Evidence map›Paper›PMID 34797407›Full record

ArticleLung2021

Heartburn as a Marker of the Success of Acid Suppression Therapy in Chronic Cough.

H Badri, I Satia, V Bansal, M A Mangi, A Tangaroonsanti, K R DeVault, A S Lee, L A Houghton, J A Smith

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 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.2field-weighted citation impact, top 20% 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

9 citing papers in PubMed, 11 citations in OpenAlex.

  1. Trial
  2. Article
  3. Review
  4. Article
  5. Managing chronic cough in adults in primary care.The British journal of general practice : the journal of the Royal College of General Practitioners · 2024
    Article
  6. Observational
  7. Cough hypersensitivity and chronic cough.Nature reviews. Disease primers · 2022
    Review
  8. Article
  9. Recent progress in the management of chronic cough.The Korean journal of internal medicine · 2020
    Review
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 5 institutions in 3 countries.

H BadriDivision of Infection, Immunity and Respiratory Medicine, University of Manchester, Manchester, UK. huda.badri@manchester.ac.uk.ORCID 0000-0002-6134-4347
I SatiaDivision of Infection, Immunity and Respiratory Medicine, University of Manchester, Manchester, UK.
V BansalDivision of Gastroenterology and Hepatology, Mayo Clinic, Jacksonville, FL, USA.
M A MangiDivision of Pulmonary and Critical Care Medicine, Mayo Clinic, Rochester, MN, USA.
A TangaroonsantiDivision of Gastroenterology and Hepatology, Mayo Clinic, Jacksonville, FL, USA.
K R DeVaultDivision of Gastroenterology and Hepatology, Mayo Clinic, Jacksonville, FL, USA.
A S LeePulmonary Medicine, Mayo Clinic, Jacksonville, FL, USA.
L A HoughtonDivision of Gastroenterology and Hepatology, Mayo Clinic, Jacksonville, FL, USA.
J A SmithDivision of Infection, Immunity and Respiratory Medicine, University of Manchester, Manchester, UK.
Jacksonville College · USMayo Clinic · USUniversity of Manchester · GBNorth Manchester General Hospital · GBUniversity of Leeds · GB

Funding

Medical Research Council MR/K015141/1
6 · The paper itself

Abstract

purposeGastro-oesophageal reflux disease (GORD) is commonly thought to play an important role in chronic cough and patients are often empirically treated with acid suppression therapy. We sought to investigate the response rate to acid suppression treatment in patients with and without heartburn attending two specialist cough clinics.

methodsA retrospective review of 558 consecutive patients referred to two specialist cough clinics was performed (UK and USA). Patients who were treated with acid suppression were included and their documented response to treatment was collected. Binary logistic regression was used to ascertain the value of reported heartburn in predicting the response of chronic cough to acid suppression therapy.

resultsOf 558 consecutive referrals, 238 patients were excluded due to missing data or cough duration of < 8 weeks. The remaining 320 patients were predominantly female (76%), with mean age 61 yrs (± 13) and 96.8% non-smokers, with chronic cough for 36 (18-117) months. Of 72 patients with heartburn, 20 (28%) noted improvement in their cough with acid suppression, whereas of 248 without heartburn, only 35 (14%) responded. Patients reporting heartburn were 2.7 (95% C.I. 1.3-5.6) times more likely to respond to acid suppression therapy (p = 0.007).

conclusionIn specialist cough clinics, few patients report a response of their chronic cough to acid suppression therapy. Nonetheless, heartburn is a useful predictor substantially increasing the likelihood of benefit.

Indexed as

Gastroesophageal RefluxHeartburnChronic DiseaseCoughFemaleHumansMiddle AgedRetrospective StudiesAcid suppressionChronic coughGastro-oesophageal reflux diseaseHeartburn

Identifiers

PMID34797407
PMCPMC8626359
OpenAlexW3199021022

What OpenQuestion holds

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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.