenQuestion holds

Textmetadata
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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.