Evidence map›Paper›PMID 30578331›Full record

ReviewEuropean respiratory review : an official journal of the European Respiratory Society2018

Acute exacerbations of progressive-fibrosing interstitial lung diseases.

Martin Kolb, Benjamin Bondue, Alberto Pesci, Yasunari Miyazaki, Jin Woo Song, Nitin Y Bhatt, John T Huggins, Justin M Oldham, Maria L Padilla, Jesse Roman and 1 more

Open access · diamondAbstract readReview
In one paragraph

Review in European respiratory review : an official journal of the European Respiratory Society, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 106 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
106citing papers in PubMed, 4 pooled it
12.8field-weighted citation impact, top 1% 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

106 citing papers in PubMed, 4 syntheses or guidelines pooled it, 174 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Prognosis of Lung Transplantation in Patients with Acute Exacerbations of Interstitial Lung Disease: A Meta-Analysis Based on Cohort Studies.Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia · 2024
    Pooled it
  4. Pooled it
  5. Trial
  6. Trial
  7. Article
  8. Prevalence and Prognostic Impact of Progressive Pulmonary Fibrosis.Tuberculosis and respiratory diseases · 2026
    Review
  9. Article
  10. Article
  11. Review
  12. Article
  13. Observational
  14. Article
  15. Article
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  18. Article
  19. Article
  20. Review

46 more citing papers are in PubMed but not listed here.

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

11 authors at 11 institutions in 6 countries.

Martin KolbDivision of Respirology, Dept of Medicine, McMaster University, Hamilton, ON, Canada.
Benjamin BondueDept of Respiratory Medicine, CUB Hôpital Erasme, Université Libre de Bruxelles, Brussels, Belgium.
Alberto PesciClinica Pneumologica, Università degli Studi di Milano-Bicocca, ASST Monza, Monza, Italy.
Yasunari MiyazakiDept of Respiratory Medicine, Tokyo Medical and Dental University, Bunkyo-ku, Tokyo, Japan.
Jin Woo SongDept of Pulmonary and Critical Care Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea.
Nitin Y BhattDivision of Pulmonary, Critical Care, and Sleep Medicine, Ohio State University Wexner Medical Center, Columbus, OH, USA.
John T HugginsDivision of Pulmonary, Critical Care, and Sleep Medicine, Medical University of South Carolina, Charleston, SC, USA.
Justin M OldhamDept of Medicine, Division of Pulmonary, Critical Care and Sleep Medicine, University of California, Davis, CA, USA.
Maria L PadillaDivision of Pulmonary, Critical Care, and Sleep Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Jesse RomanJane & Leonard Korman Respiratory Institute, Thomas Jefferson University, Philadelphia, PA, USA.
Shane ShaperaDivision of Respirology, University Health Network, University of Toronto, Toronto, ON, Canada.
Asan Medical Center · KRIcahn School of Medicine at Mount Sinai · USMcMaster University · CASleepMed · USThe Ohio State University Wexner Medical Center · USThomas Jefferson University · USTokyo Medical and Dental University · JPUniversité Libre de Bruxelles · BEUniversity of California, Davis · USUniversity of Milano-Bicocca · ITUniversity of Toronto · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Acute exacerbation of interstitial lung disease (ILD) is associated with a poor prognosis and high mortality. Numerous studies have documented acute exacerbation in idiopathic pulmonary fibrosis (IPF), but less is known about these events in other ILDs that may present a progressive-fibrosing phenotype. We propose defining acute exacerbation as an acute, clinically significant respiratory deterioration, typically less than 1 month in duration, together with computerised tomography imaging showing new bilateral glass opacity and/or consolidation superimposed on a background pattern consistent with fibrosing ILDs. Drawing on observations in IPF, it is suspected that epithelial injury or proliferation and autoimmunity are risk factors for acute exacerbation in ILDs that may present a progressive-fibrosing phenotype, but further studies are required. Current acute exacerbation management strategies are based on recommendations in IPF, but no randomised controlled trials of acute exacerbation management have been performed. Although there are no formal strategies to prevent the development of acute exacerbation, possible approaches include antifibrotic drugs (such as nintedanib and pirfenidone), and minimising exposure to infection, airborne irritants and pollutants. This review discusses the current knowledge of acute exacerbation of ILDs that may present a progressive-fibrosing phenotype and acknowledges limitations of the data available.

Indexed as

Disease ProgressionFemaleHumansLungLung Diseases, InterstitialMaleMiddle AgedPhenotypePrognosisPulmonary FibrosisRisk AssessmentRisk Factors

Identifiers

PMID30578331
PMCPMC9488799
OpenAlexW2906678261

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.