Evidence map›Paper›PMID 31175265›Full record

ArticleAging2019

Real-world effectiveness of medications on survival in patients with COPD-heart failure overlap.

Vincent Yi-Fong Su, Yao-Hsu Yang, Diahn-Warng Perng, Ying-Huang Tsai, Kun-Ta Chou, Kang-Cheng Su, Wei-Juin Su, Pau-Chung Chen, Kuang-Yao Yang

Erratum issuedOpen access · greenFull text read
In one paragraph

Article in Aging, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 pooled it
4.2field-weighted citation impact, top 5% 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

16 citing papers in PubMed, 2 syntheses or guidelines pooled it, 33 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
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  8. Article
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  13. Article
  14. Enhanced risk of traumatic brain injury in patients with chronic obstructive pulmonary disease.Journal of investigative medicine : the official publication of the American Federation for Clinical Research · 2020
    Article
  15. Article
  16. Trends and Changes in Intensive Care Use for Patients With Heart Failure in the Last Month of Life.Inquiry : a journal of medical care organization, provision and financing
    Observational
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 5 institutions in 1 country.

Vincent Yi-Fong Su *Department of Internal Medicine, Taipei City Hospital, Taipei City Government, Taipei, Taiwan.
Yao-Hsu Yang *Health Information and Epidemiology Laboratory, Chang Gung Memorial Hospital, Chiayi, Taiwan.
Diahn-Warng PerngDepartment of Chest Medicine, Taipei Veterans General Hospital, Taipei, Taiwan.
Ying-Huang TsaiDivision of Pulmonary and Critical Care Medicine and Department of Respiratory Care, Chang Gung Memorial Hospital, Chiayi, Taiwan.
Kun-Ta ChouDepartment of Chest Medicine, Taipei Veterans General Hospital, Taipei, Taiwan.
Kang-Cheng SuDepartment of Chest Medicine, Taipei Veterans General Hospital, Taipei, Taiwan.
Wei-Juin SuDepartment of Chest Medicine, Taipei Veterans General Hospital, Taipei, Taiwan.
Pau-Chung ChenDepartment of Environmental and Occupational Medicine, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan.
Kuang-Yao YangDepartment of Chest Medicine, Taipei Veterans General Hospital, Taipei, Taiwan.
Chang Gung University · TWNational Yang Ming Chiao Tung University · TWNational Yang Ming Chiao Tung University · TWNational Yang Ming University Hospital · TWTaipei Veterans General Hospital · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The appropriate treatment for patients with coexistent chronic obstructive pulmonary disease (COPD) and heart failure (HF) remains unclear. Data from the Taiwan National Health Insurance Research Database was used for this retrospective cohort study. Patients diagnosed with both diseases between 1997 and 2012 were enrolled as the COPD-heart failure overlap cohort. Patients were categorized as non-users and users of specific COPD and HF medications. Medication prescriptions in each 3-month and 1-year period served as time-dependent covariates. The primary endpoint was cumulative survival. The validation study confirmed the accuracy of definitions of COPD (94.0% sensitivity) and HF (96.3% sensitivity).The study included 275,436 patients with COPD-heart failure overlap, with a mean follow-up period of 9.32 years. The COPD-heart failure overlap cohort had more medical service use and higher mortality than did the COPD alone cohort. Use of inhaled corticosteroid (ICS)/long-acting β2 agonist (LABA) combinations, long-acting muscarinic antagonist (LAMA), angiotensin receptor blockers (ARBs), β blockers, aldosterone antagonists, and statins reduced mortality risk compared with non-use. Sensitivity and subgroup analyses confirmed the consistency and robustness of results.ICS/LABA combinations, LAMA, ARBs, β blockers, aldosterone antagonists, and statins use was associated with a lower mortality risk in patients with COPD-heart failure overlap.

Indexed as

Adrenal Cortex HormonesAgedAngiotensin Receptor AntagonistsDisease ProgressionDrug Therapy, CombinationFemaleFollow-Up StudiesHeart FailureHumansHydroxymethylglutaryl-CoA Reductase InhibitorsMaleMiddle AgedMuscarinic AntagonistsPulmonary Disease, Chronic ObstructiveRetrospective StudiesSurvival RateAdrenal Cortex HormonesAngiotensin Receptor AntagonistsHydroxymethylglutaryl-CoA Reductase InhibitorsMuscarinic Antagonistschronic obstructive pulmonary diseaseCOPD-heart failure overlapheart failurelong-acting muscarinic antagonistlong-acting β2 agonist

Identifiers

PMID31175265
PMCPMC6594806
OpenAlexW2952674645

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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.