Evidence map›Paper›PMID 29940164›Full record

ArticleChest2019

The NHLBI LAM Registry: Prognostic Physiologic and Radiologic Biomarkers Emerge From a 15-Year Prospective Longitudinal Analysis.

Nishant Gupta, Hye-Seung Lee, Jay H Ryu, Angelo M Taveira-DaSilva, Gerald J Beck, Jar-Chi Lee, Kevin McCarthy, Geraldine A Finlay, Kevin K Brown, Stephen J Ruoss and 4 more

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in Chest, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00414648 (Multicenter International Lymphangioleiomyomatosis Efficacy and Safety of Sirolimus Trial), which is not on this map. Cited by 55 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
55citing papers in PubMed, 1 pooled it
4.6field-weighted citation impact, top 4% 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.

NCT00414648 phase3completednot on this map

Multicenter International Lymphangioleiomyomatosis Efficacy and Safety of Sirolimus Trial

TypeinterventionalSponsorUniversity of CincinnatiRan2006 to 2011Enrolled89ConditionsLymphangioleiomyomatosisArmsSirolimus, Placebo
3 · Its place in the literature

Who cites it

55 citing papers in PubMed, 1 synthesis or guideline pooled it, 102 citations in OpenAlex.

  1. Brazilian Thoracic Association recommendations for the management of lymphangioleiomyomatosis.Jornal brasileiro de pneumologia : publicacao oficial da Sociedade Brasileira de Pneumologia e Tisilogia · 2025
    Guideline
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Review
  10. Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors at 9 institutions in 1 country.

Nishant GuptaDivision of Pulmonary, Critical Care and Sleep Medicine, University of Cincinnati, Cincinnati, OH; Medical Service, Veterans Affairs Medical Center, Cincinnati, OH. Electronic address: guptans@ucmail.uc.edu.
Hye-Seung LeeDepartment of Pediatrics, Health Informatics Institute, University of South Florida, Tampa, FL.
Jay H RyuDivision of Pulmonary and Critical Care Medicine, Mayo Clinic College of Medicine, Rochester, MN.
Angelo M Taveira-DaSilvaCardiovascular and Pulmonary Branch, National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, MD.
Gerald J BeckDepartment of Quantitative Health Sciences, Cleveland Clinic, Cleveland, OH.
Jar-Chi LeeDepartment of Quantitative Health Sciences, Cleveland Clinic, Cleveland, OH.
Kevin McCarthyFormerly at Respiratory Institute, Cleveland Clinic, Cleveland, OH.
Geraldine A FinlayDivision of Pulmonary, Critical Care and Sleep Medicine, Tufts Medical Center, Boston, MA.
Kevin K BrownDepartment of Medicine, National Jewish Health, Denver, CO.
Stephen J RuossDivision of Pulmonary and Critical Care Medicine, Stanford University School of Medicine, Stanford, CA.
Nilo A AvilaRadiology Service, Veterans Affairs Medical Center, Washington, DC.
Joel MossCardiovascular and Pulmonary Branch, National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, MD.
Francis X McCormackDivision of Pulmonary, Critical Care and Sleep Medicine, University of Cincinnati, Cincinnati, OH; Medical Service, Veterans Affairs Medical Center, Cincinnati, OH.
NHLBI LAM Registry Group
Cleveland Clinic · USVeterans Health Administration · USMayo Clinic · USNational Heart Lung and Blood Institute · USNational Institutes of Health · USStanford University · USTufts Medical Center · USUniversity of Colorado Denver · USUniversity of South Florida · US

Funding

Characterization of the Pathogenesis of Lymphangioleiomyomatosis (LAM)ZIAHL002541 · NHLBI · NATIONAL HEART, LUNG, AND BLOOD INSTITUTE · PI MOSS, JOEL · 2009 to 2025
$47.7M
LYMPHANGIOLEIOMYOMATOSIS REGISTRYU01HL058440 · NHLBI · CLEVELAND CLINIC FOUNDATION · PI BECK, GERALD J · 1997 to 2001
$1.1M
Resveratrol and Sirolimus in LAM Trial (RESULT)R34HL138235 · NHLBI · UNIVERSITY OF CINCINNATI · PI GUPTA, NISHANT · 2017 to 2019
$712k
NHLBI NIH HHS R34 HL138235NHLBI NIH HHS U01 HL058440
6 · The paper itself

Abstract

backgroundThe natural history of lymphangioleiomyomatosis (LAM) is mainly derived from retrospective cohort analyses, and it remains incompletely understood. A National Institutes of Health LAM Registry was established to define the natural history and identify prognostic biomarkers that can help guide management and decision-making in patients with LAM.

methodsA linear mixed effects model was used to compute the rate of decline of FEV

resultsMean annual decline of FEV

conclusionsThe median transplant-free survival in patients with LAM is > 20 years. Menopausal status, as well as structural and physiologic markers of disease severity, significantly affect the rate of decline of FEV

Indexed as

Disease ProgressionRegistriesAge FactorsBiomarkersFemaleForced Expiratory VolumeHumansLipopolysaccharidesLongitudinal StudiesLung NeoplasmsLymphangioleiomyomatosisMenopauseNational Heart, Lung, and Blood Institute (U.S.)PrognosisProspective StudiesRespiratory Function TestsBiomarkerslipoarabinomannanLipopolysaccharidesmenopausenatural historypulmonary function teststuberous sclerosis complexVEGF-D

Identifiers

PMID29940164
PMCPMC6635733
OpenAlexW2809503137

What OpenQuestion holds

Textmetadata
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.