Evidence map›Paper›PMID 31409413›Full record

ArticleBMC health services research2019

Health-resource use and quality of life in children with bronchiectasis: a multi-center pilot cohort study.

Yolanda G Lovie-Toon, Keith Grimwood, Catherine A Byrnes, Vikas Goyal, Greta Busch, I Brent Masters, Julie M Marchant, Helen Buntain, Kerry-Ann F O'Grady, Anne B Chang

Registry-linked trialOpen access · goldAbstract readMulticenter Study
In one paragraph

Article in BMC health services research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04765033 (Efficacy of Nebulised 5% Hypertonic Saline in Children With Chronic Suppurative Lung Disease), which is not on this map. Cited by 21 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 5 pooled it
3.8field-weighted citation impact, top 6% 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.

NCT04765033 phase4completednot on this mapstarted 2021, after this paper: background citation

Efficacy of Nebulised 5% Hypertonic Saline in Children With Chronic Suppurative Lung Disease

TypeinterventionalSponsorUniversity of MalayaRan2021 to 2023Enrolled46ConditionsBronchiectasisArmsNebulized 5% Hypertonic saline
3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 5 syntheses or guidelines pooled it, 45 citations in OpenAlex.

  1. Pooled it
  2. Mucolytics for children with chronic suppurative lung disease.The Cochrane database of systematic reviews · 2025
    Pooled it
  3. Pooled it
  4. A systematic literature review of the clinical and socioeconomic burden of bronchiectasis.European respiratory review : an official journal of the European Respiratory Society · 2024
    Pooled it
  5. Pooled it
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  10. Rasch validation of the short form (8 item) PC-QoL questionnaire and applicability of use as a health state classification system for a new preference-based measure.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2024
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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

10 authors at 5 institutions in 2 countries.

Yolanda G Lovie-ToonInstitute of Health & Biomedical Innovation @ Centre for Children's Health Research, Queensland University of Technology, 62 Graham Street, South Brisbane, Queensland, 4101, Australia. y.lovietoon@qut.edu.au.ORCID http://orcid.org/0000-0001-8542-0802
Keith GrimwoodSchool of Medicine and Menzies Health Institute Queensland, Griffith University, Gold Coast, Queensland, 4222, Australia.
Catherine A ByrnesDepartment of Paediatrics, University of Auckland, Auckland, New Zealand.
Vikas GoyalDepartments of Infectious Diseases and Paediatrics, Gold Coast Health, Gold Coast, Queensland, 4215, Australia.
Greta BuschInstitute of Health & Biomedical Innovation @ Centre for Children's Health Research, Queensland University of Technology, 62 Graham Street, South Brisbane, Queensland, 4101, Australia.
I Brent MastersInstitute of Health & Biomedical Innovation @ Centre for Children's Health Research, Queensland University of Technology, 62 Graham Street, South Brisbane, Queensland, 4101, Australia.
Julie M MarchantInstitute of Health & Biomedical Innovation @ Centre for Children's Health Research, Queensland University of Technology, 62 Graham Street, South Brisbane, Queensland, 4101, Australia.
Helen BuntainDepartment of Respiratory Medicine, Queensland Children's Hospital, South Brisbane, Queensland, 4101, Australia.
Kerry-Ann F O'GradyInstitute of Health & Biomedical Innovation @ Centre for Children's Health Research, Queensland University of Technology, 62 Graham Street, South Brisbane, Queensland, 4101, Australia.
Anne B ChangInstitute of Health & Biomedical Innovation @ Centre for Children's Health Research, Queensland University of Technology, 62 Graham Street, South Brisbane, Queensland, 4101, Australia.
Queensland University of Technology · AUChildren's Health Queensland Hospital and Health Service · AUGriffith University · AUThe University of Queensland · AUUniversity of Auckland · NZ

Funding

Cure Kids 3702764/3539National Health and Medical Research Council 1019834National Health and Medical Research Council 1040830National Health and Medical Research Council 10450830National Health and Medical Research Council 1058213National Health and Medical Research Council 1075119
6 · The paper itself

Abstract

backgroundBronchiectasis in children is an important, but under-researched, chronic pulmonary disorder that has negative impacts on health-related quality of life. Despite this, it does not receive the same attention as other chronic pulmonary conditions in children such as cystic fibrosis. We measured health resource use and health-related quality of life over a 12-month period in children with bronchiectasis.

methodsWe undertook a prospective cohort study of 85 children aged < 18-years with high-resolution chest computed-tomography confirmed bronchiectasis undergoing management in three pediatric respiratory medical clinics in Darwin and Brisbane, Australia and Auckland, New Zealand. Children with cystic fibrosis or receiving cancer treatment were excluded. Data collected included the frequency of healthcare attendances (general practice, specialists, hospital and/or emergency departments, and other), medication use, work and school/childcare absences for parents/carers and children respectively, and both parent/carer and child reported quality of life and cough severity.

resultsOverall, 951 child-months of observation were completed for 85 children (median age 8.7-years, interquartile range 5.4-11.3). The mean (standard deviation) number of exacerbations was 3.3 (2.2) per child-year. Thirty of 264 (11.4%) exacerbation episodes required hospitalization. Healthcare attendance and antibiotic use rates were high (30 and 50 per 100 child-months of observation respectively). A carer took leave from work for 53/236 (22.5%) routine clinic visits. Absences from school/childcare due to bronchiectasis were 24.9 children per 100 child-months. Quality of life scores for both the parent/carer and child were highly-correlated with one another, remained stable over time and were negatively associated with cough severity.

conclusionsHealth resource use in this cohort of children is high, reflecting their severe disease burden. Studies are now needed to quantify the direct and societal costs of disease and to evaluate interventions that may reduce disease burden, particularly hospitalizations.

Indexed as

Patient Acceptance of Health CareQuality of LifeAnti-Bacterial AgentsBronchiectasisChildChild, PreschoolDisease ProgressionFemaleHealth Services Needs and DemandHospitalizationHumansMalePilot ProjectsProspective StudiesAnti-Bacterial AgentsBronchiectasisChildrenHealth-related quality of lifeHealth resource use

Identifiers

PMID31409413
PMCPMC6693266
OpenAlexW2968500273

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.