Evidence map›Paper›PMID 31134337›Full record

Observational studyLung2019

Bronchial Thermoplasty Including the Middle Lobe Bronchus Significantly Improves Lung Function and Quality of Life in Patients Suffering from Severe Asthma.

Stephan Eisenmann, Wolfgang Schütte, Faustina Funke, Filiz Oezkan, Shaheen Islam, Kaid Darwiche

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in Lung, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
  4. Observational
  5. Article
  6. Review
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.

Stephan EisenmannInterventional Pneumology, Ruhrlandklinik-West German Lung Center, Essen, Germany. stephan.eisenmann@uk-halle.de.ORCID 0000-0002-0387-0760
Wolfgang SchütteMartha-Maria Hospital Halle-Dölau, Halle, Germany.
Faustina FunkeInterventional Pneumology, Ruhrlandklinik-West German Lung Center, Essen, Germany.
Filiz OezkanInterventional Pneumology, Ruhrlandklinik-West German Lung Center, Essen, Germany.
Shaheen IslamInterventional Pulmonology, Ohio State University, Columbus, USA.
Kaid DarwicheInterventional Pneumology, Ruhrlandklinik-West German Lung Center, Essen, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeBronchial Thermoplasty (BT) is indicated in patients suffering from severe and symptomatic bronchial asthma despite maximal medical therapy. However, treatment of the right middle lobe (RML) bronchus is currently not recommended. The aim of this study was to investigate the safety and efficacy of BT if the RML bronchus is included.

methodsBT was performed in 17 consecutive patients, quality of life and pulmonary function were characterized before and 90 days after BT completion. Furthermore, we performed a clean-up bronchoscopy following every BT. This study was approved by the IRB of the University of Essen (No. 17-7356 BO) and registered as a retrospective observational study at the German Clinical Trials Registry (No. DRKS 00011550).

resultsThe median baseline values of FEV1 and Asthma Questionnaire of Life Quality (AQLQ) were 1.33 l (0.91; 1.73) and 3.01 (2.76; 3.61), respectively, and significantly improved 90 days after treatment with FEV 1 at 1.75 l (p-value 0.002) and AQLQ 3.8 (p-value < 0.05). Also the amount of oral corticosteroid necessity decreased significantly. No severe adverse events occurred due to the procedure. Clean-up bronchoscopies-when performed-revealed significant fibrinous exudation after every BT procedure.

conclusionBT including the RML bronchus is feasible. Functionally limited patients with severe asthma could potentially profit. Due to the relevant fibrinous exudation, BT should be followed by clean-up bronchoscopy, not only after RML treatment.

Indexed as

Bronchial ThermoplastyBronchoconstrictionQuality of LifeAdrenal Cortex HormonesAdultAsthmaBronchiBronchoscopyFemaleForced Expiratory VolumeGermanyHumansMaleMiddle AgedRecovery of FunctionRetrospective StudiesAdrenal Cortex HormonesAsthmaBronchial ThermoplastyBronchoscopyMiddle lobe bronchus

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Registered trials

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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.