Evidence map›Paper›PMID 33154636›Full record

Observational studyInternational journal of chronic obstructive pulmonary disease2020

Influence of Comorbidities on the Survival of COPD Patients According to Phenotypes.

Zichen Ji, Julio Hernández-Vázquez, Irene Milagros Domínguez-Zabaleta, Ziyi Xia, José María Bellón-Cano, Virginia Gallo-González, Ismael Ali-García, Carmen Matesanz-Ruiz, Ana López-de-Andrés, Rodrigo Jiménez-García and 5 more

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in International journal of chronic obstructive pulmonary disease, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.1field-weighted citation impact, top 45% 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 3 citations in OpenAlex.

  1. Pooled it
  2. The Role of Diaphragmatic Ultrasound in Identifying Sarcopenia in COPD Patients: A Cross-Sectional Study.International journal of chronic obstructive pulmonary disease · 2025
    Article
  3. 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

15 authors at 4 institutions in 1 country.

Zichen JiPulmonology Service, Gregorio Marañón General University Hospital, Madrid, Spain.ORCID 0000-0002-1086-4131
Julio Hernández-VázquezPulmonology Section, Infanta Leonor University Hospital, Madrid, Spain.ORCID 0000-0001-9029-3510
Irene Milagros Domínguez-ZabaletaPulmonology Service, Gregorio Marañón General University Hospital, Madrid, Spain.ORCID 0000-0002-5714-0608
Ziyi XiaFaculty of Medicine, Complutense University of Madrid, Madrid, Spain.
José María Bellón-CanoResearch Support Service, Gregorio Marañón Health Research Institute, Madrid, Spain.ORCID 0000-0002-8492-1565
Virginia Gallo-GonzálezPulmonology Service, Gregorio Marañón General University Hospital, Madrid, Spain.ORCID 0000-0003-4758-7286
Ismael Ali-GarcíaPulmonology Section, Infanta Leonor University Hospital, Madrid, Spain.ORCID 0000-0002-2298-9126
Carmen Matesanz-RuizPulmonology Section, Infanta Leonor University Hospital, Madrid, Spain.
Ana López-de-AndrésPreventive Medicine and Public Health Teaching and Research Unit, Health Sciences Faculty, Rey Juan Carlos University, Alcorcón, Madrid, Spain.
Rodrigo Jiménez-GarcíaPublic Health and Maternal and Child Health Department, Faculty of Medicine, Complutense University of Madrid, Madrid, Spain.
María Jesús Buendía-GarcíaPulmonology Section, Infanta Leonor University Hospital, Madrid, Spain.
Ángela Gómez-SacristánGregorio Marañón Health Research Institute, Madrid, Spain.ORCID 0000-0002-3415-6551
Walther Iván Girón-MatutePulmonology Service, Gregorio Marañón General University Hospital, Madrid, Spain.ORCID 0000-0001-6566-0964
Luis Puente-MaestuPulmonology Service, Gregorio Marañón General University Hospital, Madrid, Spain.ORCID 0000-0001-8501-0117
Javier de Miguel-DíezPulmonology Service, Gregorio Marañón General University Hospital, Madrid, Spain.ORCID 0000-0003-4543-573X
Universidad Complutense de Madrid · ESHospital General Universitario Gregorio Marañón · ESHospital Universitario Infanta Leonor · ESUniversidad Rey Juan Carlos · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Chronic obstructive pulmonary disease (COPD) usually occurs alongside other conditions. Few studies on comorbidities have taken into account the phenotypes of COPD patients. The objective of this study is to evaluate the prevalence of comorbidities included in the Charlson index and their influence on the survival of patients with COPD, taking phenotypes into account. Methods: An observational study was conducted on a group of 273 patients who had COPD and underwent spirometry in the first half of 2011, with a median prospective follow-up period of 68.15 months. The survival of these patients was analyzed according to the presence of various comorbidities. Results: Of the 273 patients, 93 (34.1%) died within the follow-up period. An increased presence of chronic ischemic heart disease (CIHD), chronic heart failure (CHF), chronic kidney disease (CKD), and malignancy was found in deceased patients. All of these conditions shorten the survival of COPD patients globally; however, when considering phenotypes, only CHF influences the exacerbator with chronic bronchitis phenotype, CKD influences the non-exacerbator phenotype, and malignancy influences the positive bronchodilator test (BDT) and exacerbator with chronic bronchitis phenotypes. In the multivariate model, advanced age (hazard ratio, HR: 1.05; Conclusion: The survival is shorter in the presence of CIHD in overall COPD patients and also CHF, CKD, and malignancy for certain phenotypes. It is important to pay attention to these comorbidities in the comprehensive care of COPD patients.

Indexed as

Bronchitis, ChronicPulmonary Disease, Chronic ObstructiveComorbidityHumansPhenotypeProspective StudiescomorbiditiesCOPDmortalityphenotypesrisk factorssurvival

Identifiers

PMID33154636
PMCPMC7608550
OpenAlexW3095209948

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.