Evidence map›Paper›PMID 33290645›Full record

ArticleChronic obstructive pulmonary diseases (Miami, Fla.)2021

Progression of Emphysema and Small Airways Disease in Cigarette Smokers.

Esther Pompe, Camille M Moore, Firdaus A A Mohamed Hoesein, Pim A de Jong, Jean-Paul Charbonnier, MeiLan K Han, Steven M Humphries, Charles R Hatt, Craig J Galbán, Ed K Silverman and 9 more

Open access · diamondAbstract read
In one paragraph

Article in Chronic obstructive pulmonary diseases (Miami, Fla.), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 3 pooled it
1.8field-weighted citation impact, top 12% 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

21 citing papers in PubMed, 3 syntheses or guidelines pooled it, 25 citations in OpenAlex.

  1. Definitions of early COPD and predictors for disease progression: a systematic review.European respiratory review : an official journal of the European Respiratory Society · 2026
    Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Mechanically Affected Lung and Progression of Emphysema.American journal of respiratory and critical care medicine · 2025
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Review
  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

19 authors at 9 institutions in 2 countries.

Esther PompeImaging Department, University Medical Center Utrecht, Utrecht, the Netherlands.
Camille M MooreDivision of Biostatistics, Environment and Health, National Jewish Health, Denver, Colorado, United States.
Firdaus A A Mohamed HoeseinDepartment of Radiology, University Medical Center Utrecht, Utrecht, the Netherlands.
Pim A de JongDepartment of Radiology, University Medical Center Utrecht, Utrecht, the Netherlands.
Jean-Paul CharbonnierDiagnostic Image Analysis Group, Radboud University Medical Center, Nijmegen, the Netherlands.
MeiLan K HanDivision of Pulmonary and Critical Care, University of Michigan Health System, Ann Arbor, Michigan, United States.
Steven M HumphriesDepartment of Radiology, National Jewish Health, Denver, Colorado, United States.
Charles R HattImbio LLC, Minneapolis, Minnesota, United States.
Craig J GalbánDepartment of Radiology, University of Michigan, Ann Arbor, Michigan, United States.
Ed K SilvermanChanning Division of Network Medicine, Brigham and Women's Hospital, Boston, Massachusetts, United States.
James D CrapoDivision of Pulmonary, Critical Care and Sleep Medicine, Department of Medicine, National Jewish Health, Denver, Colorado, United States.
George R WashkoDivision of Pulmonary and Critical Care Medicine, Department of Medicine, Brigham and Women's Hospital, Boston, Massachusetts, United States.
Elisabeth A ReganDivision of Rheumatology, Department of Medicine, National Jewish Health, Denver, Colorado, United States.
Barry MakeDivision of Pulmonary, Critical Care and Sleep Medicine, Department of Medicine, National Jewish Health, Denver, Colorado, United States.
Matthew StrandDivision of Biostatistics, Environment and Health, National Jewish Health, Denver, Colorado, United States.
Jan-Willem J LammersImaging Department, University Medical Center Utrecht, Utrecht, the Netherlands.
Eva M van RikxoortDiagnostic Image Analysis Group, Radboud University Medical Center, Nijmegen, the Netherlands.
David A LynchDepartment of Radiology, National Jewish Health, Denver, Colorado, United States.
COPDGene investigators
University Medical Center · USUniversity Medical Center Utrecht · NLBrigham and Women's Hospital · USUniversity of Colorado Denver · USMichigan United · USNational Jewish Health · USRadboud University Medical Center · NLRadboud University Nijmegen · NLUniversity of Michigan–Ann Arbor · US

Funding

Genetic Epidemiology of COPDU01HL089897 · NHLBI · NATIONAL JEWISH HEALTH · PI CRAPO, JAMES D · 2007 to 2021
$56.9M
Metabolomic signatures of empysema and COPD progression in the COPDGene cohortR01HL089897 · NHLBI · NATIONAL JEWISH HEALTH · PI CRAPO, JAMES D · 2012 to 2016
$31.1M
Genetic Epidemiology of COPDU01HL089856 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI SILVERMAN, EDWIN K · 2007 to 2021
$20.7M
(2 of 2) Genetic Epidemiology of COPDR01HL089856 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI SILVERMAN, EDWIN K · 2012 to 2016
$18.9M
Prediction of COPD Progression by PRMR01HL150023 · NHLBI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI GALBAN, CRAIG J, HAN, MEILAN K · 2020 to 2023
$2.8M
An Early Imaging Marker of EmphysemaR01HL139690 · NHLBI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI GALBAN, CRAIG J · 2019 to 2022
$1.9M
NHLBI NIH HHS R01 HL089856NHLBI NIH HHS R01HL089856NHLBI NIH HHS R01 HL089897NHLBI NIH HHS R01HL089897NHLBI NIH HHS R01 HL139690NHLBI NIH HHS R01 HL150023NHLBI NIH HHS U01 HL089856NHLBI NIH HHS U01 HL089897
6 · The paper itself

Abstract

backgroundLittle is known about factors associated with emphysema progression in cigarette smokers. We evaluated factors associated with change in emphysema and forced expiratory volume in 1 second (FEV

methodsThis retrospective study included individuals participating in the COPD Genetic Epidemiology study who completed the 5-year follow-up, including inspiratory and expiratory computed tomography (CT) and spirometry. All paired CT scans were analyzed using micro-mapping, which classifies individual voxels as emphysema or functional small airway disease (fSAD). Presence and progression of emphysema and FEV

resultsA total of 3088 participants were included with a mean ± SD age of 60.7±8.9 years, including 72 nonsmokers. In all Global initiative for chronic Obstructive Lung Disease (GOLD) stages, the presence of emphysema at baseline was associated with emphysema progression (odds ratio [OR]: GOLD 0: 4.32; preserved ratio-impaired spirometry [PRISm]; 5.73; GOLD 1: 5.16; GOLD 2: 5.69; GOLD 3/4: 5.55; all

conclusionsThe presence of emphysema is an important predictor of emphysema progression. In patients without emphysema, fSAD is associated with the development of emphysema. In participants without spirometric COPD, emphysema progression occurred independently of FEV

Indexed as

air trappingcomputed tomographycopdemphysemafunctional small airways disease

Identifiers

PMID33290645
PMCPMC8237975
OpenAlexW3110276704

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.