Evidence map›Paper›PMID 29458386›Full record

Observational studyOrphanet journal of rare diseases2018

Functional improvements in patients with lymphangioleiomyomatosis after sirolimus: an observational study.

Yongzhong Zhan, Lisha Shen, Wenshuai Xu, Xiuxiu Wu, Weihong Zhang, Jun Wang, Xue Li, Yanli Yang, Xinlun Tian, Kai-Feng Xu

Abstract readObservational Study
In one paragraph

Observational study in Orphanet journal of rare diseases, 2018. 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
–field-weighted citation impact
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.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Observational
  10. Article
  11. Review
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

10 authors.

Yongzhong ZhanDepartment of Respiratory Medicine, Peking Union Medical College Hospital, Beijing, China.
Lisha ShenDepartment of Respiratory Medicine, Peking Union Medical College Hospital, Beijing, China.
Wenshuai XuDepartment of Respiratory Medicine, Peking Union Medical College Hospital, Beijing, China.
Xiuxiu WuDepartment of Respiratory Medicine, Peking Union Medical College Hospital, Beijing, China.
Weihong ZhangDepartment of Radiology, Peking Union Medical College Hospital, Beijing, China.
Jun WangDepartment of Respiratory Medicine, Peking Union Medical College Hospital, Beijing, China.
Xue LiDepartment of Respiratory Medicine, Peking Union Medical College Hospital, Beijing, China.
Yanli YangDepartment of Respiratory Medicine, Peking Union Medical College Hospital, Beijing, China.
Xinlun TianDepartment of Respiratory Medicine, Peking Union Medical College Hospital, Beijing, China.
Kai-Feng XuDepartment of Respiratory Medicine, Peking Union Medical College Hospital, Beijing, China. kaifeng.xu@gmail.com.ORCID 0000-0002-7662-531X

Funding

Beijing Municipal Science and Technology Project Z151100003915126National Key Research and Development Program of China 2016YFC0901502National Natural Science Foundation of China 81570061
6 · The paper itself

Abstract

backgroundSirolimus has been shown to be effective in patients with lymphangioleiomyomatosis (LAM). We wish to summarize our experience using sirolimus and its effectiveness in LAM patients.

methodsWe analyzed data from 98 patients who were diagnosed with definite or probable sporadic LAM based on the European Respiratory Society diagnosis criteria for LAM in 2010 at Peking Union Medical College Hospital and who had received sirolimus during January 2007 to June 2015. The data before and after the initiation of sirolimus therapy included pulmonary function tests, arterial blood gas analysis, 6-min walking distance (6MWD), size of chylous effusion and renal angiomyolipomas (AML), St. George's Respiratory Questionnaires (SGRQ) and vascular endothelial growth factor-D (VEGF-D) levels. Serum levels of sirolimus and adverse events were collected.

resultsMedian follow-up was 2.5 years. Most patients had forced expiratory volume in 1 s (FEV

conclusionLong-term use of sirolimus is safe in patients with LAM. LAM patients with FEV

Indexed as

Respiratory Function TestsAdultFemaleGene Expression RegulationHumansLymphangioleiomyomatosisMiddle AgedOxygenSirolimusVascular Endothelial Growth Factor DYoung AdultOxygenSirolimusVascular Endothelial Growth Factor DAdverse eventsChylothoraxLymphangioleiomyomatosisPulmonary functionSirolimus

Identifiers

PMID29458386
PMCPMC5819088

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.