Evidence map›Paper›PMID 30376861›Full record

ArticleHealth and quality of life outcomes2018

Contribution of individual COPD assessment test (CAT) items to CAT total score and effects of pulmonary rehabilitation on CAT scores.

Sarah Houben-Wilke, Daisy J A Janssen, Frits M E Franssen, Lowie E G W Vanfleteren, Emiel F M Wouters, Martijn A Spruit

Open access · goldAbstract readValidation Study
In one paragraph

Article in Health and quality of life outcomes, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed
6.0field-weighted citation impact, top 3% 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

33 citing papers in PubMed, 68 citations in OpenAlex.

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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

6 authors at 3 institutions in 2 countries.

Sarah Houben-WilkeDepartment of Research and Education, CIRO, Hornerheide 1, Horn, 6085, NM, The Netherlands. sarahwilke@ciro-horn.nl.
Daisy J A JanssenDepartment of Research and Education, CIRO, Hornerheide 1, Horn, 6085, NM, The Netherlands.
Frits M E FranssenDepartment of Research and Education, CIRO, Hornerheide 1, Horn, 6085, NM, The Netherlands.
Lowie E G W VanfleterenDepartment of Research and Education, CIRO, Hornerheide 1, Horn, 6085, NM, The Netherlands.
Emiel F M WoutersDepartment of Research and Education, CIRO, Hornerheide 1, Horn, 6085, NM, The Netherlands.
Martijn A SpruitDepartment of Research and Education, CIRO, Hornerheide 1, Horn, 6085, NM, The Netherlands.
Ciro · NLMaastricht University · NLSahlgrenska University Hospital · SE

Funding

GlaxoSmithKline SCO115406Lung Foundation Netherlands 3.4.10.015
6 · The paper itself

Abstract

backgroundThe COPD Assessment Test (CAT) contains eight items (cough, phlegm, chest tightness, breathlessness, limited activities, confidence leaving home, sleeplessness and energy). The current study aimed 1) to better understand the impact of the respiratory and non-respiratory CAT item scores on the CAT total score; and 2) to determine the impact of pulmonary rehabilitation (PR) on CAT items and CAT total score.

methodsCAT total score of ≥10 or ≥ 18 points was used to classify patients as highly symptomatic, a decrease of 2 points was considered as clinically relevant improvement. 'Cough', 'phlegm', 'chest tightness', 'breathlessness' were defined as respiratory items; ≥3 points on each item was defined as highly symptomatic.

resultsIn total, 497 clinically stable patients (55% male, age 64.0 (57.5-71.0) years, FEV

conclusionsA substantial number of patients classified as highly symptomatic did not report a high level of respiratory symptoms, indicating that non-respiratory symptoms impact on disease classification and treatment algorithm. The impact of PR on CAT item scores varied by individual item.

trial registrationNetherlands National Trial Register ( NTR3416 ). Registered 2 May 2012.

Indexed as

Health StatusSeverity of Illness IndexAgedFemaleHumansMaleMiddle AgedNetherlandsPulmonary Disease, Chronic ObstructiveQuality of LifeSurveys and QuestionnairesCOPD assessment testGOLD classificationHealth statusPulmonary rehabilitation

Identifiers

PMID30376861
PMCPMC6208036
OpenAlexW2899400435

What OpenQuestion holds

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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.