Evidence map›Paper›PMID 34505028›Full record

ArticleEClinicalMedicine2021

Pleuroparenchymal fibroelastosis in idiopathic pulmonary fibrosis: Survival analysis using visual and computer-based computed tomography assessment.

Eyjolfur Gudmundsson, An Zhao, Nesrin Mogulkoc, Iain Stewart, Mark G Jones, Coline H M Van Moorsel, Recep Savas, Christopher J Brereton, Hendrik W Van Es, Omer Unat and 9 more

Open access · goldAbstract read
In one paragraph

Article in EClinicalMedicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 14% 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. Comorbidities in clinical cohorts of patients with idiopathic pulmonary fibrosis: a systematic review and meta-analysis.European respiratory review : an official journal of the European Respiratory Society · 2026
    Pooled it
  2. Article
  3. Article
  4. Article
  5. Imaging technologies in experimental pulmonary fibrosis research: essential tool for enhanced translational relevance.European respiratory review : an official journal of the European Respiratory Society · 2025
    Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. The world of rare interstitial lung diseases.European respiratory review : an official journal of the European Respiratory Society · 2023
    Review
  12. 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

19 authors at 8 institutions in 3 countries.

Eyjolfur GudmundssonCentre for Medical Image Computing, UCL, 1st Floor, 90 High Holborn, London WC1V6LJ, United Kingdom.
An ZhaoCentre for Medical Image Computing, UCL, 1st Floor, 90 High Holborn, London WC1V6LJ, United Kingdom.
Nesrin MogulkocDepartment of Respiratory Medicine, Ege University Hospital, Izmir, Turkey.
Iain StewartNational Heart & Lung Institute, Imperial College London, London, United Kingdom.
Mark G JonesNIHR Southampton Biomedical Research Centre and Clinical and Experimental Sciences, University of Southampton, Southampton, United Kingdom.
Coline H M Van MoorselDepartment of Pulmonology, Interstitial Lung Diseases Center of Excellence, St Antonius Hospital, Nieuwegein, the Netherlands.
Recep SavasDepartment of Radiology, Ege University Hospital, Izmir, Turkey.
Christopher J BreretonNIHR Southampton Biomedical Research Centre and Clinical and Experimental Sciences, University of Southampton, Southampton, United Kingdom.
Hendrik W Van EsDepartment of Radiology, St Antonius Hospital, Nieuwegein, the Netherlands.
Omer UnatDepartment of Respiratory Medicine, Ege University Hospital, Izmir, Turkey.
Katarina PontoppidanNIHR Southampton Biomedical Research Centre and Clinical and Experimental Sciences, University of Southampton, Southampton, United Kingdom.
Frouke Van BeekDepartment of Pulmonology, Interstitial Lung Diseases Center of Excellence, St Antonius Hospital, Nieuwegein, the Netherlands.
Marcel VeltkampDepartment of Pulmonology, Interstitial Lung Diseases Center of Excellence, St Antonius Hospital, Nieuwegein, the Netherlands.
Bahareh GholipourDepartment of Radiology, University College London Hospitals NHS Foundation Trust, London, United Kingdom.
Arjun NairDepartment of Radiology, University College London Hospitals NHS Foundation Trust, London, United Kingdom.
Athol U WellsInterstitial Lung Disease Unit, Royal Brompton Hospital, Imperial College, London, United Kingdom.
Sam M JanesLungs for Living Research Centre, UCL, London, United Kingdom.
Daniel C AlexanderCentre for Medical Image Computing, UCL, 1st Floor, 90 High Holborn, London WC1V6LJ, United Kingdom.
Joseph JacobCentre for Medical Image Computing, UCL, 1st Floor, 90 High Holborn, London WC1V6LJ, United Kingdom.
University College London · GBEge University · TRNIHR Southampton Biomedical Research Centre · GBSt. Antonius Ziekenhuis · NLUniversity College London Hospitals NHS Foundation Trust · GBImperial College London · GBRoyal Brompton Hospital · GBUniversity Medical Center Utrecht · NL

Funding

Wellcome Trust
6 · The paper itself

Abstract

backgroundIdiopathic pulmonary fibrosis (IPF) and pleuroparenchymal fibroelastosis (PPFE) are known to have poor outcomes but detailed examinations of prognostic significance of an association between these morphologic processes are lacking.

methodsRetrospective observational study of independent derivation and validation cohorts of IPF populations. Upper-lobe PPFE extent was scored visually (vPPFE) as categories of absent, moderate, marked. Computerised upper-zone PPFE extent (cPPFE) was examined continuously and using a threshold of 2·5% pleural surface area. vPPFE and cPPFE were evaluated against 1-year FVC decline (estimated using mixed-effects models) and mortality. Multivariable models were adjusted for age, gender, smoking history, antifibrotic treatment and diffusion capacity for carbon monoxide.

findingsPPFE prevalence was 49% (derivation cohort,

interpretationPPFE quantification supports distinction of IPF patients with a worse outcome independent of established ILD severity measures. This has the potential to improve prognostic management and elucidate separate pathways of disease progression.

fundingThis research was funded in whole or in part by the Wellcome Trust [209,553/Z/17/Z] and the NIHR UCLH Biomedical Research Centre, UK.

Indexed as

Computed tomographyIPFPleuroparenchymal fibroelastosisPPFE, Idiopathic pulmonary fibrosisQuantitative analysis

Identifiers

PMID34505028
PMCPMC8413236
OpenAlexW3173408605

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.