Evidence map›Paper›PMID 31047955›Full record

ArticleChest2019

The St. George's Respiratory Questionnaire Definition of Chronic Bronchitis May Be a Better Predictor of COPD Exacerbations Compared With the Classic Definition.

Victor Kim, Huaqing Zhao, Elizabeth Regan, MeiLan K Han, Barry J Make, James D Crapo, Paul W Jones, Jeffrey L Curtis, Edwin K Silverman, Gerard J Criner and 1 more

Abstract readComparative Study
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. Cited by 33 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 3 pooled it
6.3field-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, 3 syntheses or guidelines pooled it, 58 citations in OpenAlex.

  1. Predictors of Acute Exacerbations in COPD: A Systematic Review.International journal of chronic obstructive pulmonary disease · 2026
    Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Article
  6. Article
  7. Article
  8. Observational
  9. Impact of bronchitis variability on outcomes of COPD.BMJ open respiratory research · 2025
    Observational
  10. Article
  11. Reply to GanAmerican journal of respiratory and critical care medicine · 2023
    Article
  12. Exacerbations of COPD.Respiratory care · 2023
    Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Observational
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 8 institutions in 2 countries.

Victor KimLewis Katz School of Medicine at Temple University, Philadelphia, PA. Electronic address: victor.kim@tuhs.temple.edu.
Huaqing ZhaoLewis Katz School of Medicine at Temple University, Philadelphia, PA.
Elizabeth ReganNational Jewish Health, Denver, CO.
MeiLan K HanUniversity of Michigan Health Care System, Ann Arbor, MI.
Barry J MakeNational Jewish Health, Denver, CO.
James D CrapoNational Jewish Health, Denver, CO.
Paul W JonesSt. George's Hospital Medical School, London, UK.
Jeffrey L CurtisVA Ann Arbor Healthcare System, Ann Arbor, MI.
Edwin K SilvermanBrigham and Women's Hospital, Boston, MA.
Gerard J CrinerLewis Katz School of Medicine at Temple University, Philadelphia, PA.
COPDGene Investigators
National Jewish Health · USTemple University · USBrigham and Women's Hospital · USUniversity of Michigan–Ann Arbor · USUniversity of Colorado Denver · USVA Ann Arbor Healthcare System · USSt George's Hospital · GBSt George's, University of London · GB

Funding

Genetic Epidemiology of COPDU01HL089897 · NHLBI · NATIONAL JEWISH HEALTH · PI CRAPO, JAMES D · 2007 to 2021
$56.9M
Pulmonary Toxicology Facility CoreP30ES005605 · NIEHS · UNIVERSITY OF IOWA · PI Jong Sung Kim · 1990 to 2026
$40.5M
Genetic Epidemiology of COPDU01HL089856 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI SILVERMAN, EDWIN K · 2007 to 2021
$20.7M
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
Clinical significance and genetic determinants of novel imaging measures of emphysema distribution in 9,743 smokersK08HL141601 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI EL BOUEIZ, ADEL · 2018 to 2022
$853k
Modulation of Steroid Suppression by Alveolar Macrophage EfferocytosisI01CX000911 · VA · VETERANS HEALTH ADMINISTRATION · PI CURTIS, JEFFREY LOUIS · 2016 to 2020
–
CSRD VA I01 CX000911NHLBI NIH HHS K08 HL141601NHLBI NIH HHS U01 HL089856NHLBI NIH HHS U01 HL089897NIEHS NIH HHS P30 ES005605NIH HHS S10 OD018526
6 · The paper itself

Abstract

backgroundChronic bronchitis (CB) increases risk of COPD exacerbations. We have shown that the St. George's Respiratory Questionnaire (SGRQ) CB definition identifies patients with a similar clinical phenotype as classically defined CB. Whether the SGRQ CB definition is a predictor of future COPD exacerbations is unknown.

methodsWe analyzed 7,557 smokers with normal spirometry and Global Initiative for Chronic Obstructive Lung Disease stage 1-4 COPD in the Genetic Epidemiology of COPD study with longitudinal follow-up data on exacerbations. Subjects were divided into classic CB

resultsThere were 1,434 classic CB

conclusionsThe SGRQ CB definition identified more subjects at risk for future exacerbations than the classic CB definition. SGRQ CB was at least a similar if not better predictor of future exacerbations than classic CB.

Indexed as

Diagnostic Self EvaluationDisease ProgressionAgedBronchitis, ChronicFemaleHumansMaleMiddle AgedPrognosisPulmonary Disease, Chronic ObstructiveSeverity of Illness Indexchronic bronchitisCOPDcoughexacerbations

Identifiers

PMID31047955
PMCPMC6859248
OpenAlexW2945459801

What OpenQuestion holds

Textmetadata
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.