Evidence map›Paper›PMID 30593776›Full record

Observational studyChest2019

Aspirin Use and Respiratory Morbidity in COPD: A Propensity Score-Matched Analysis in Subpopulations and Intermediate Outcome Measures in COPD Study.

Ashraf Fawzy, Nirupama Putcha, Carrie P Aaron, Russell P Bowler, Alejandro P Comellas, Christopher B Cooper, Mark T Dransfield, MeiLan K Han, Eric A Hoffman, Richard E Kanner and 9 more

Registry-linked trialOpen access · bronzeAbstract readObservational Study
In one paragraph

Observational study 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 NCT01969344 (Subpopulations and Intermediate Outcome Measures in COPD Study), which is not on this map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
2.0field-weighted citation impact, top 12% 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.

NCT01969344 active not recruitingnot on this map

Subpopulations and Intermediate Outcome Measures in COPD Study

TypeobservationalSponsorUniversity of North Carolina, Chapel HillRan2010 to 2031Enrolled2,981ConditionsCOPD, Chronic Obstructive Pulmonary Disease, Chronic Bronchitis, Emphysema
3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 39 citations in OpenAlex.

  1. Post-COPD: Can Emphysema Be Repaired?American journal of respiratory and critical care medicine · 2025
    Article
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  3. Article
  4. Review
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  7. Extrapulmonary Comorbidities Associated with Chronic Obstructive Pulmonary Disease: A Review.International journal of chronic obstructive pulmonary disease · 2024
    Review
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  9. Review
  10. Review
  11. Article
  12. Urine and Plasma Markers of Platelet Activation and Respiratory Symptoms in COPD.Chronic obstructive pulmonary diseases (Miami, Fla.) · 2023
    Article
  13. Review
  14. Article
  15. Article
  16. 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

19 authors at 12 institutions in 1 country.

Ashraf FawzyDivision of Pulmonary and Critical Care Medicine, Johns Hopkins School of Medicine, Baltimore, MD.
Nirupama PutchaDivision of Pulmonary and Critical Care Medicine, Johns Hopkins School of Medicine, Baltimore, MD.
Carrie P AaronDepartment of Medicine, Columbia University College of Physicians and Surgeons, New York, NY.
Russell P BowlerDepartment of Medicine, National Jewish Medical and Research Center, Denver, CO.
Alejandro P ComellasDivision of Pulmonary, Critical Care, and Occupational Medicine, University of Iowa College of Medicine, Iowa City, IA.
Christopher B CooperDepartment of Medicine and Department of Physiology, David Geffen School of Medicine, University of California, Los Angeles, CA.
Mark T DransfieldLung Health Center and Division of Pulmonary, Allergy and Critical Care Medicine, University of Alabama at Birmingham, Birmingham, AL.
MeiLan K HanDivision of Pulmonary and Critical Care Medicine, University of Michigan, Ann Arbor, MI.
Eric A HoffmanDepartment of Radiology, University of Iowa, Iowa City, IA.
Richard E KannerDivision of Respiratory, Critical Care and Occupational Medicine, University of Utah Health Sciences Center, Salt Lake City, UT.
Jerry A KrishnanDivision of Pulmonary, Critical Care, Sleep, and Allergy, University of Illinois at Chicago, Chicago, IL.
Wassim W LabakiDivision of Pulmonary and Critical Care Medicine, University of Michigan, Ann Arbor, MI.
Robert PaineDivision of Respiratory, Critical Care and Occupational Medicine, University of Utah Health Sciences Center, Salt Lake City, UT.
Laura M PaulinDepartment of Medicine, Dartmouth-Hitchcock Medical Center /Geisel School of Medicine at Dartmouth, Lebanon, NH.
Stephen P PetersSection on Pulmonary, Critical Care, Allergy and Immunologic Diseases, Wake Forest University, Winston-Salem, NC.
Robert WiseDivision of Pulmonary and Critical Care Medicine, Johns Hopkins School of Medicine, Baltimore, MD.
R Graham BarrDepartment of Medicine, Columbia University College of Physicians and Surgeons, New York, NY.
Nadia N HanselDivision of Pulmonary and Critical Care Medicine, Johns Hopkins School of Medicine, Baltimore, MD. Electronic address: nhansel1@jhmi.edu.
SPIROMICS Investigators
Johns Hopkins University · USUniversity of Iowa · USUniversity of Utah · USColumbia University · USUniversity of Michigan–Ann Arbor · USDartmouth–Hitchcock Medical Center · USUniversity of Alabama at Birmingham · USUniversity of California, Los Angeles · USUniversity of Illinois Chicago · USWake Forest University · USNational Jewish Health · USUniversity of Colorado Denver · US

Funding

Pulmonary Toxicology Facility CoreP30ES005605 · NIEHS · UNIVERSITY OF IOWA · PI Jong Sung Kim · 1990 to 2026
$40.5M
SPIROMICS II: Biological underpinnings of COPD heterogeneity and progressionU01HL137880 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI WOODRUFF, PRESCOTT G · 2017 to 2021
$27.9M
SPIROMICS GIC SupportU24HL141762 · NHLBI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI COUPER, DAVID J, O'NEAL, WANDA K · 2018 to 2022
$7.2M
Ultra-low Dose, High Speed, High Resolution, Multispectral, Multi-Source MDCT ScaS10OD018526 · OD · UNIVERSITY OF IOWA · PI HOFFMAN, ERIC ALFRED · 2015 to 2015
$2.0M
Mentoring Research in Precision Medicine for Lung DiseaseK24HL137013 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI PRESCOTT G WOODRUFF · 2017 to 2026
$1.2M
The association of allergic disease with clinical outcomes in COPD.K23HL123594 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI PUTCHA, NIRUPAMA · 2015 to 2019
$1.0M
Hypercoagulability and Chronic Lung Disease in Older AdultsK23HL130627 · NHLBI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI OELSNER, ELIZABETH · 2016 to 2019
$686k
The role of platelet activation and particulate matter exposure in COPD morbidityF32ES028576 · NIEHS · JOHNS HOPKINS UNIVERSITY · PI FAWZY, ASHRAF · 2017 to 2018
$135k
Modulation of Steroid Suppression by Alveolar Macrophage EfferocytosisI01CX000911 · VA · VETERANS HEALTH ADMINISTRATION · PI CURTIS, JEFFREY LOUIS · 2016 to 2020
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CSRD VA I01 CX000911NHLBI NIH HHS HHSN268200900013CNHLBI NIH HHS HHSN268200900014CNHLBI NIH HHS HHSN268200900015CNHLBI NIH HHS HHSN268200900016CNHLBI NIH HHS HHSN268200900017CNHLBI NIH HHS HHSN268200900018CNHLBI NIH HHS HHSN268200900019CNHLBI NIH HHS HHSN268200900020CNHLBI NIH HHS K23 HL123594NHLBI NIH HHS K23 HL130627NHLBI NIH HHS K24 HL137013NHLBI NIH HHS U01 HL137880NHLBI NIH HHS U24 HL141762NIEHS NIH HHS F32 ES028576NIEHS NIH HHS P30 ES005605NIH HHS S10 OD018526
6 · The paper itself

Abstract

backgroundAspirin use in COPD has been associated with reduced all-cause mortality in meta-regression analysis with few equivocal studies. However, the effect of aspirin on COPD morbidity is unknown.

methodsSelf-reported daily aspirin use was obtained at baseline from SPIROMICS participants with COPD (FEV

resultsAmong 1,698 participants, 45% reported daily aspirin use at baseline. Propensity score matching resulted in 503 participant pairs. Aspirin users had a lower incidence rate of total AECOPD (adjusted incidence rate ratio [IRR], 0.78; 95% CI, 0.65-0.94), with similar effect for moderate but not severe AECOPD (IRR, 0.86; 95% CI, 0.63-1.18). Aspirin use was associated with lower total St. George's Respiratory Questionnaire score (β, -2.2; 95% CI, -4.1 to -0.4), reduced odds of moderate-severe dyspnea (modified Medical Research Council questionnaire score ≥ 2; adjusted odds ratio, 0.69; 95% CI, 0.51-0.93), and COPD Assessment Test score (β, -1.1; 95% CI, -1.9 to -0.2) but not 6-min walk distance (β, 0.7 m; 95% CI, -14.3 to 15.6).

conclusionsDaily aspirin use is associated with reduced rate of COPD exacerbations, less dyspnea, and better quality of life. Randomized clinical trials of aspirin use in COPD are warranted to account for unmeasured and residual confounding. TRIAL REGISTRY: ClinicalTrials.gov; No.: NCT01969344; URL: www.clinicaltrials.gov.

Indexed as

Pulmonary Disease, Chronic ObstructiveSymptom Flare UpAnti-Bacterial AgentsAspirinCorrelation of DataFemaleGlucocorticoidsHumansMaleMiddle AgedPlatelet Aggregation InhibitorsProspective StudiesRespiratory Function TestsSeverity of Illness IndexSymptom AssessmentUnited StatesAnti-Bacterial AgentsAspirinGlucocorticoidsPlatelet Aggregation Inhibitorsacute exacerbation of chronic bronchitisantiplatelet drugsCOPDdyspneaquality of life

Identifiers

PMID30593776
PMCPMC6414789
OpenAlexW2906001713

What OpenQuestion holds

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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.