Evidence map›Paper›PMID 32269027›Full record

ArticleBMJ open2020

Prevalence and clinical implications of respiratory viruses in stable chronic obstructive pulmonary disease (COPD) and exacerbations: a systematic review and meta-analysis protocol.

Anastasia M Kefala, Rebecca Fortescue, Gioulinta S Alimani, Prodromos Kanavidis, Melissa Jane McDonnell, Emmanouil Magiorkinis, Spyridon Megremis, Dimitrios Paraskevis, Chrysa Voyiatzaki, Georgios A Mathioudakis and 5 more

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.1field-weighted citation impact, top 19% 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

6 citing papers in PubMed, 15 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Review
  6. COVID-19 Susceptibility in chronic obstructive pulmonary disease.European journal of clinical investigation · 2020
    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

15 authors at 7 institutions in 3 countries.

Anastasia M KefalaDepartment of Biomedical Sciences, University of West Attica, Egaleo, Greece.
Rebecca FortescueCochrane Airways, Population Health Research Institute, University of London Saint George's, London, UK.
Gioulinta S AlimaniDepartment of Biomedical Sciences, University of West Attica, Egaleo, Greece.
Prodromos KanavidisFirst Department of Surgery, Laikon General Hospital, National and Kapodistrian University of Athens, Athens, Greece.
Melissa Jane McDonnellDepartment of Respiratory Medicine, Galway University Hospitals, Galway, Ireland.
Emmanouil MagiorkinisDepartment of Biomedical Sciences, University of West Attica, Egaleo, Greece.
Spyridon MegremisDivision of Evolution and Genomic Science, The University of Manchester, Manchester, UK.
Dimitrios ParaskevisDepartment of Hygiene, Epidemiology and Medical Statistics, National and Kapodistrian University of Athens, Athens, Greece.
Chrysa VoyiatzakiDepartment of Biomedical Sciences, University of West Attica, Egaleo, Greece.
Georgios A MathioudakisAthens Breath Centre, Athens, Greece.
Effie PapageorgiouDepartment of Biomedical Sciences, University of West Attica, Egaleo, Greece.
Nikolaos G PapadopoulosDivision of Infection, Immunity and Respiratory Medicine, The University of Manchester, Manchester, UK.
Jørgen VestboDivision of Infection, Immunity and Respiratory Medicine, The University of Manchester, Manchester, UK.
Apostolos BeloukasDepartment of Biomedical Sciences, University of West Attica, Egaleo, Greece.ORCID 0000-0001-5639-0528
Alexander G MathioudakisDivision of Infection, Immunity and Respiratory Medicine, The University of Manchester, Manchester, UK alexander.mathioudakis@manchester.ac.uk.ORCID 0000-0002-4675-9616
University of West Attica · GRNational and Kapodistrian University of Athens · GRManchester Academic Health Science Centre · GBUniversity Hospital Galway · IEUniversity of Liverpool · GBUniversity of London · GBUniversity of Manchester · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionBoth stable chronic obstructive pulmonary disease (COPD) and acute exacerbations represent leading causes of death, disability and healthcare expenditure. They are complex, heterogeneous and their mechanisms are poorly understood. The role of respiratory viruses has been studied extensively but is still not adequately addressed clinically. Through a rigorous evidence update, we aim to define the prevalence and clinical burden of the different respiratory viruses in stable COPD and exacerbations, and to investigate whether viral load of usual respiratory viruses could be used for diagnosis of exacerbations triggered by viruses, which are currently not diagnosed or treated aetiologically. METHODS AND ANALYSIS: Based on a prospectively registered protocol, we will systematically review the literature using standard methods recommended by the Cochrane Collaboration and the Grading of Recommendations Assessment, Development and Evaluation working group. We will search Medline/PubMed, Excerpta Medica dataBASE (EMBASE), the Cochrane Library, the WHO's Clinical Trials Registry and the proceedings of relevant international conferences on 2 March 2020. We will evaluate: (A) the prevalence of respiratory viruses in stable COPD and exacerbations, (B) differences in the viral loads of respiratory viruses in stable COPD vs exacerbations, to explore whether the viral load of prevalent respiratory viruses could be used as a diagnostic biomarker for exacerbations triggered by viruses and (C) the association between the presence of respiratory viruses and clinical outcomes in stable COPD and in exacerbations. ETHICS AND DISSEMINATION: Ethics approval is not required since no primary data will be collected. Our findings will be presented in national and international scientific conferences and will be published in peer reviewed journals. Respiratory viruses currently represent a lost opportunity to improve the outcomes of both stable COPD and exacerbations. Our work aspires to 'demystify' the prevalence and clinical burden of viruses in stable COPD and exacerbations and to promote clinical and translational research. PROSPERO REGISTRATION NUMBER: CRD42019147658.

Indexed as

Meta-Analysis as TopicSystematic Reviews as TopicViral LoadDisease ProgressionHumansPrevalencePulmonary Disease, Chronic ObstructiveRespiratory Tract InfectionsSpirometryVirus Diseasesadult thoracic medicinechronic airways diseaseepidemiologyrespiratory infections

Identifiers

PMID32269027
PMCPMC7170624
OpenAlexW3016025211

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.