Evidence map›Paper›PMID 31446018›Full record

ArticleJournal of cystic fibrosis : official journal of the European Cystic Fibrosis Society2020

The presence of Aspergillus fumigatus is associated with worse respiratory quality of life in cystic fibrosis.

Gina Hong, Kevin Alby, Sharon C W Ng, Victoria Fleck, Christina Kubrak, Ronald C Rubenstein, Daniel J Dorgan, Steven M Kawut, Denis Hadjiliadis

Abstract read
In one paragraph

Article in Journal of cystic fibrosis : official journal of the European Cystic Fibrosis Society, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing 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

25 citing papers in PubMed.

  1. Review
  2. Progression of Structural Lung Disease in DifferentJournal of fungi (Basel, Switzerland) · 2025
    Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Review
  8. Distinct community structures of the fungal microbiome and respiratory health in adults with cystic fibrosis.Journal of cystic fibrosis : official journal of the European Cystic Fibrosis Society · 2023
    Article
  9. The Clinical Association betweenAnnals of the American Thoracic Society · 2023
    Article
  10. Article
  11. Article
  12. Article
  13. European respiratory review : an official journal of the European Respiratory Society · 2021
    Review
  14. The Effects ofJournal of fungi (Basel, Switzerland) · 2021
    Article
  15. Cystic Fibrosis Clinical Isolates ofPathogens (Basel, Switzerland) · 2021
    Article
  16. Article
  17. Fungal Infection and Inflammation in Cystic Fibrosis.Pathogens (Basel, Switzerland) · 2021
    Review
  18. Article
  19. Allergic Diseases Caused byAntibiotics (Basel, Switzerland) · 2021
    Review
  20. Article
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

9 authors.

Gina HongDepartment of Medicine, University of Pennsylvania, Perelman School of Medicine, Philadelphia, PA, USA. Electronic address: gina.hong@pennmedicine.upenn.edu.
Kevin AlbyDepartment of Pathology and Laboratory Medicine, University of Pennsylvania, Perelman School of Medicine, Philadelphia, PA, USA.
Sharon C W NgDepartment of Medicine, University of Pennsylvania, Perelman School of Medicine, Philadelphia, PA, USA.
Victoria FleckDepartment of Medicine, University of Pennsylvania, Perelman School of Medicine, Philadelphia, PA, USA.
Christina KubrakDepartment of Pediatrics, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Ronald C RubensteinDepartment of Pediatrics, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Daniel J DorganDepartment of Medicine, University of Pennsylvania, Perelman School of Medicine, Philadelphia, PA, USA.
Steven M KawutDepartment of Medicine, University of Pennsylvania, Perelman School of Medicine, Philadelphia, PA, USA; Center for Clinical Epidemiology and Biostatistics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Denis HadjiliadisDepartment of Medicine, University of Pennsylvania, Perelman School of Medicine, Philadelphia, PA, USA.

Funding

Mentored Patient-Oriented Research in Pulmonary Arterial HypertensionK24HL103844 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI KAWUT, STEVEN M · 2011 to 2020
$1.6M
The impact of Aspergillus species in cystic fibrosisK23HL146970 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI HONG, GINA · 2019 to 2023
$1.0M
NHLBI NIH HHS K23 HL146970NHLBI NIH HHS K24 HL103844
6 · The paper itself

Abstract

backgroundThe clinical effects of Aspergillus fumigatus in the cystic fibrosis (CF) airway, with the exception of allergic bronchopulmonary aspergillosis, is unclear.

methodsCF adolescents and adults (age 14 years and older) underwent bacterial and semi-selective fungal culture testing to determine the prevalence of fungi in the CF respiratory tract and the independent association between the presence of Aspergillus fumigatus and clinical characteristics.

resultsAspergillus fumigatus (10.3%) and Candida species (57.8%) were the most common filamentous fungi and yeast seen respectively in the sputa of 206 individuals with CF. Inhaled corticosteroid (ICS) use was more common in Aspergillus fumigatus-positive than Aspergillus fumigatusnegative (100% versus 75.8%, p = .01). Aspergillus fumigatus was significantly associated with lower respiratory domain score (β -8.74, 95% CI -16.6, -0.88, p = .03), representing worse respiratory-related quality of life, accounting for demographics, disease characteristics, and the presence of a pulmonary exacerbation.

conclusionThe presence of Aspergillus fumigatus in CF sputum was associated with worse respiratory quality of life in CF in a crosssectional, single center study. Longitudinal analysis examining the clinical implications of Aspergillus fumigatus on respiratory health over time is needed.

Indexed as

Aspergillosis, Allergic BronchopulmonaryCystic FibrosisQuality of LifeAdolescentAdultAntifungal AgentsAspergillus fumigatusCross-Sectional StudiesFemaleHumansMalePrevalenceRespiratory Function TestsSputumUnited StatesAntifungal AgentsAspergillus fumigatusCystic fibrosisFungiHealth-related quality of life

Identifiers

PMID31446018
PMCPMC7839066

What OpenQuestion holds

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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.