Evidence map›Paper›PMID 30509721›Full record

ArticleRespiratory medicine2018

Relative risk of all-cause mortality in patients with nontuberculous mycobacterial lung disease in a US managed care population.

Theodore K Marras, Christopher Vinnard, Quanwu Zhang, Keith Hamilton, Jennifer Adjemian, Gina Eagle, Raymond Zhang, Engels Chou, Kenneth N Olivier

Abstract read
In one paragraph

Article in Respiratory medicine, 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
–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

33 citing papers in PubMed.

  1. Trial
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  4. Mortality and Causes of Death in Patients WithOpen forum infectious diseases · 2025
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  6. Article
  7. Review
  8. Article
  9. Article
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  12. Mortality Risk in Bronchiectasis.Archivos de bronconeumologia · 2024
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  13. Article
  14. Review
  15. Review
  16. Article
  17. Article
  18. Article
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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

9 authors.

Theodore K MarrasDepartment of Medicine, University Health Network and Mount Sinai Hospital, Toronto, Canada; Department of Medicine, University of Toronto, Toronto, Canada. Electronic address: ted.marras@uhn.ca.
Christopher VinnardPublic Health Research Institute, Rutgers, The State University of New Jersey, Newark, NJ, USA.
Quanwu ZhangInsmed Inc., Bridgewater, NJ, USA.
Keith HamiltonUniversity of Pennsylvania, Philadelphia, PA, USA.
Jennifer AdjemianLaboratory of Clinical Immunology and Microbiology, NIAID, USA; Commissioned Corps, United States Public Health Service, Rockville, MD, USA.
Gina EagleInsmed Inc., Bridgewater, NJ, USA.
Raymond ZhangOrbis Data Solutions, Woburn, MA, USA.
Engels ChouInsmed Inc., Bridgewater, NJ, USA.
Kenneth N OlivierPulmonary Branch/NHLBI, National Institutes of Health, Bethesda, MD, USA.

Funding

Bronchiectasis and chronic airway infectionZIAHL006200 · NHLBI · NATIONAL HEART, LUNG, AND BLOOD INSTITUTE · PI FENNELLY, KEVIN · 2015 to 2025
$25.1M
Intramural NIH HHS Z99 HL999999
6 · The paper itself

Abstract

rationaleThe risk of all-cause mortality of nontuberculous mycobacterial lung disease (NTMLD) in the United States (US) population is not well established.

objectivesThis study aims to assess the public health burden of NTMLD in the US by comparing the relative risk of all-cause mortality in the NTMLD population with an age- and sex-matched cohort from the general population.

methodsPatients with physician claims for NTMLD (ICD-9 0.031; ICD-10 A31.0) were identified between 2007 and 2016 from a large US national managed care insurance plan covering approximately 15-18 million members annually. A control group with no NTMLD ICD-9 or 10 codes was randomly selected from the general population and matched 3:1 to the NTMLD sample according to birth year, gender, and insurance benefit coverage. The date of first NTMLD diagnosis of each patient was assigned to the matched controls as the index date. The Cox proportional hazard method compared survival between cohorts, adjusting for demographic factors and baseline comorbidities.

resultsA total of 2005 patients with NTMLD and 6014 controls were identified, with a mean follow-up duration of 3.4 years and 3.7 years, respectively. The NTMLD group had substantially higher proportions of patients with asthma (23.3% versus 3.5%), bronchiectasis (36.5% versus 0.1%), COPD (52.0% versus 5.9%), arrhythmia (22.6% versus 6.5%), coronary artery disease (18.5% versus 6.6%), heart failure (11.9% versus 4.1%), and cancer (18.5% versus 5.0%). The unadjusted rate of all-cause mortality from the index date was 20.7 per 1000 person-years in the NTMLD group vs 5.6 per 1000 person-years in the control group (rate ratio = 3.73; 95% CI: 2.93-4.75). Multivariable Cox regression, adjusted for the above variables as well as all other important baseline covariates, showed a doubling risk of all-cause mortality (hazard ratio [HR] = 2.06; CI: 1.52-2.79; P < 0.001) in the NTMLD vs control group.

conclusionsAll-cause mortality, adjusted for other factors, more than doubled with NTMLD compared with an age-sex-matched control group in a large US national managed care insurance plan.

Indexed as

AgedAged, 80 and overAge FactorsCause of DeathCohort StudiesFemaleHumansLung DiseasesMaleManaged Care ProgramsMiddle AgedMycobacterium Infections, NontuberculousProportional Hazards ModelsRiskSex FactorsTime FactorsDeathEpidemiologyMortalityNontuberculous mycobacteria

Identifiers

PMID30509721
PMCPMC6283283

What OpenQuestion holds

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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.