Evidence map›Paper›PMID 33770227›Full record

ArticleLung2021

Computed Tomography Findings as Determinants of Local and Systemic Inflammation Biomarkers in Interstitial Lung Diseases: A Retrospective Registry-Based Descriptive Study.

David Lang, Kaveh Akbari, Andreas Horner, Magdalena Hepp, Bernhard Kaiser, Herwig Pieringer, Bernd Lamprecht

Open access · hybridAbstract read
In one paragraph

Article in Lung, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.2field-weighted citation impact, top 21% 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

8 citing papers in PubMed, 9 citations in OpenAlex.

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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

7 authors at 2 institutions in 1 country.

David LangDepartment of Pulmonology, Kepler University Hospital GmbH, Krankenhausstrasse 9, 4020, Linz, Austria. david.lang@kepleruniklinikum.at.ORCID 0000-0002-3098-1554
Kaveh AkbariCentral Radiology Institute, Kepler University Hospital GmbH, Krankenhausstrasse 9, 4020, Linz, Austria.
Andreas HornerDepartment of Pulmonology, Kepler University Hospital GmbH, Krankenhausstrasse 9, 4020, Linz, Austria.
Magdalena HeppDepartment of Pulmonology, Kepler University Hospital GmbH, Krankenhausstrasse 9, 4020, Linz, Austria.
Bernhard KaiserDepartment of Pulmonology, Kepler University Hospital GmbH, Krankenhausstrasse 9, 4020, Linz, Austria.
Herwig PieringerDiakonissen Hospital Linz, Weissenwolfstrasse 15, 4020, Linz, Austria.
Bernd LamprechtDepartment of Pulmonology, Kepler University Hospital GmbH, Krankenhausstrasse 9, 4020, Linz, Austria.
Kepler Universitätsklinikum · ATParacelsus Medical University · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate the association of peripheral blood (PBL) and broncho-alveolar lavage (BAL) biomarkers with inflammatory versus fibrotic high-resolution computed tomography (HRCT) findings in interstitial lung disease (ILD) patients.

methodsHRCT findings of 127 consecutive ILD-board patients were semi-quantitatively evaluated: reticulation/honeycombing (RET), traction bronchiectasis (TBR) and emphysema (EMP) were classified as non-inflammatory/fibrotic; consolidations (CON), ground glass opacities (GGO), parenchymal nodules (NDL) and mosaic attenuation (MOS) as active inflammatory. Each HRCT finding was assessed in six distinct lung regions, resulting scores were graded as minimal (0-1 regions involved), medium (2-4) or extensive (5-6). Associations of routinely assessed PBL/BAL biomarkers with these HRCT scores were evaluated using Spearman correlation coefficients and graphical presentation; significance was tested by applying Kruskal-Wallis tests.

resultsBlood neutrophil, lymphocyte and eosinophil fraction, neutrophil to lymphocyte ratio (NLR) and BAL lymphocyte fraction consistently showed opposite correlations with inflammatory versus non-inflammatory/fibrotic HRCT finding scores. Blood lymphocyte fraction significantly differed by graded GGO (p = 0.032) and CON (p = 0.027) extent, eosinophil fraction by TBR (p = 0.006) and NLR by CON (p = 0.009). C-reactive protein was significantly related to GGO (p = 0.023) and CON (p = 0.004), BAL lymphocyte fraction to GGO (p = 0.017) extent.

conclusionBlood lymphocyte and eosinophil fraction, NLR, CRP and BAL lymphocyte fraction may aid to differentiate inflammatory from non-inflammatory/fibrotic ILD patterns.

trial registrationThis evaluation was based on data from the ILD registry of Kepler University Hospital Linz, as approved by the ethics committee of the Federal State of Upper-Austria (EK Number. I-26-17).

Indexed as

AdolescentAdultAgedAged, 80 and overBiomarkersBlood Cell CountBronchoalveolar Lavage FluidFemaleHumansLung Diseases, InterstitialMaleMiddle AgedRegistriesRetrospective StudiesTomography, X-Ray ComputedYoung AdultBiomarkersBroncho-alveolar lavageChronic hypersensitivity pneumonitisC-reactive proteinEosinophilIdiopathic pulmonary fibrosisLymphocytePeripheral blood

Identifiers

PMID33770227
PMCPMC8053160
OpenAlexW3136568040

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.