Evidence map›Paper›PMID 32130337›Full record

ArticleJornal brasileiro de pneumologia : publicacao oficial da Sociedade Brasileira de Pneumologia e Tisilogia

Brazilian guidelines for the pharmacological treatment of idiopathic pulmonary fibrosis. Official document of the Brazilian Thoracic Association based on the GRADE methodology.

José Baddini-Martinez, Juliana Ferreira, Suzana Tanni, Luis Renato Alves, Benedito Francisco Cabral Junior, Carlos Roberto Ribeiro Carvalho, Talita Jacon Cezare, Claudia Henrique da Costa, Marcelo Basso Gazzana, Sérgio Jezler and 12 more

Open access · diamondAbstract read
In one paragraph

Article in Jornal brasileiro de pneumologia : publicacao oficial da Sociedade Brasileira de Pneumologia e Tisilogia. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 2 pooled it
1.4field-weighted citation impact, top 16% 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

8 citing papers in PubMed, 2 syntheses or guidelines pooled it, 17 citations in OpenAlex.

  1. Clinical care in interstitial lung disease: a critical appraisal of clinical guidance documents.European respiratory review : an official journal of the European Respiratory Society · 2025
    Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Pulmonary fibrosis and follow-up of COVID-19 survivors: an urgent need for clarification.Jornal brasileiro de pneumologia : publicacao oficial da Sociedade Brasileira de Pneumologia e Tisilogia · 2021
    Article
  6. Achievements of the last biennium, projections for the coming years, and the impact of COVID-19.Jornal brasileiro de pneumologia : publicacao oficial da Sociedade Brasileira de Pneumologia e Tisilogia · 2021
    Article
  7. Article
  8. Pharmacological treatment of idiopathic pulmonary fibrosis: time to step out of the comfort zone?Jornal brasileiro de pneumologia : publicacao oficial da Sociedade Brasileira de Pneumologia e Tisilogia · 2020
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

22 authors at 12 institutions in 3 countries.

José Baddini-Martinez. Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto (SP) Brasil.ORCID http://orcid.org/0000-0001-8160-5084
Juliana Ferreira. Faculdade de Medicina, Universidade de São Paulo, São Paulo (SP) Brasil.ORCID http://orcid.org/0000-0001-6548-1384
Suzana Tanni. Faculdade de Medicina de Botucatu, Universidade Estadual Paulista - UNESP - Botucatu (SP) Brasil.ORCID http://orcid.org/0000-0002-2587-2759
Luis Renato Alves. Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto (SP) Brasil.ORCID http://orcid.org/0000-0001-5528-0597
Benedito Francisco Cabral Junior. Universidade Católica de Brasília, Brasília (DF) Brasil.ORCID http://orcid.org/0000-0001-5657-7878
Carlos Roberto Ribeiro Carvalho. Faculdade de Medicina, Universidade de São Paulo, São Paulo (SP) Brasil.ORCID http://orcid.org/0000-0002-1618-8509
Talita Jacon Cezare. Faculdade de Medicina de Botucatu, Universidade Estadual Paulista - UNESP - Botucatu (SP) Brasil.ORCID http://orcid.org/0000-0002-4183-8542
Claudia Henrique da Costa. Universidade do Estado do Rio de Janeiro - UERJ - Rio de Janeiro (RJ) Brasil.ORCID http://orcid.org/0000-0001-6785-0753
Marcelo Basso Gazzana. Universidade Federal do Rio Grande do Sul - UFRGS - Porto Alegre (RS) Brasil.ORCID http://orcid.org/0000-0003-0086-1890
Sérgio Jezler. Hospital Geral Roberto Santos, Salvador (BA) Brasil.ORCID http://orcid.org/0000-0002-5861-3681
Ronaldo Adib Kairalla. Faculdade de Medicina, Universidade de São Paulo, São Paulo (SP) Brasil.ORCID http://orcid.org/0000-0001-7194-0479
Leticia Kawano-Dourado. Instituto de Pesquisa. Hospital do Coração, São Paulo (SP) Brasil.ORCID http://orcid.org/0000-0003-0784-1331
Mariana Silva Lima. Universidade Federal do Ceará, Fortaleza (CE) Brasil.ORCID http://orcid.org/0000-0002-5438-3428
Eliane Mancuzo. Universidade Federal de Minas Gerais, Belo Horizonte (MG) Brasil.ORCID http://orcid.org/0000-0003-3891-875X
Maria Auxiliadora Carmo Moreira. Universidade Federal de Goiás, Goiânia (GO) Brasil.ORCID http://orcid.org/0000-0002-6639-0633
Marcelo Palmeira Rodrigues. Universidade de Brasília - UnB - Brasília (DF) Brasil.ORCID http://orcid.org/0000-0002-9895-646X
Silvia Carla Sousa Rodrigues. Hospital do Servidor Público Estadual de São Paulo, São Paulo (SP) Brasil.ORCID http://orcid.org/0000-0002-4909-9617
Adalberto Sperb Rubin. Universidade Federal de Ciências da Saúde de Porto Alegre, Porto Alegre (RS) Brasil.ORCID http://orcid.org/0000-0002-4591-1444
Rogério Lopes Rufino. Universidade do Estado do Rio de Janeiro - UERJ - Rio de Janeiro (RJ) Brasil.ORCID http://orcid.org/0000-0002-5071-6045
Leila John Marques Steidle. Universidade Federal de Santa Catarina - UFSC - Florianópolis (SC) Brasil.ORCID http://orcid.org/0000-0002-5435-8193
Karin Storrer. Universidade Federal do Paraná - UFPR - Curitiba (PR) Brasil.ORCID http://orcid.org/0000-0003-2756-2321
Bruno Guedes Baldi. Faculdade de Medicina, Universidade de São Paulo, São Paulo (SP) Brasil.ORCID http://orcid.org/0000-0002-9609-5117
Center for Assessment · USUniversidade de São Paulo · BRUniversidade de Ribeirão Preto · BRUniversidade do Estado do Rio de Janeiro · BRComplexo Hospitalar Universitário Professor Edgard Santos · BRUniversidade Católica de Brasília · BRUniversidade de Brasília · BRUniversidade Federal de Ciências da Saúde de Porto Alegre · BRUniversidade Federal de Minas Gerais · BRUniversidade Federal de Santa Catarina · BRUniversidade Federal do Ceará · BRUniversidade Federal do Rio Grande do Sul · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Idiopathic pulmonary fibrosis (IPF) is a form of chronic interstitial lung disease of unknown cause, which predominantly affects elderly men who are current or former smokers. Even though it is an uncommon disease, it is of great importance because of its severity and poor prognosis. In recent decades, several pharmacological treatment modalities have been investigated for the treatment of this disease, and the classic concepts have therefore been revised. The purpose of these guidelines was to define evidence-based recommendations regarding the use of pharmacological agents in the treatment of IPF in Brazil. We sought to provide guidance on the practical issues faced by clinicians in their daily lives. Patients of interest, Intervention to be studied, Comparison of intervention and Outcome of interest (PICO)-style questions were formulated to address aspects related to the use of corticosteroids, N-acetylcysteine, gastroesophageal reflux medications, endothelin-receptor antagonists, phosphodiesterase-5 inhibitors, pirfenidone, and nintedanib. To formulate the PICO questions, a group of Brazilian specialists working in the area was assembled and an extensive review of the literature on the subject was carried out. Previously published systematic reviews with meta-analyses were analyzed for the strength of the compiled evidence, and, on that basis, recommendations were developed by employing the Grading of Recommendations Assessment, Development and Evaluation approach. The authors believe that the present document represents an important advance to be incorporated in the approach to patients with IPF, aiming mainly to improve its management, and can become an auxiliary tool for defining public policies related to IPF.

Indexed as

Practice Guidelines as TopicAcetylcysteineAgedAnti-Inflammatory AgentsBrazilHumansIdiopathic Pulmonary FibrosisIndolesMalePyridonesAcetylcysteineAnti-Inflammatory AgentsIndolesPyridones

Identifiers

PMID32130337
PMCPMC7462709
OpenAlexW3009214372

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.