Evidence map›Paper›PMID 33755987›Full record

Observational studyClinical and experimental immunology2021

Bronchiectasis is associated with delayed diagnosis and adverse outcomes in the New Zealand Common Variable Immunodeficiency Disorders cohort study.

R Ameratunga, A Jordan, A Cavadino, S Ameratunga, T Hills, R Steele, M Hurst, B McGettigan, I Chua, M Brewerton and 10 more

Open access · bronzeAbstract readObservational Study
In one paragraph

Observational study in Clinical and experimental immunology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
1.7field-weighted citation impact, top 16% 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

17 citing papers in PubMed, 33 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Review
  5. Review
  6. Article
  7. Article
  8. Diagnostic disparities in inborn errors of immunity: From clinical suspicion to diagnosis.The journal of allergy and clinical immunology. Global · 2025
    Article
  9. Article
  10. Epidemiology of bronchiectasis.European respiratory review : an official journal of the European Respiratory Society · 2024
    Review
  11. Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. 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

20 authors at 6 institutions in 2 countries.

R AmeratungaDepartment of Clinical Immunology, Auckland City Hospital, Auckland, New Zealand.ORCID 0000-0002-3011-8654
A JordanDepartment of Clinical Immunology, Auckland City Hospital, Auckland, New Zealand.
A CavadinoSchool of Population Health, University of Auckland, Auckland, New Zealand.
S AmeratungaSchool of Population Health, University of Auckland, Auckland, New Zealand.ORCID 0000-0001-8042-2251
T HillsDepartment of Clinical Immunology, Auckland City Hospital, Auckland, New Zealand.ORCID 0000-0003-0322-5822
R SteeleDepartment of Virology and Immunology, Auckland City Hospital, Auckland, New Zealand.
M HurstDepartment of Clinical Immunology, Auckland City Hospital, Auckland, New Zealand.
B McGettiganDepartment of Clinical Immunology, Fiona Stanley Hospital, Perth, WA, Australia.
I ChuaDepartment of Clinical Immunology, Christchurch Hospital, Christchurch, New Zealand.
M BrewertonDepartment of Clinical Immunology, Auckland City Hospital, Auckland, New Zealand.
N KennedyDepartment of Respiratory Medicine, Wellington Hospital, Wellington, New Zealand.
W KoopmansDepartment of Virology and Immunology, Auckland City Hospital, Auckland, New Zealand.
Y AhnDepartment of Clinical Immunology, Auckland City Hospital, Auckland, New Zealand.
R BarkerDepartment of Clinical Immunology, Auckland City Hospital, Auckland, New Zealand.
C AllanDepartment of Clinical Immunology, Auckland City Hospital, Auckland, New Zealand.
P StoreyDepartment of Clinical Immunology, Auckland City Hospital, Auckland, New Zealand.
C SladeWalter and Eliza Hall Institute, Melbourne, VIC, Australia.
A BakerDepartment of Clinical Immunology, Auckland City Hospital, Auckland, New Zealand.
L HuangDepartment of Virology and Immunology, Auckland City Hospital, Auckland, New Zealand.ORCID 0000-0002-6063-6604
S-T WoonDepartment of Clinical Immunology, Auckland City Hospital, Auckland, New Zealand.
Auckland City Hospital · NZUniversity of Auckland · NZChristchurch Hospital · NZFiona Stanley Hospital · AUWalter and Eliza Hall Institute of Medical Research · AUWellington Hospital · NZ

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Common variable immunodeficiency disorders (CVID) are multi-system disorders where target organ damage is mediated by infective, autoimmune and inflammatory processes. Bronchiectasis is probably the most common disabling complication of CVID. The risk factors for bronchiectasis in CVID patients are incompletely understood. The New Zealand CVID study (NZCS) is a nationwide longitudinal observational study of adults, which commenced in 2006. In this analysis, the prevalence and risk factors for bronchiectasis were examined in the NZCS. After informed consent, clinical and demographic data were obtained with an interviewer-assisted questionnaire. Linked electronic clinical records and laboratory results were also reviewed. Statistical methods were applied to determine if variables such as early-onset disease, delay in diagnosis and increased numbers of infections were associated with greater risk of bronchiectasis. One hundred and seven adult patients with a diagnosis of CVID are currently enrolled in the NZCS, comprising approximately 70% of patients known to have CVID in New Zealand. Fifty patients (46·7%) had radiologically proven bronchiectasis. This study has shown that patients with compared to those without bronchiectasis have an increased mortality at a younger age. CVID patients with bronchiectasis had a greater number of severe infections consequent to early-onset disease and delayed diagnosis. Indigenous Māori have a high prevalence of CVID and a much greater burden of bronchiectasis compared to New Zealand Europeans. Diagnostic latency has not improved during the study period. Exposure to large numbers of infections because of early-onset disease and delayed diagnosis was associated with an increased risk of bronchiectasis. Earlier diagnosis and treatment of CVID may reduce the risk of bronchiectasis and premature death in some patients.

Indexed as

BronchiectasisCohort StudiesCommon Variable ImmunodeficiencyDelayed DiagnosisFemaleHumansImmunoglobulins, IntravenousLongitudinal StudiesMaleMiddle AgedNew ZealandPrevalenceImmunoglobulins, IntravenousbronchiectasisCVIDHGUShypogammaglobulinaemiaIVIGSCIG

Identifiers

PMID33755987
PMCPMC8119856
OpenAlexW3138038675

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.