Evidence map›Paper›PMID 31286970›Full record

ReviewRespiratory research2019

Weighing the evidence for pharmacological treatment interventions in mild COPD; a narrative perspective.

Dave Singh, Anthony D D'Urzo, James F Donohue, Edward M Kerwin

Open access · goldAbstract readReview
In one paragraph

Review in Respiratory research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
2.1field-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.

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

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Observational
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. COPD - do the right thing.BMC family practice · 2021
    Review
  11. Review
  12. The Long-Term Burden of COPD Exacerbations During Maintenance Therapy and Lung Function Decline.International journal of chronic obstructive pulmonary disease · 2020
    Article
  13. Article
  14. Early COPD: current evidence for diagnosis and management.Therapeutic advances in respiratory disease
    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

4 authors at 3 institutions in 3 countries.

Dave SinghUniversity of Manchester, Medicines Evaluation Unit, Manchester University NHS Foundation Trust, Manchester, M23 9QZ, UK. dsingh@meu.org.uk.
Anthony D D'UrzoDepartment of Family and Community Medicine, University of Toronto, Toronto, Ontario, Canada.
James F DonohueDivision of Pulmonary Diseases & Critical Care Medicine, University of North Carolina Pulmonary Critical Medicine, Chapel Hill, North Carolina, USA.
Edward M KerwinClinical Research Institute, Medford, Oregon, USA.
Clinical Research Institute · USMedicines Evaluation Unit · GBUniversity of Toronto · CA

Funding

AstraZeneca N/A
6 · The paper itself

Abstract

There is increasing focus on understanding the nature of chronic obstructive pulmonary disease (COPD) during the earlier stages. Mild COPD (Global Initiative for Chronic Obstructive Lung Disease [GOLD] stage 1 or the now-withdrawn GOLD stage 0) represents an early stage of COPD that may progress to more severe disease. This review summarises the disease burden of patients with mild COPD and discusses the evidence for treatment intervention in this subgroup.Overall, patients with mild COPD suffer a substantial disease burden that includes persistent or potentially debilitating symptoms, increased risk of exacerbations, increased healthcare utilisation, reduced exercise tolerance and physical activity, and a higher rate of lung function decline versus controls. However, the evidence for treatment efficacy in these patients is limited due to their frequent exclusion from clinical trials. Careful assessment of disease burden and the rate of disease progression in individual patients, rather than a reliance on spirometry data, may identify patients who could benefit from earlier treatment intervention.

Indexed as

Adrenal Cortex HormonesAdrenergic beta-2 Receptor AgonistsExercise ToleranceForced Expiratory VolumeHumansMuscarinic AntagonistsPulmonary Disease, Chronic ObstructiveTreatment OutcomeAdrenal Cortex HormonesAdrenergic beta-2 Receptor AgonistsMuscarinic AntagonistsChronic obstructive pulmonary diseaseCorticosteroidEarly intervention

Identifiers

PMID31286970
PMCPMC6615221
OpenAlexW2962085649

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.