Evidence map›Paper›PMID 33324048›Full record

ArticleInternational journal of chronic obstructive pulmonary disease2020

Reduction of COPD Hyperinflation by Endobronchial Valves Improves Intercostal Muscle Morphology on Ultrasound.

Peter Wallbridge, Mark Hew, Selina M Parry, Louis Irving, Daniel Steinfort

Registry-linked trialAbstract read
In one paragraph

Article 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. It is linked to trial NCT05945043 (Continuation Of a Study to Investigate the Effect of Thoracocentesis on Neural Respiratory Drive in Pleural Effusion), which is not on this map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

NCT05945043 recruitingnot on this mapstarted 2023, after this paper: background citation

Continuation Of a Study to Investigate the Effect of Thoracocentesis on Neural Respiratory Drive in Pleural Effusion (COSINE)

TypeobservationalSponsorGuy's and St Thomas' NHS Foundation TrustRan2023 to 2027Enrolled124ConditionsPleural EffusionArmsSurface parasternal eletromyogram, Surface diaphragm electromyogram, Parasternal muscle ultrasound, Breathlessness assessment
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Extrapulmonary effects of lung volume reduction in severe emphysema: a systematic review.European respiratory review : an official journal of the European Respiratory Society · 2025
    Pooled it
  2. Article
  3. Article
  4. 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.

Peter WallbridgeDepartment of Medicine, Royal Melbourne Hospital, The University of Melbourne, Parkville, VIC, Australia.ORCID 0000-0001-8506-6233
Mark HewDepartment of Medicine, Royal Melbourne Hospital, The University of Melbourne, Parkville, VIC, Australia.
Selina M ParryDepartment of Physiotherapy, The University of Melbourne, Parkville, VIC, Australia.
Louis IrvingDepartment of Medicine, Royal Melbourne Hospital, The University of Melbourne, Parkville, VIC, Australia.
Daniel SteinfortDepartment of Medicine, Royal Melbourne Hospital, The University of Melbourne, Parkville, VIC, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and Objectives: Parasternal intercostal ultrasound morphology reflects spirometric COPD severity. Whether this relates to the systemic nature of COPD or occurs in response to hyperinflation is unknown. We aimed to assess changes in ultrasound parasternal intercostal muscle quantity and quality (echogenicity) in response to relief of hyperinflation. We hypothesised that reduction in hyperinflation following endobronchial valve (EBV) insertion would increase ultrasound parasternal thickness and decrease echogenicity. Methods: In this prospective cohort study, eight patients with severe COPD underwent evaluation of health-related quality of life, lung function, and sonographic thickness of 2 Results: Baseline FEV Conclusions: Dynamic changes in intercostal muscle thickness on ultrasound measurement occur in response to relief of hyperinflation. We demonstrate linear relationships between intercostal thickness and change in hyperinflation following endobronchial valve insertion. This demonstrates the deleterious effect of hyperinflation on intrinsic inspiratory muscles and provides an additional mechanism for symptomatic response to EBVs.

Indexed as

Intercostal MusclesPulmonary Disease, Chronic ObstructiveHumansProspective StudiesQuality of LifeUltrasonographyCOPDendobronchial valvemeasurementrespiratory muscleultrasound

Identifiers

PMID33324048
PMCPMC7732176

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Registered trials

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.