Evidence map›Paper›PMID 34675047›Full record

ArticleThe European respiratory journal2022

Temporal trends in pulmonary arterial hypertension: results from the COMPERA registry.

Marius M Hoeper, Christine Pausch, Ekkehard Grünig, Gerd Staehler, Doerte Huscher, David Pittrow, Karen M Olsson, Carmine Dario Vizza, Henning Gall, Oliver Distler and 24 more

Open access · bronzeAbstract read
In one paragraph

Article in The European respiratory journal, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 76 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
76citing papers in PubMed, 3 pooled it
11.6field-weighted citation impact, top 1% 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

76 citing papers in PubMed, 3 syntheses or guidelines pooled it, 127 citations in OpenAlex.

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  18. Right ventricular function in pulmonary hypertension and obesity: a cross-sectional cohort study with survival follow-up.Clinical research in cardiology : official journal of the German Cardiac Society · 2026
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16 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

34 authors at 20 institutions in 9 countries.

Marius M HoeperDept of Respiratory Medicine, Hannover Medical School, Hannover, Germany hoeper.marius@mh-hannover.de.ORCID 0000-0001-9086-2293
Christine PauschGWT-TUD GmbH, Epidemiological Centre, Dresden, Germany.
Ekkehard GrünigMember of the German Center for Lung Research (DZL), Hannover, Germany.
Gerd StaehlerLungenklinik, Löwenstein, Germany.
Doerte HuscherInstitute of Biometry and Clinical Epidemiology, Charité-Universitätsmedizin, Berlin, Germany.
David PittrowGWT-TUD GmbH, Epidemiological Centre, Dresden, Germany.ORCID 0000-0003-1136-2616
Karen M OlssonDept of Respiratory Medicine, Hannover Medical School, Hannover, Germany.
Carmine Dario VizzaDept of Cardiovascular and Respiratory Diseases, Sapienza, University of Rome, Rome, Italy.
Henning GallMember of the German Center for Lung Research (DZL), Hannover, Germany.ORCID 0000-0001-7016-7373
Oliver DistlerDept of Rheumatology, University Hospital, Zurich, Switzerland.
Christian OpitzDept of Cardiology, DRK Kliniken Berlin Westend, Berlin, Germany.
J Simon R GibbsDept of Cardiology, National Heart and Lung Institute, Imperial College London, London, UK.
Marion DelcroixClinical Dept of Respiratory Diseases, University Hospitals of Leuven and Laboratory of Respiratory Diseases and Thoracic Surgery (BREATHE), Dept of Chronic Diseases and Metabolism (CHROMETA), KU Leuven - University of Leuven, Leuven, Belgium.ORCID 0000-0001-8394-9809
H Ardeschir GhofraniMember of the German Center for Lung Research (DZL), Hannover, Germany.ORCID 0000-0002-2029-4419
Stephan RosenkranzClinic III for Internal Medicine (Cardiology) and Center for Molecular Medicine (CMMC), and the Cologne Cardiovascular Research Center (CCRC), University of Cologne, Cologne, Germany.
Da-Hee ParkDept of Respiratory Medicine, Hannover Medical School, Hannover, Germany.
Ralf EwertDept of Respiratory Medicine, Ernst Moritz Arndt University Greifswald, Greifswald, Germany.
Harald KaemmererDeutsches Herzzentrum München, Klinik für Angeborene Herzfehler und Kinder Kardiologie, TU München, Munich, Germany.
Tobias J LangeDept of Internal Medicine II, University Medical Center Regensburg, Regensburg, Germany.
Hans-Joachim KabitzMedizinische Klinik II, Gemeinnützige Krankenhausbetriebsgesellschaft Konstanz mbH, Konstanz, Germany.
Dirk SkowaschMedizinische Klinik und Poliklinik II, Innere Medizin - Kardiologie/Pneumologie, Universitätsklinikum Bonn, Bonn, Germany.
Andris SkrideVSIA Pauls Stradins Clinical University Hospital, Riga Stradins University, Riga, Latvia.
Martin ClaussenFachabteilung Pneumologie, LungenClinic Grosshansdorf, Grosshansdorf, Germany.
Juergen BehrComprehensive Pneumology Center, Lungen Forschungsambulanz, Helmholtz Zentrum, Munich, Germany.
Katrin MilgerDept of Medicine V, University Hospital, LMU Munich, Comprehensive Pneumology Center Munich (CPC-M), Munich, Germany.ORCID 0000-0003-2914-8773
Michael HalankMedizinische Klinik und Poliklinik I, Universitätsklinikum Carl Gustav Carus der Technischen Universität Dresden, Dresden, Germany.
Heinrike WilkensKlinik für Innere Medizin V, Pneumologie, Universitätsklinikum des Saarlandes, Homburg, Germany.
Hans-Jürgen SeyfarthMedizinische Klinik und Poliklinik II, Abteilung für Pneumologie, Universitätsklinikum Leipzig, Leipzig, Germany.
Matthias HeldDept of Internal Medicine, Respiratory Medicine and Ventilatory Support, Medical Mission Hospital, Central Clinic Würzburg, Würzburg, Germany.
Daniel DumitrescuClinic for General and Interventional Cardiology and Angiology, Herz- und Diabeteszentrum NRW, Ruhr-Universität Bochum, Bad Oeynhausen, Germany.
Iraklis Tsangaris2nd Critical Care Dept, Attikon University Hospital, National and Kapodistrian University of Athens, Athens, Greece.
Anton Vonk-NoordegraafDept of Pulmonary Medicine, Amsterdam Cardiovascular Sciences, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.ORCID 0000-0002-4057-758X
Silvia UlrichClinic of Pulmonology, University and University Hospital of Zurich, Zurich, Switzerland.ORCID 0000-0002-5250-5022
Hans KloseDept of Respiratory Medicine, Eppendorf University Hospital, Hamburg, Germany.
Medizinische Hochschule Hannover · DEGWT-TUD (Germany) · DEJustus-Liebig-Universität Gießen · DEUniversity Hospital of Zurich · CHAmsterdam University Medical Centers · NLDeutsches Herzzentrum der Charité · DEDRK Kliniken Berlin · DEEppendorf (Germany) · DEHeart and Diabetes Center North Rhine-Westphalia · DEHeidelberg University · DEHelmholtz Zentrum München · DEKlinikum Konstanz · DEKlinik und Poliklinik für Psychosomatische Medizin und Psychotherapie · DEKlinik und Poliklinik für Psychotherapie und Psychosomatik · DEKU Leuven · BELMU Klinikum · DELungenClinic Grosshansdorf · DELung Institute · USMedical Mission Institute · DENational and Kapodistrian University of Athens · GR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSince 2015, the European pulmonary hypertension guidelines recommend the use of combination therapy in most patients with pulmonary arterial hypertension (PAH). However, it is unclear to what extent this treatment strategy is adopted in clinical practice and if it is associated with improved long-term survival.

methodsWe analysed data from COMPERA, a large European pulmonary hypertension registry, to assess temporal trends in the use of combination therapy and survival of patients with newly diagnosed PAH between 2010 and 2019. For survival analyses, we looked at annualised data and at cumulated data comparing the periods 2010-2014 and 2015-2019.

resultsA total of 2531 patients were included. The use of early combination therapy (within 3 months after diagnosis) increased from 10.0% in patients diagnosed with PAH in 2010 to 25.0% in patients diagnosed with PAH in 2019. The proportion of patients receiving combination therapy 1 year after diagnosis increased from 27.7% to 46.3%. When comparing the 2010-2014 and 2015-2019 periods, 1-year survival estimates were similar (89.0% (95% CI 87.2-90.9%) and 90.8% (95% CI 89.3-92.4%), respectively), whereas there was a slight but nonsignificant improvement in 3-year survival estimates (67.8% (95% CI 65.0-70.8%) and 70.5% (95% CI 67.8-73.4%), respectively).

conclusionsThe use of combination therapy increased from 2010 to 2019, but most patients still received monotherapy. Survival rates at 1 year after diagnosis did not change over time. Future studies need to determine if the observed trend suggesting improved 3-year survival rates can be confirmed.

Indexed as

Hypertension, PulmonaryPulmonary Arterial HypertensionFamilial Primary Pulmonary HypertensionHumansRegistriesSurvival Rate

Identifiers

PMID34675047
PMCPMC9160392
OpenAlexW3206212741

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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.