Evidence map›Paper›PMID 35092746›Full record

ArticleChest2022

Severe Pulmonary Hypertension in COPD: Impact on Survival and Diagnostic Approach.

Gabor Kovacs, Alexander Avian, Gerhard Bachmaier, Natascha Troester, Adrienn Tornyos, Philipp Douschan, Vasile Foris, Teresa Sassmann, Katarina Zeder, Jörg Lindenmann and 4 more

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in Chest, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06555445 (Effects of Breathing Exercises With and Without Inspiratory Muscle Training on Dyspnea, Lung Volumes and Lung Capacities in COPD Patients), which is not on this map. Cited by 55 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
55citing papers in PubMed, 2 pooled it
13.4field-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.

NCT06555445 nanot yet recruitingnot on this mapstarted 2024, after this paper: background citation

Effects of Breathing Exercises With and Without Inspiratory Muscle Training on Dyspnea, Lung Volumes and Lung Capacities in COPD Patients

TypeinterventionalSponsorRiphah International UniversityRan2024 to 2024Enrolled46ConditionsCOPDArmsBREATHING EXERCISE, BREATHING EXERCISE REGIMEN COUPLED WITH BREATHER DEVICE
3 · Its place in the literature

Who cites it

55 citing papers in PubMed, 2 syntheses or guidelines pooled it, 90 citations in OpenAlex.

  1. Pooled it
  2. NT-proBNP in Different Patient Groups of COPD: A Systematic Review and Meta-Analysis.International journal of chronic obstructive pulmonary disease · 2023
    Pooled it
  3. Exercise-Induced Oxygen Desaturation Increases Arterial Stiffness in Patients with COPD During the 6WMT.International journal of chronic obstructive pulmonary disease · 2024
    Trial
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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

14 authors at 5 institutions in 2 countries.

Gabor KovacsDepartment of Pulmonology, University Clinic of Internal Medicine, Graz, Austria; Ludwig Boltzmann Institute for Lung Vascular Research, Graz, Austria. Electronic address: gabor.kovacs@klinikum-graz.at.
Alexander AvianInstitute for Medical Informatics, Statistics and Documentation, Graz, Austria.
Gerhard BachmaierInstitute for Medical Informatics, Statistics and Documentation, Graz, Austria.
Natascha TroesterDepartment of Pulmonology, University Clinic of Internal Medicine, Graz, Austria.
Adrienn TornyosDivision of General Radiology, Department of Radiology, Graz, Austria.
Philipp DouschanDepartment of Pulmonology, University Clinic of Internal Medicine, Graz, Austria; Ludwig Boltzmann Institute for Lung Vascular Research, Graz, Austria.
Vasile ForisDepartment of Pulmonology, University Clinic of Internal Medicine, Graz, Austria; Ludwig Boltzmann Institute for Lung Vascular Research, Graz, Austria.
Teresa SassmannDepartment of Pulmonology, University Clinic of Internal Medicine, Graz, Austria.
Katarina ZederDepartment of Pulmonology, University Clinic of Internal Medicine, Graz, Austria; Ludwig Boltzmann Institute for Lung Vascular Research, Graz, Austria.
Jörg LindenmannDepartment of Thoracic and Hyperbaric Surgery, University Clinic of Surgery, Graz, Austria.
Luka BrcicInstitute for Pathology, Medical University of Graz, Graz, Austria.
Michael FuchsjaegerDivision of General Radiology, Department of Radiology, Graz, Austria.
Alvar AgustiRespiratory Institute, Hospital Clinic, Universitat de Barcelona, IDIBAPS, Ciberes, Spain.
Horst OlschewskiDepartment of Pulmonology, University Clinic of Internal Medicine, Graz, Austria; Ludwig Boltzmann Institute for Lung Vascular Research, Graz, Austria.
Ludwig Boltzmann Institute for Lung Vascular Research · ATUniversity Clinic of Traumatology · ATStatistics Austria · ATConsorci Institut D'Investigacions Biomediques August Pi I Sunyer · ESMedical University of Graz · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSevere pulmonary hypertension (PH) is prognostically highly relevant in patients with COPD. The criteria for severe PH have been defined based on hemodynamic thresholds in right heart catheterization. RESEARCH QUESTION: Can noninvasive clinical tools predict severe PH in patients with COPD? How does the mortality risk change with increasing severity of airflow limitation and pulmonary vascular disease? STUDY DESIGN AND

methodsWe retrospectively analyzed all consecutive patients with COPD with suspected PH undergoing in-depth clinical evaluation, including right heart catheterization, in our PH clinic between 2005 and 2018. Clinical variables potentially indicative of severe PH or death were analyzed using univariate and stepwise multivariate logistic regression and Cox regression analysis adjusted for age and sex.

resultsWe included 142 patients with median FEV

interpretationIn patients with COPD, the combination of echocardiography, NT-proBNP level, and PA to Ao diameter ratio predicts severe PH with high sensitivity and specificity. The contribution of severe PH and severe airflow limitation to impaired survival is comparable.

Indexed as

Hypertension, PulmonaryPulmonary Disease, Chronic ObstructiveHumansLungPulmonary ArteryRetrospective StudiesCOPDheart catheterizationpulmonary hypertension

Identifiers

PMID35092746
PMCPMC10808070
OpenAlexW4210489190

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.