Evidence map›Paper›PMID 32624493›Full record

ArticleBMJ open respiratory research2020

Time to diagnosis of idiopathic pulmonary fibrosis in the IPF-PRO Registry.

Laurie D Snyder, Christopher Mosher, Colin H Holtze, Lisa H Lancaster, Kevin R Flaherty, Imre Noth, Megan L Neely, Anne S Hellkamp, Shaun Bender, Craig S Conoscenti and 2 more

Open access · goldAbstract read
In one paragraph

Article in BMJ open respiratory research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 11% 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

22 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Review
  5. Observational
  6. Article
  7. Review
  8. Article
  9. Review
  10. Circulating biomarker analyses in a longitudinal cohort of patients with IPF.American journal of physiology. Lung cellular and molecular physiology · 2024
    Article
  11. Article
  12. Article
  13. Article
  14. Observational
  15. Article
  16. Article
  17. Review
  18. A New Piece to Help Solve the Interstitial Lung Disease Diagnostic Puzzle.American journal of respiratory and critical care medicine · 2021
    Article
  19. Article
  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

12 authors at 7 institutions in 1 country.

Laurie D SnyderDuke Clinical Research Institute, Durham, North Carolina, USA laurie.snyder@duke.edu.ORCID http://orcid.org/0000-0002-5962-2184
Christopher MosherDuke University Medical Center, Durham, North Carolina, USA.ORCID http://orcid.org/0000-0002-8463-1947
Colin H HoltzeUniversity of Michigan Health System, Ann Arbor, Michigan, USA.
Lisa H LancasterVanderbilt University Medical Center, Nashville, Tennessee, USA.ORCID http://orcid.org/0000-0001-8465-7357
Kevin R FlahertyUniversity of Michigan Health System, Ann Arbor, Michigan, USA.
Imre NothUniversity of Virginia, Charlottesville, Virginia, USA.
Megan L NeelyDuke Clinical Research Institute, Durham, North Carolina, USA.
Anne S HellkampDuke Clinical Research Institute, Durham, North Carolina, USA.
Shaun BenderBoehringer Ingelheim Pharmaceuticals Inc, Ridgefield, Connecticut, USA.
Craig S ConoscentiBoehringer Ingelheim Pharmaceuticals Inc, Ridgefield, Connecticut, USA.
Joao A de AndradeVanderbilt University Medical Center, Nashville, Tennessee, USA.
Timothy Pm WhelanMedical University of South Carolina, Charleston, South Carolina, USA.
Clinical Research Institute · USBoehringer Ingelheim (United States) · USMichigan Medicine · USVanderbilt University Medical Center · USDuke Medical Center · USMedical University of South Carolina · USUniversity of Virginia · US

Funding

INTERDISCIPLINARY TRAINING PROGRAM IN LUNG DISEASET32HL007538 · NHLBI · DUKE UNIVERSITY · PI LEE, PATTY J, PALMER, SCOTT M · 1985 to 2019
$7.2M
Architectural structure and regulation of TOLLIP in IPFR01HL130796 · NHLBI · UNIVERSITY OF VIRGINIA · PI NOTH, IMRE · 2016 to 2019
$3.1M
NHLBI NIH HHS R01 HL130796NHLBI NIH HHS T32 HL007538
6 · The paper itself

Abstract

backgroundIdiopathic pulmonary fibrosis (IPF) is a progressive disease with high mortality. Patient characteristics associated with diagnostic delays are not well described.

methodsSubjects who had not been diagnosed with IPF prior to referral and received a new diagnosis of IPF at an enrolling centre for the IPF-PRO (

resultsAmong 347 patients with a symptom onset date, 49% were diagnosed with IPF >1 year after symptom onset. These patients were slightly younger and had more cardiac comorbidities than patients diagnosed ≤1 year after symptom onset. Among 454 patients with a date for imaging evidence of fibrosis, 78% were diagnosed with IPF ≤1 year later. A greater proportion of patients with >1 year versus ≤1 year from imaging evidence of fibrosis to diagnosis had cardiac comorbidities and gastro-oesophageal reflux. There was no significant difference in time to death or lung transplant between groups by time to diagnosis.

conclusionsThe time from symptom onset to diagnosis remains over 1 year in approximately half of the patients with IPF, but once imaging evidence is obtained, most of the patients are diagnosed within a year. Cardiac conditions and gastro-oesophageal disorders were more commonly reported in patients with a longer time to diagnosis.

Indexed as

RegistriesAgedComorbidityFemaleHumansIdiopathic Pulmonary FibrosisLung TransplantationMaleMiddle AgedProspective StudiesTime FactorsUnited Statesinterstitial fibrosis

Identifiers

PMID32624493
PMCPMC7337884
OpenAlexW3040500806

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.