Evidence map›Paper›PMID 33149181›Full record

ArticleScientific reports2020

Risk factors for respiratory Aspergillus fumigatus in German Cystic Fibrosis patients and impact on lung function.

Uta Düesberg, Julia Wosniok, Lutz Naehrlich, Patience Eschenhagen, Carsten Schwarz

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
3.5field-weighted citation impact, top 5% 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

27 citing papers in PubMed, 48 citations in OpenAlex.

  1. Article
  2. Progression of Structural Lung Disease in DifferentJournal of fungi (Basel, Switzerland) · 2025
    Article
  3. Article
  4. Article
  5. Journal of fungi (Basel, Switzerland) · 2025
    Review
  6. Article
  7. Article
  8. Long-Term Outcomes of Allergic Bronchopulmonary Aspergillosis andJournal of fungi (Basel, Switzerland) · 2024
    Article
  9. Aspergillus and the Lung.Seminars in respiratory and critical care medicine · 2024
    Review
  10. Review
  11. Review
  12. Review
  13. Journal of fungi (Basel, Switzerland) · 2023
    Article
  14. Article
  15. Article
  16. Review
  17. Review
  18. Pseudomonas aeruginosa in the Cystic Fibrosis Lung.Advances in experimental medicine and biology · 2022
    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

5 authors at 4 institutions in 1 country.

Uta DüesbergMukoviszidose Institute, In den Dauen 6, 53117, Bonn, Germany.
Julia WosniokInterdisciplinary Center Clinical Trials (IZKS), University Medical Center Mainz, Langenbeckstraße 1, Mainz, Germany.
Lutz NaehrlichDepartment of Pediatrics, Justus-Liebig-University Giessen, Feulgenstr. 10-12, 35392, Giessen, Germany.
Patience EschenhagenDepartment of Pediatric Pneumology, Immunology and Intensive Care Medicine, Cystic Fibrosis Center, Charité - Universitätsmedizin Berlin, Augustenburger Platz 1, 13353, Berlin, Germany.
Carsten SchwarzDepartment of Pediatric Pneumology, Immunology and Intensive Care Medicine, Cystic Fibrosis Center, Charité - Universitätsmedizin Berlin, Augustenburger Platz 1, 13353, Berlin, Germany. carsten.schwarz@charite.de.
Charité - Universitätsmedizin Berlin · DEJohannes Gutenberg University Mainz · DEThe Cystic Fibrosis Institute · DEUniversity of Giessen · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Airway inflammation and chronic lung infections in cystic fibrosis (CF) patients are mostly caused by bacteria, e.g. Pseudomonas aeruginosa (PA). The role of fungi in the CF lung is still not well elucidated, but evidence for a harmful and complex role is getting stronger. The most common filamentous fungus in CF is Aspergillus fumigatus (AF). Age and continuous antibiotic treatment have been discussed as risk factors for AF colonisation but did not differentiate between transient and persistent AF colonisation. Also, the impact of co-colonisation of PA and AF on lung function is still under investigation. Data from patients with CF registered in the German Cystic Fibrosis Registry database in 2016 and 2017 were retrospectively analysed, involving descriptive and multivariate analysis to assess risk factors for transient or persistent AF colonisation. Age represented an independent risk factor for persistent AF colonisation. Prevalence was low in children less than ten years, highest in the middle age and getting lower in higher age (≥ 50 years). Continuous antibiotic lung treatment was significantly associated with AF prevalence in all age groups. CF patients with chronic PA infection had a lower lung function (FEV1%predicted), which was not influenced by an additional AF colonisation. AF colonisation without chronic PA infection, however, was significantly associated with a lower function, too. Older age up to 49 years and continuous antibiotic use were found to be the main risk factors for AF permanent colonisation. AF might be associated with decrease of lung function if not disguised by chronic PA infection.

Indexed as

Respiratory Function TestsAdolescentAdultAspergillosisAspergillus fumigatusAustriaChildChild, PreschoolChronic DiseaseCohort StudiesCystic FibrosisFemaleGermanyHumansInfantInfant, Newborn

Identifiers

PMID33149181
PMCPMC7643137
OpenAlexW3095360138

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.