Evidence map›Paper›PMID 33402820›Full record

ArticleInternational journal of chronic obstructive pulmonary disease2020

Risk of Pneumonia Associated with Inhaled Corticosteroid in Patients with Chronic Obstructive Pulmonary Disease: A Korean Population-Based Study.

Ji-Ho Lee, You Hyun Park, Dae Ryong Kang, Seok Jeong Lee, Myoung Kyu Lee, Sang-Ha Kim, Suk Joong Yong, Won-Yeon Lee

Open access · goldAbstract 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. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 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

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Bronchiectasis in Asia: a review of current status and challenges.European respiratory review : an official journal of the European Respiratory Society · 2024
    Review
  6. Review
  7. Aerosol pulmonary immune engineering.Advanced drug delivery reviews · 2023
    Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. The impact of inhaled corticosteroid on SARS-CoV2 infection.The journal of allergy and clinical immunology. In practice · 2021
    Article
  14. Beyond Dual Bronchodilation - Triple Therapy, When and Why.International journal of chronic obstructive pulmonary disease
    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

8 authors at 1 institution in 1 country.

Ji-Ho Lee *Department of Internal Medicine, Yonsei University Wonju College of Medicine, Wonju, Korea.ORCID 0000-0001-8744-156X
You Hyun Park *Department of Biostatistics, Yonsei University, Seoul, Korea.ORCID 0000-0002-3248-9993
Dae Ryong KangDepartment of Precision Medicine & Biostatistics, Yonsei University Wonju College of Medicine, Wonju, Korea.
Seok Jeong LeeDepartment of Internal Medicine, Yonsei University Wonju College of Medicine, Wonju, Korea.ORCID 0000-0001-6648-5985
Myoung Kyu LeeDepartment of Internal Medicine, Yonsei University Wonju College of Medicine, Wonju, Korea.ORCID 0000-0002-2450-4882
Sang-Ha KimDepartment of Internal Medicine, Yonsei University Wonju College of Medicine, Wonju, Korea.ORCID 0000-0002-1763-5366
Suk Joong YongDepartment of Internal Medicine, Yonsei University Wonju College of Medicine, Wonju, Korea.
Won-Yeon LeeDepartment of Internal Medicine, Yonsei University Wonju College of Medicine, Wonju, Korea.ORCID 0000-0002-5461-6770
Yonsei University · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Inhaled corticosteroids (ICSs) are recommended for patients with frequent exacerbation of chronic obstructive pulmonary disease (COPD). However, accumulating evidence has indicated the risk of pneumonia from the use of ICS. This study aimed to investigate the association between ICS and pneumonia in the real-world clinical setting. Methods: A retrospective cohort study was performed using nationwide population data from the Korea National Health Insurance Service. Subjects who had a new diagnosis of COPD and who received inhaled bronchodilators without a diagnosis of pneumonia before the initiation of bronchodilators were identified. Subjects were followed up until their first diagnosis of pneumonia. The risk of pneumonia in ICS users was compared to that in non-ICS users. Results: A total of 87,594 subjects were identified and 1:1 matched to 22,161 ICS users and non-ICS users. More ICS users were diagnosed with pneumonia compared to non-ICS users (33.73% versus 24.51%, Conclusion: ICS increases the risk of pneumonia in patients with COPD. Hence, ICS should be carefully prescribed in patients with risk factors for pneumonia while considering the cumulative doses and subtypes of ICS.

Indexed as

PneumoniaPulmonary Disease, Chronic ObstructiveAdministration, InhalationAdrenal Cortex HormonesBronchodilator AgentsHumansRepublic of KoreaRetrospective StudiesAdrenal Cortex HormonesBronchodilator Agentschronic obstructive pulmonary diseasefluticasoneinhaled corticosteroidpneumonia

Identifiers

PMID33402820
PMCPMC7778438
OpenAlexW3118039859

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.