Evidence map›Paper›PMID 32677669›Full record

SynthesisBioscience reports2020

Fibrinogen is a promising biomarker for chronic obstructive pulmonary disease: evidence from a meta-analysis.

Bo Zhou, Shufang Liu, Danni He, Kundi Wang, Yunfeng Wang, Ting Yang, Qi Zhang, Zhixin Zhang, Wenquan Niu

Open access · goldAbstract readMeta-Analysis
In one paragraph

Synthesis in Bioscience reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.4field-weighted citation impact, top 15% 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

4 citing papers in PubMed, 13 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
  4. Observational
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 at 2 institutions in 1 country.

Bo Zhou *Graduate School, Beijing University of Chinese Medicine, Beijing, China.
Shufang Liu *Graduate School, Beijing University of Chinese Medicine, Beijing, China.
Danni He *Department of Pediatrics, China-Japan Friendship Hospital, Beijing, China.
Kundi WangDepartment of Pediatrics, China-Japan Friendship Hospital, Beijing, China.
Yunfeng WangDepartment of Pediatrics, China-Japan Friendship Hospital, Beijing, China.
Ting YangNational Clinical Research Center for Respiratory Diseases, Beijing, China.
Qi ZhangDepartment of Pediatrics, China-Japan Friendship Hospital, Beijing, China.
Zhixin ZhangInternational Medical Services, China-Japan Friendship Hospital, Beijing, China.
Wenquan NiuInstitute of Clinical Medical Sciences, China-Japan Friendship Hospital, Beijing, China.
China-Japan Friendship Hospital · CNBeijing University of Chinese Medicine · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundsSome studies have reported association of circulating fibrinogen with the risk of chronic obstructive pulmonary disease (COPD), and the results are conflicting. To yield more information, we aimed to test the hypothesis that circulating fibrinogen is a promising biomarker for COPD by a meta-analysis.

methodsData extraction and quality assessment were independently completed by two authors. Effect-size estimates are expressed as weighted mean difference (WMD) with 95% confidence interval (95% CI).

resultsForty-five articles involving 5586/18604 COPD patients/controls were incorporated. Overall analyses revealed significantly higher concentrations of circulating fibrinogen in COPD patients than in controls (WMD: 84.67 mg/dl; 95% CI: 64.24-105.10). Subgroup analyses by COPD course showed that the degree of increased circulating fibrinogen in patients with acute exacerbations of COPD (AECOPD) relative to controls (WMD: 182.59 mg/dl; 95% CI: 115.93-249.25) tripled when compared in patients with stable COPD (WMD: 56.12 mg/dl; 95% CI: 34.56-77.67). By COPD severity, there was a graded increase in fibrinogen with the increased severity of COPD relative to controls (Global Initiative for Obstructive Lung Disease (GOLD) I, II, III, and IV: WMD: 13.91, 29.19, 56.81, and 197.42 mg/dl; 95% CI: 7.70-20.11, 17.43-40.94, 39.20-74.41, and -7.88 to 402.73, respectively). There was a low probability of publication bias.

conclusionOur findings indicate a graded, concentration-dependent, significant relation between higher circulating fibrinogen and more severity of COPD.

Indexed as

BiomarkersFibrinogenHumansPulmonary Disease, Chronic ObstructiveSeverity of Illness IndexSymptom Flare UpBiomarkersFibrinogenChronic obstructive pulmonary diseaseFibrinogenMeta-analysisRiskSeverity

Identifiers

PMID32677669
PMCPMC7383837
OpenAlexW3043136598

What OpenQuestion holds

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Registered trials

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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.