Evidence map›Paper›PMID 33693048›Full record

ArticleERJ open research2020

Blood eosinophil count predicts treatment failure and hospital readmission for COPD.

Marjan Kerkhof, Isha Chaudhry, Ian D Pavord, Marc Miravitlles, Chin Kook Rhee, David M G Halpin, Omar S Usmani, Rupert Jones, Janwillem Kocks, Marianna Alacqua and 3 more

Open access · goldAbstract read
In one paragraph

Article in ERJ open research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 22% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. A Long-Term Study of Adverse Outcomes Associated With Oral Corticosteroid Use in COPD.International journal of chronic obstructive pulmonary disease · 2023
    Observational
  7. Article
  8. Article
  9. Observational
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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

13 authors at 9 institutions in 4 countries.

Marjan KerkhofObservational and Pragmatic Research Institute, Singapore, Singapore.
Isha ChaudhryObservational and Pragmatic Research Institute, Singapore, Singapore.ORCID https://orcid.org/0000-0002-9728-7399
Ian D PavordOxford Respiratory NIHR BRC, Nuffield Dept of Medicine, University of Oxford, Oxford, UK.
Marc MiravitllesPneumology Dept, Hospital Universitari Vall d'Hebron, Vall d'Hebron Institut de Recerca (VHIR), Vall d'Hebron Barcelona Hospital Campus, CIBER de Enfermedades Respiratorias (CIBERES), Barcelona, Spain.ORCID https://orcid.org/0000-0002-9850-9520
Chin Kook RheeCollege of Medicine, Seoul St Mary's Hospital, The Catholic University of Korea, Seoul, South Korea.ORCID https://orcid.org/0000-0003-4533-7937
David M G HalpinUniversity of Exeter Medical School, College of Medicine and Health, University of Exeter, Exeter, UK.
Omar S UsmaniImperial College London, London, UK.
Rupert JonesThe Peninsula College of Medicine and Dentistry, Plymouth, UK.
Janwillem KocksObservational and Pragmatic Research Institute, Singapore, Singapore.
Marianna AlacquaAstraZeneca, Cambridge, UK.
Tamsin MorrisAstraZeneca, Luton, UK.
Alan KaplanObservational and Pragmatic Research Institute, Singapore, Singapore.
David B PriceObservational and Pragmatic Research Institute, Singapore, Singapore.ORCID https://orcid.org/0000-0002-9728-9992
Observational & Pragmatic Research Institute · SGAstraZeneca (United Kingdom) · GBCentro de Investigación Biomédica en Red de Enfermedades Respiratorias · ESImperial College London · GBPeninsula College of Medicine and Dentistry · GBThe Catholic University of Korea Seoul St. Mary's Hospital · KRUniversity of Aberdeen · GBUniversity of Exeter · GBUniversity of Oxford · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We examined associations between blood eosinophil counts (BEC) and risk of treatment failure or hospital readmission following acute oral corticosteroid (OCS)-treated COPD exacerbations. We conducted studies from the Optimum Patient Care Research Database (OPCRD) (www.optimumpatientcare.org/opcrd) and Clinical Practice Research Datalink (CPRD) (www.cprd.com/home/), validated databases for medical research, with linked Hospital Episode Statistics (HES) data for ∼20 000 COPD patients aged ≥40 years. For patients with OCS-treated COPD exacerbations treated in primary care, with BECs recorded on first day of OCS treatment (Cohort 1), we assessed treatment failure (COPD-related hospitalisations and OCS prescriptions beyond index OCS course). For patients hospitalised for COPD exacerbations, with BEC measured over an exacerbation-free period during the year prior to admission (Cohort 2), we assessed readmission rate. Cox proportional hazards regression analysis was adjusted for confounders to estimate the association between BEC and treatment outcomes. Of patients treated with OCS for COPD exacerbations in primary care (Cohort 1), 44% experienced treatment failure following single OCS courses, and 10% (255/2482) were hospitalised for ≤6 weeks. Greater BEC was associated with reduced hospital-admission risk (hazard ratio [HR]=0.26; 95% CI: 0.12-0.56, per 100 cells·µL

Identifiers

PMID33693048
PMCPMC7927786
OpenAlexW3082301474

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.