Evidence map›Paper›PMID 29458372›Full record

Observational studyRespiratory research2018

Relationship of CT-quantified emphysema, small airways disease and bronchial wall dimensions with physiological, inflammatory and infective measures in COPD.

Kristoffer Ostridge, Nicholas P Williams, Viktoriya Kim, Stephen Harden, Simon Bourne, Stuart C Clarke, Emmanuel Aris, Sonia Mesia-Vela, Jeanne-Marie Devaster, Andrew Tuck and 5 more

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Respiratory research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
4.2field-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

22 citing papers in PubMed, 36 citations in OpenAlex.

  1. Article
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  6. Review
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  9. Article
  10. Article
  11. Article
  12. Observational
  13. Article
  14. Article
  15. Review
  16. Review
  17. Role of medical and molecular imaging in COPD.Clinical and translational medicine · 2019
    Review
  18. Assessing pulmonary hypertension in COPD. Is there a role for computed tomography?International journal of chronic obstructive pulmonary disease · 2019
    Review
  19. Article
  20. Observational
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

15 authors at 4 institutions in 2 countries.

Kristoffer OstridgeClinical and Experimental Sciences, Faculty of Medicine, University of Southampton, Southampton, UK. k.ostridge@soton.ac.uk.ORCID 0000-0001-8910-3900
Nicholas P WilliamsClinical and Experimental Sciences, Faculty of Medicine, University of Southampton, Southampton, UK.
Viktoriya KimClinical and Experimental Sciences, Faculty of Medicine, University of Southampton, Southampton, UK.
Stephen HardenDepartment of Radiology, University Hospital Southampton NHS Foundation Trust, Southampton, UK.
Simon BourneClinical and Experimental Sciences, Faculty of Medicine, University of Southampton, Southampton, UK.
Stuart C ClarkeClinical and Experimental Sciences, Faculty of Medicine, University of Southampton, Southampton, UK.
Emmanuel ArisGSK Vaccines, Rixensart, Belgium.
Sonia Mesia-VelaGSK Vaccines, Rixensart, Belgium.
Jeanne-Marie DevasterGSK Vaccines, Rixensart, Belgium.
Andrew TuckFaculty of Medicine and Institute for Life Sciences, University of Southampton, Southampton, UK.
Anthony WilliamsClinical and Experimental Sciences, Faculty of Medicine, University of Southampton, Southampton, UK.
Stephen WoottonNIHR Southampton Biomedical Research Centre, University Hospital Southampton NHS Foundation Trust, Southampton, UK.
Karl J StaplesClinical and Experimental Sciences, Faculty of Medicine, University of Southampton, Southampton, UK.
Tom M A WilkinsonClinical and Experimental Sciences, Faculty of Medicine, University of Southampton, Southampton, UK.
AERIS Study Group
Southampton General Hospital · GBUniversity Hospital Southampton NHS Foundation Trust · GBGlaxoSmithKline (Belgium) · BEQueen Alexandra Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCOPD is a complex, heterogeneous disease characterised by progressive development of airflow limitation. Spirometry provides little information about key aspects of pathology and is poorly related to clinical outcome, so other tools are required to investigate the disease. We sought to explore the relationships between quantitative CT analysis with functional, inflammatory and infective assessments of disease to identify the utility of imaging to stratify disease to better predict outcomes and disease response.

methodsPatients from the AERIS study with moderate-very severe COPD underwent HRCT, with image analysis determining the quantity of emphysema (%LAA

results122 subjects were included in this analysis. Emphysema and small airways disease had independent associations with airflow obstruction (β = - 0.34, p < 0.001 and β = - 0.56, p < 0.001). %LAA

conclusionsThis study provides further validation for the use of quantitative CT measures of emphysema and small airways disease in COPD as they showed strong associations with pulmonary physiology and functional status. In contrast to this quantitative CT measures showed few convincing associations with biological measures of disease, suggesting it is not an effective tool at measuring disease activity.

Indexed as

Tomography, X-Ray ComputedAgedAged, 80 and overBronchiFemaleForced Expiratory VolumeHumansInflammationMaleMiddle AgedPulmonary Disease, Chronic ObstructivePulmonary EmphysemaRespiratory Tract InfectionsCOPDCTEmphysemaImagingPhenotyping

Identifiers

PMID29458372
PMCPMC5819274
OpenAlexW2788945727

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.