Evidence map›Paper›PMID 32622820›Full record

ArticleChest2020

Airway Clearance Techniques in Bronchiectasis: Analysis From the United States Bronchiectasis and Non-TB Mycobacteria Research Registry.

Ashwin Basavaraj, Radmila Choate, Doreen Addrizzo-Harris, Timothy R Aksamit, Alan Barker, Charles L Daley, M Leigh Anne Daniels, Edward Eden, Angela DiMango, Kevin Fennelly and 12 more

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Chest, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06393257 (Efficacy and Safety of Airway Clearance Technique by Oscillation and Lung Expansion in Patients With Bronchiectasis), which is not on this map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
3.4field-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.

NCT06393257 naunknown statusnot on this mapstarted 2023, after this paper: background citation

Efficacy and Safety of Airway Clearance Technique by Oscillation and Lung Expansion in Patients With Bronchiectasis

TypeinterventionalSponsorShanghai Pulmonary Hospital, Shanghai, ChinaRan2023 to 2026Enrolled96ConditionsBronchiectasis AdultArmsOscillation and Lung Expansion, Postural drainage, Anti-infective therapy, Mucolytic
3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 44 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Physiology-Guided Selection of Hardware-Assisted Airway Clearance Techniques during Acute Exacerbations of Non-Cystic Fibrosis Bronchiectasis.Medical principles and practice : international journal of the Kuwait University, Health Science Centre · 2026
    Article
  5. Review
  6. Article
  7. Review
  8. Comprehensive Management Algorithm forAnnals of the American Thoracic Society · 2025
    Review
  9. Assessing respiratory therapists' compliance with cystic fibrosis guidelines in Saudi Arabia: A descriptive quantitative study.Canadian journal of respiratory therapy : CJRT = Revue canadienne de la therapie respiratoire : RCTR · 2025
    Article
  10. Patient-managed interventions for adults with bronchiectasis: evidence, challenges and prospects.European respiratory review : an official journal of the European Respiratory Society · 2024
    Review
  11. Review
  12. Observational
  13. Article
  14. Basic, translational and clinical aspects of bronchiectasis in adults.European respiratory review : an official journal of the European Respiratory Society · 2023
    Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

22 authors at 15 institutions in 1 country.

Ashwin BasavarajNew York University School of Medicine, New York, NY. Electronic address: Ashwin.basavaraj@nyulangone.org.
Radmila ChoateResearch, the COPD Foundation, Miami, FL; College of Public Health, University of Kentucky, Lexington, KY.
Doreen Addrizzo-HarrisNew York University School of Medicine, New York, NY.
Timothy R AksamitPulmonary Disease and Critical Care Medicine, Mayo Clinic, Rochester, MN.
Alan BarkerDepartment of Pulmonology, OHSU School of Medicine, Portland, OR.
Charles L DaleyDivision of Mycobacterial and Respiratory Infections, National Jewish Health, Denver, CO.
M Leigh Anne DanielsUniversity of North Carolina at Chapel Hill, Chapel Hill, NC.
Edward EdenIcahn School of Medicine, Mt Sinai West and Mt Sinai St Luke's Hospitals, Mt Sinai, NY.
Angela DiMangoCenter for Chest Disease, Columbia College of Physicians and Surgeons, New York, NY.
Kevin FennellyNational Heart Lung and Blood Institute, NIH, Bethesda, MD.
David E GriffithUniversity of Texas at Tyler, Tyler, TX.
Margaret M JohnsonPulmonary and Critical Care, Mayo Clinic Florida, Jacksonville, FL.
Michael R KnowlesUniversity of North Carolina at Chapel Hill, Chapel Hill, NC.
Mark L MeterskyDivision of Pulmonary and Critical Care Medicine, University of Connecticut School of Medicine, Farmington, CT.
Peadar G NooneUniversity of North Carolina at Chapel Hill, Chapel Hill, NC.
Anne E O'DonnellGeorgetown University Medical Center, Washington, DC.
Kenneth N OlivierNational Heart Lung and Blood Institute, NIH, Bethesda, MD.
Matthias A SalatheUniversity of Miami Miller School of Medicine, Miami, FL.
Andreas SchmidUniversity of Miami Miller School of Medicine, Miami, FL.
Byron ThomashowCenter for Chest Disease, Columbia College of Physicians and Surgeons, New York, NY.
Gregory TinoUniversity of Pennsylvania Perelman School of Medicine, Philadelphia, PA.
Kevin L WinthropDepartment of Pulmonology, OHSU School of Medicine, Portland, OR; Department of Infectious Disease, OHSU School of Medicine, Portland, OR.
University of North Carolina at Chapel Hill · USColumbia University · USNational Heart Lung and Blood Institute · USNew York University · USUniversity of Miami · USUniversity of Portland · USGeorgetown University Medical Center · USJacksonville College · USMayo Clinic in Florida · USNational Jewish Health · USSt. Luke's Hospital · USThe University of Texas at Tyler · USUniversity of Connecticut · USUniversity of Kentucky · USUniversity of Pennsylvania · US

Funding

Bronchiectasis and chronic airway infectionZIAHL006200 · NHLBI · NATIONAL HEART, LUNG, AND BLOOD INSTITUTE · PI FENNELLY, KEVIN · 2015 to 2025
$25.1M
6 · The paper itself

Abstract

backgroundIn patients with bronchiectasis, airway clearance techniques (ACTs) are important management strategies. RESEARCH QUESTION: What are the differences in patients with bronchiectasis and a productive cough who used ACTs and those who did not? What was the assessment of bronchiectasis exacerbation frequency and change in pulmonary function at 1-year follow up? STUDY DESIGN AND

methodsAdult patients with bronchiectasis and a productive cough in the United States Bronchiectasis and NTM Research Registry were included in the analyses. ACTs included the use of instrumental devices and manual techniques. Stratified analyses of demographic and clinical characteristics were performed by use of ACTs at baseline and follow up. The association between ACT use and clinical outcomes was assessed with the use of unadjusted and adjusted multinomial logistic regression models.

resultsOf the overall study population (n = 905), 59% used ACTs at baseline. A greater proportion of patients who used ACTs at baseline and follow up continuously had Pseudomonas aeruginosa (47% vs 36%; P = .021) and experienced an exacerbation (81% vs 59%; P < .0001) or hospitalization for pulmonary illness (32% vs 22%; P = .001) in the prior two years, compared with those patients who did not use ACTs. Fifty-eight percent of patients who used ACTs at baseline did not use ACTs at 1-year follow up. There was no significant change in pulmonary function for those who used ACTs at follow up, compared with baseline. Patients who used ACTs at baseline and follow up had greater odds for experiencing exacerbations at follow up compared with those patients who did not use ACTs.

interpretationIn patients with bronchiectasis and a productive cough, ACTs are used more often if the patients have experienced a prior exacerbation, hospitalization for pulmonary illness, or had P aeruginosa. There is a significant reduction in the use of ACTs at 1-year follow up. The odds of the development of a bronchiectasis exacerbation are higher in those patients who use ACTs continuously, which suggests more frequent use in an ill bronchiectasis population.

Indexed as

Respiratory TherapyAgedBiomedical ResearchBronchiectasisCohort StudiesCoughFemaleHumansMaleMiddle AgedNontuberculous MycobacteriaRegistriesUnited Statesairway clearance techniquebronchiectasissputum

Identifiers

PMID32622820
PMCPMC7674976
OpenAlexW3080411045

What OpenQuestion holds

Textmetadata
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.