Evidence map›Paper›PMID 33926958›Full record

ArticleBMJ open respiratory research2021

Feasibility of cardiopulmonary exercise testing in interstitial lung disease: the PETFIB study.

Owen Tomlinson, Anna Duckworth, Laura Markham, Rebecca Wollerton, Bridget Knight, Alexander Spiers, Michael Gibbons, Craig Williams, Chris Scotton

Open access · goldAbstract read
In one paragraph

Article in BMJ open respiratory research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 32% 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. 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

9 authors at 2 institutions in 1 country.

Owen TomlinsonSport and Health Science, University of Exeter, Exeter, UK.
Anna DuckworthAcademic Department of Respiratory Medicine, Royal Devon & Exeter NHS Foundation Trust, Exeter, UK.
Laura MarkhamAcademic Department of Respiratory Medicine, Royal Devon & Exeter NHS Foundation Trust, Exeter, UK.
Rebecca WollertonAcademic Department of Respiratory Medicine, Royal Devon & Exeter NHS Foundation Trust, Exeter, UK.
Bridget KnightInstitute of Biomedical & Clinical Science, College of Medicine & Health, University of Exeter, Exeter, UK.
Alexander SpiersAcademic Department of Respiratory Medicine, Royal Devon & Exeter NHS Foundation Trust, Exeter, UK.
Michael GibbonsAcademic Department of Respiratory Medicine, Royal Devon & Exeter NHS Foundation Trust, Exeter, UK.
Craig WilliamsSport and Health Science, University of Exeter, Exeter, UK.
Chris ScottonAcademic Department of Respiratory Medicine, Royal Devon & Exeter NHS Foundation Trust, Exeter, UK c.j.scotton@exeter.ac.uk.
University of Exeter · GBRoyal Devon & Exeter NHS Foundation Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionCardiopulmonary exercise testing (CPET) provides a series of biomarkers, such as peak oxygen uptake, which could assess the development of disease status in interstitial lung disease (ILD). However, despite use in research and clinical settings, the feasibility of CPET in this patient group has yet to be established.

methodsTwenty-six patients with ILD (19 male) were recruited to this study. Following screening for contraindications to maximal exercise, participants underwent an incremental CPET to volitional exhaustion. Feasibility of CPET was assessed by the implementation, practicality, acceptability and demand, thus providing clinical-driven and patient-driven information on this testing procedure.

resultsOf the 26 recruited participants, 24 successfully completed at least one CPET, with 67/78 prospective tests being completed. Contraindications included hypertension, low resting oxygen saturation and recent pulmonary embolism. Of the CPETs undertaken, 63% successfully reached volitional exhaustion, with 31% being terminated early by clinicians due to excessive desaturation. Quantitative and qualitative feedback from participants revealed a positive experience of CPET and desire for it to be included as a future monitoring tool.

conclusionCPET is feasible in patients with ILD. Identification of common clinical contraindications, and understanding of patient perspectives will allow for effective design of future studies utilising CPET as a monitoring procedure.

Indexed as

Exercise TestLung Diseases, InterstitialFeasibility StudiesHumansMaleProspective Studiesexerciseinterstitial fibrosis

Identifiers

PMID33926958
PMCPMC8094359
OpenAlexW3158097333

What OpenQuestion holds

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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.