Evidence map›Paper›PMID 33206201›Full record

ReviewIntensive care medicine2020

Phenotypes and personalized medicine in the acute respiratory distress syndrome.

Michael A Matthay, Yaseen M Arabi, Emily R Siegel, Lorraine B Ware, Lieuwe D J Bos, Pratik Sinha, Jeremy R Beitler, Katherine D Wick, Martha A Q Curley, Jean-Michel Constantin and 2 more

Open access · bronzeAbstract readReview
In one paragraph

Review in Intensive care medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 120 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
120citing papers in PubMed, 1 pooled it
14.8field-weighted citation impact, top 1% 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

120 citing papers in PubMed, 1 synthesis or guideline pooled it, 202 citations in OpenAlex.

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60 more citing papers are in PubMed but not listed here.

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 9 institutions in 4 countries.

Michael A MatthayDepartment of Anesthesia, University of California San Francisco, San Francisco, CA, USA. Michael.matthay@ucsf.edu.ORCID http://orcid.org/0000-0003-3039-8155
Yaseen M ArabiKing Saud Bin Abdulaziz University for Health Sciences and King Abdullah International Medical Research Center, Riyadh, Saudi Arabia.ORCID https://orcid.org/0000-0001-5735-6241
Emily R SiegelCardiovascular Research Institute, University of California, San Francisco, USA.
Lorraine B WareDivision of Allergy, Pulmonary and Critical Care, Vanderbilt University Medical Center, Nashville, TN, USA.
Lieuwe D J BosDepartment of Respiratory Medicine, Amsterdam University Medical Centers, Location AMC, University of Amsterdam, Infection and Immunity, Amsterdam, The Netherlands.
Pratik SinhaDepartment of Anesthesiology, Washington University, Saint Louis, MO, USA.
Jeremy R BeitlerDivision of Pulmonary, Allergy, and Critical Care Medicine, Center for Acute Respiratory Failure, Columbia University College of Physicians and Surgeons, New York, NY, USA.
Katherine D WickCardiovascular Research Institute, University of California, San Francisco, USA.
Martha A Q CurleySchool of Nursing, University of Pennsylvania, Philadelphia, PA, USA.ORCID https://orcid.org/0000-0001-5228-6694
Jean-Michel ConstantinDepartment of Anesthesia and Critical Care, La Pitié Salpetriere Hospital, University Paris-Sorbonne, Paris, France.
Joseph E LevittDepartment of Medicine, Stanford University, Stanford, CA, USA.
Carolyn S CalfeeDepartment of Anesthesia, University of California San Francisco, San Francisco, CA, USA.
University of California, San Francisco · USAmsterdam University Medical Centers · NLColumbia University · USKing Saud bin Abdulaziz University for Health Sciences · SASorbonne Université · FRStanford University · USUniversity of Pennsylvania · USVanderbilt University Medical Center · USWashington University in St. Louis · US

Funding

NRSA Training CoreTL1TR001871 · NCATS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI KANAYA, ALKA M., SOMSOUK, MA · 2016 to 2025
$10.1M
1/2 PROSpect: Prone and Oscillation Pediatric Clinical Trial (CCC)UH3HL141736 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI CHEIFETZ, IRA M, CURLEY, MARTHA AQ · 2019 to 2023
$7.9M
Precision Medicine in the Acute Respiratory Distress SyndromeR35HL140026 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI CALFEE, CAROLYN · 2018 to 2024
$6.8M
Comprehensive Anesthesia Research TrainingT32GM008440 · NIGMS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Judith Hellman · 1996 to 2026
$5.5M
NOVEL PARACRINE MECHANISMS FOR CELL-BASED THERAPY OF INJURED LUNGSR01HL134828 · NHLBI · UNIVERSITY OF TEXAS HLTH CTR AT TYLER · PI JI, HONG-LONG · 2017 to 2025
$3.4M
The GOLD Study: Goal of Open Lung Ventilation in DonorsR01HL126176 · NHLBI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI WARE, LORRAINE B · 2015 to 2020
$2.8M
Prevention and Early Treatment of Acute Lung InjuryU01HL123004 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI MATTHAY, MICHAEL A. · 2014 to 2020
$2.6M
Breath stacking dyssynchrony in acute respiratory distress syndromeK23HL133489 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI BEITLER, JEREMY R. · 2017 to 2021
$871k
Measuring lung stress to identify occult ventilation-induced lung injury in ARDSR21HL145506 · NHLBI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI BEITLER, JEREMY R. · 2019 to 2020
$243k
National Institutes of Health (US) 140026National Institutes of Health (US) 5T32GM008440-24National Institutes of Health (US) HL126176National Institutes of Health (US) HL140026NCATS NIH HHS TL1 TR001871NHLBI NIH HHS K23 HL133489NHLBI NIH HHS R01 HL126176NHLBI NIH HHS R01 HL134828NHLBI NIH HHS R21 HL145506NHLBI NIH HHS R35 HL140026NHLBI NIH HHS U01 HL123004NHLBI NIH HHS UH3 HL141736NIGMS NIH HHS T32 GM008440NIH HHS 5TL1TR001871-05NIH HHS HL123004NIH HHS HL134828NIH HHS HL145506NIH HHS HL14722NIH HHS K23 HL133489NIH HHS UH3HL141736
6 · The paper itself

Abstract

Although the acute respiratory distress syndrome (ARDS) is well defined by the development of acute hypoxemia, bilateral infiltrates and non-cardiogenic pulmonary edema, ARDS is heterogeneous in terms of clinical risk factors, physiology of lung injury, microbiology, and biology, potentially explaining why pharmacologic therapies have been mostly unsuccessful in treating ARDS. Identifying phenotypes of ARDS and integrating this information into patient selection for clinical trials may increase the chance for efficacy with new treatments. In this review, we focus on classifying ARDS by the associated clinical disorders, physiological data, and radiographic imaging. We consider biologic phenotypes, including plasma protein biomarkers, gene expression, and common causative microbiologic pathogens. We will also discuss the issue of focusing clinical trials on the patient's phase of lung injury, including prevention, administration of therapy during early acute lung injury, and treatment of established ARDS. A more in depth understanding of the interplay of these variables in ARDS should provide more success in designing and conducting clinical trials and achieving the goal of personalized medicine.

Indexed as

PhenotypeBiomarkersHumansPrecision MedicineRadiographyRespiratory Distress SyndromeBiomarkersAcute lung injuryAcute respiratory distress syndromeCOVID-19PhenotypePrecision medicinePulmonary edemaSepsis

Identifiers

PMID33206201
PMCPMC7673253
OpenAlexW3100556260

What OpenQuestion holds

Textmetadata
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.