Evidence map›Paper›PMID 29881268›Full record

ArticleInternational journal of chronic obstructive pulmonary disease2018

Functional respiratory imaging: heterogeneity of acute exacerbations of COPD.

Wouter H van Geffen, Bita Hajian, Wim Vos, Jan De Backer, Anthony Cahn, Omar S Usmani, Cedric Van Holsbeke, Massimo Pistolesi, Huib Am Kerstjens, Wilfried De Backer

Registry-linked trialOpen access · goldAbstract readMulticenter Study
In one paragraph

Article in International journal of chronic obstructive pulmonary disease, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03818646 (Functional Respiratory Imaging During Pulmonary Exacerbations in Adults With Non-cystic Fibrosis Bronchiectasis), which is not on this map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 19% 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.

NCT03818646 unknown statusnot on this mapstarted 2019, after this paper: background citation

Functional Respiratory Imaging During Pulmonary Exacerbations in Adults With Non-cystic Fibrosis Bronchiectasis

TypeobservationalSponsorPapworth Hospital NHS Foundation TrustRan2019 to 2019Enrolled10ConditionsBronchiectasisArmsFunctional Respiratory Imaging
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Thoracic Imaging at Exacerbation of Chronic Obstructive Pulmonary Disease: A Systematic Review.International journal of chronic obstructive pulmonary disease · 2020
    Pooled it
  2. An Inhaled PI3Kδ Inhibitor Improves Recovery in Acutely Exacerbating COPD Patients: A Randomized Trial.International journal of chronic obstructive pulmonary disease · 2021
    Trial
  3. Article
  4. Article
  5. Article
  6. CT-Based Commercial Software Applications: Improving Patient Care Through Accurate COPD Subtyping.International journal of chronic obstructive pulmonary disease · 2022
    Review
  7. Article
  8. Article
  9. 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

10 authors at 6 institutions in 5 countries.

Wouter H van GeffenDepartment of Respiratory Medicine, Medical Centre Leeuwarden, Leeuwarden, the Netherlands.
Bita HajianDepartment of Pulmonary Diseases, Antwerp University Hospital, Antwerp, Belgium.
Wim VosFLUIDDA nv, Kontich, Belgium.
Jan De BackerFLUIDDA nv, Kontich, Belgium.
Anthony CahnGlaxoSmithKline R&D, Stevenage, UK.
Omar S UsmaniFaculty of Medicine, National Heart & Lung Institute, Imperial College London, London, UK.
Cedric Van HolsbekeFLUIDDA nv, Kontich, Belgium.
Massimo PistolesiDepartment of Experimental and Clinical Medicine, Section of Respiratory Medicine, University of Florence, Florence, Italy.
Huib Am KerstjensDepartment of Pulmonary Diseases, University Medical Center Groningen, Groningen Research Institute for Asthma and COPD, University of Groningen, the Netherlands.
Wilfried De BackerDepartment of Pulmonary Diseases, Antwerp University Hospital, Antwerp, Belgium.
Fluidda (Belgium) · BEAntwerp University Hospital · BEUniversity Medical Center Groningen · NLGlaxoSmithKline (United Kingdom) · GBLung Institute · USUniversity of Florence · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Exacerbations of COPD are a major burden to patients, and yet little is understood about heterogeneity. It contributes to the current persistent one-size-fits-all treatment. To replace this treatment by more personalized, precision medicine, new insights are required. We assessed the heterogeneity of exacerbations by functional respiratory imaging (FRI) in 3-dimensional models of airways and lungs. Methods: The trial was designed as a multicenter trial of patients with an acute exacerbation of COPD who were assessed by FRI, pulmonary function tests, and patient-reported outcomes, both in the acute stage and during resolution. Results: Forty seven patients were assessed. FRI analyses showed significant improvements in hyperinflation (a decrease in total volume at functional residual capacity of -0.25±0.61 L, Conclusion: FRI is a useful tool to get a better insight into exacerbations of COPD, and significant improvements in its indices can be demonstrated from the acute phase to resolution even in relatively small groups. It clearly visualizes the marked variability within and between individuals in ventilation and resistance during exacerbations and is a tool for the assessment of the heterogeneity of COPD exacerbations.

Indexed as

Disease ProgressionAgedBelgiumFemaleForced Expiratory VolumeFunctional Residual CapacityHumansItalyLactationMaleMiddle AgedNetherlandsPatient Reported Outcome MeasuresProspective StudiesPulmonary Disease, Chronic ObstructiveQuality of Lifechronic obstructive pulmonary diseaseCOPD exacerbationsFRIheterogeneityhyperinflationsymptoms

Identifiers

PMID29881268
PMCPMC5985851
OpenAlexW2807244102

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

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.