Evidence map›Paper›PMID 34916324›Full record

ArticleBMJ open2021

Bronchial Thermoplasty Global Registry (BTGR): 2-year results.

Alfons Torrego, Felix J Herth, Ana M Munoz-Fernandez, Luis Puente, Nicola Facciolongo, Stephen Bicknell, Mauro Novali, Stefano Gasparini, Martina Bonifazi, Keertan Dheda and 12 more

Registry-linked trialOpen access · goldAbstract readMulticenter Study
In one paragraph

Article in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02104856 (Bronchial Thermoplasty), which is not on this map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.3field-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.

NCT02104856 completednot on this map

Bronchial Thermoplasty (BT) Global Registry

Typeobservational_patient_registrySponsorBoston Scientific CorporationRan2014 to 2019Enrolled158ConditionsAsthmaArmsAlair System (Bronchial Thermoplasty)
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 16 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Knowledge gaps in the field of bronchial thermoplasty.Annals of translational medicine · 2022
    Article
  9. Pneumo news · 2022
    Article
  10. Observational
  11. 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

22 authors at 18 institutions in 11 countries.

Alfons TorregoRespiratory Department, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain atorrego@santpau.cat.ORCID 0000-0001-6624-2465
Felix J HerthThoraxklinik, University of Heidelberg, Heidelberg, Baden-Württemberg, Germany.
Ana M Munoz-FernandezRespiratory Department, Hospital Josep Trueta, Girona, Catalunya, Spain.
Luis PuenteRespiratory Department, Hospital General Universitario Gregorio Marañon-Facultad de Medicina Universidad Complutense, Madrid, Spain.
Nicola FacciolongoAUSL-IRCCS Reggio Emilia Pulmonology Unit, IRCCS Reggio Emilia Pulmonology Unit, Santa Maria Nuova, Italy.
Stephen BicknellRespiratory Department, Gartnavel General Hospital, Glasgow, Glasgow, UK.
Mauro NovaliRespiratory Department, Azienda Ospedaliera Spedali Civili di Brescia, Brescia, Lombardia, Italy.
Stefano GaspariniRespiratory Department, Università Politecnica delle Marche, Ancona, Marche, Italy.
Martina BonifaziRespiratory Department, Università Politecnica delle Marche, Ancona, Marche, Italy.
Keertan DhedaRespiratory Department, University of Cape Town, Cape Town, South Africa.
Felipe AndreoPulmonology Department, Hospital Universitari Germans Trias i Pujol-CIBERES, Badalona, Barcelona, Spain.
Praha VotrubaRespiratory Department, Klinika Tuberkulozy a Respiracnich Onemocneni, Prague, Czech Republic.
David LangtonRespiratory Department, Frankston Hospital Peninsula Health, Frankston, Victoria, Australia.
Javier FlandesRespiratory Department, Hospital Universitario Fundacion Jimenez Diaz-CIBERES IIS-FJD, Madrid, Spain.
David FieldingRespiratory Department, Royal Brisbane and Women's Hospital-Brisbane/AUS, Brisbane, Queensland, Australia.
Peter I BontaDepartment of Respiratory Medicine, Amsterdam University Medical Centers, Amsterdam, The Netherlands.
Dirk SkowaschDepartment of Cardiology and Pneumology, University of Bonn, Medizinische Klinik II, Bonn, Germany.
Christian SchulzRespiratory Department, University Hospital Regensburg, Regensburg, Bayern, Germany.
Kaid DarwicheRespiratory Department, Ruhrlandklinik-West German Lung Center, University Medicine Essen, Essen, Germany.
Edmund McMullenBoston Scientific Corp, Marlborough, Massachusetts, USA.
G Mark GrubbBoston Scientific Corp, Marlborough, Massachusetts, USA.
Robert NivenRespiratory Department, Central Manchester University Hospitals NHS Foundation Trust, Manchester, Greater Manchester, UK.
Respiratory Clinical Trials · AUBoston Scientific (United States) · USMarche Polytechnic University · ITAmsterdam University Medical Centers · NLAzienda Sanitaria Unità Locale di Reggio Emilia · ITAzienda Socio Sanitaria Territoriale degli Spedali Civili di Brescia · ITFrankston Hospital · AUGartnavel General Hospital · GBHeidelberg University · DEHospital de Sant Pau · ESHospital General Universitario Gregorio Marañón · ESHospital Universitari Germans Trias i Pujol · ESHospital Universitario Fundación Jiménez Díaz · ESRoyal Brisbane and Women's Hospital · AURuhrlandklinik · DEUniversity Hospital Regensburg · DEUniversity of Bonn · DEUniversity of Cape Town · ZA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesBronchial thermoplasty (BT) is a device-based treatment for subjects ≥18 years with severe asthma not well controlled with inhaled corticosteroids and long-acting beta-agonists. The Bronchial Thermoplasty Global Registry (BTGR) collected real-world data on subjects undergoing this procedure.

designThe BTGR is an all-comer, prospective, open-label, multicentre study enrolling adult subjects indicated for and treated with BT.

settingEighteen centres in Spain, Italy, Germany, the UK, the Netherlands, the Czech Republic, South Africa and Australia

participantsOne hundred fifty-seven subjects aged 18 years and older who were scheduled to undergo BT treatment for asthma. Subjects diagnosed with other medical conditions which, in the investigator's opinion, made them inappropriate for BT treatment were excluded. PRIMARY AND SECONDARY OUTCOME MEASURES: Baseline characteristics collected included demographics, Asthma Quality of Life Questionnaire (AQLQ), Asthma Control Test (ACT), medication usage, forced expiratory volume in one second and forced vital capacity, medical history, comorbidities and 12-month baseline recall data (severe exacerbations (SE) and healthcare utilisation). SE incidence and healthcare utilisation were summarised at 1 and 2 years post-BT.

resultsSubjects' baseline characteristics were representative of persons with severe asthma. A comparison of the proportion of subjects experiencing events during the 12 months prior to BT to the 2-year follow-up showed a reduction in SE (90.3% vs 56.1%, p<0.0001), emergency room visits (53.8% vs 25.5%, p<0.0001) and hospitalisations (42.9% vs 23.5 %, p=0.0019). Reductions in asthma maintenance medication dosage were also observed. AQLQ and ACT scores improved from 3.26 and 11.18 at baseline to 4.39 and 15.54 at 2 years, respectively (p<0.0001 for both AQLQ and ACT).

conclusionsThe BTGR demonstrates sustained improvement in clinical outcomes and reduction in asthma medication usage 2 years after BT in a real-world population. This is consistent with results from other BT randomised controlled trials and registries and further supports improvement in asthma control after BT. TRIAL REGISTRATION NUMBER: NCT02104856.

Indexed as

AsthmaBronchial ThermoplastyAdolescentAdultHumansProspective StudiesQuality of LifeRegistriesTreatment Outcomeasthmabronchoscopychronic airways diseaserespiratory medicine (see thoracic medicine)

Identifiers

PMID34916324
PMCPMC8679080
OpenAlexW4200381185

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

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.