Evidence map›Paper›PMID 35132732›Full record

ArticleRespirology (Carlton, Vic.)2022

Chest CT-assessed comorbidities and all-cause mortality risk in COPD patients in the BODE cohort.

Ana Ezponda, Ciro Casanova, Miguel Divo, Marta Marín-Oto, Carlos Cabrera, Jose M Marín, Gorka Bastarrika, Víctor Pinto-Plata, Ángela Martin-Palmero, Francesca Polverino and 2 more

Open access · hybridAbstract read
In one paragraph

Article in Respirology (Carlton, Vic.), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
7.4field-weighted citation impact, top 2% 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

23 citing papers in PubMed, 51 citations in OpenAlex.

  1. Review
  2. Observational
  3. Article
  4. Article
  5. Review
  6. Age- and sex-related changes in proximal humeral volumetric BMD assessed via chest CT with a deep learning-based segmentation model.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2025
    Article
  7. Article
  8. Article
  9. Towards early detection and disease interception of COPD across the lifespan.European respiratory review : an official journal of the European Respiratory Society · 2025
    Review
  10. Article
  11. Observational
  12. Quality of Care and Outcomes of Inpatients with COPD: A Multi-Center Study in China.International journal of chronic obstructive pulmonary disease · 2025
    Observational
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Global Initiative for Chronic Obstructive Lung Disease 2023 Report: GOLD Executive Summary.American journal of respiratory and critical care medicine · 2023
    Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 8 institutions in 3 countries.

Ana EzpondaRadiology Department, Clínica Universidad de Navarra, Pamplona, Spain.ORCID 0000-0001-5502-2547
Ciro CasanovaPulmonary Department, Hospital Ntra Sra de Candelaria, Tenerife, Spain.
Miguel DivoPulmonary Department, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Marta Marín-OtoPulmonary Department, Clínica Universidad de Navarra, Pamplona, Spain.
Carlos CabreraPulmonary Department, Hospital Universitario Doctor Negrín, Las Palmas, Spain.
Jose M MarínPulmonary Department, Hospital Universitario Miguel Servet, Instituto Aragonés Ciencias Salud & CIBERES, Zaragoza, Spain.ORCID 0000-0001-9096-2294
Gorka BastarrikaRadiology Department, Clínica Universidad de Navarra, Pamplona, Spain.
Víctor Pinto-PlataPulmonary Department, Baystate Medical Center, Springfield, Massachusetts, USA.
Ángela Martin-PalmeroRespiratory Investigation Unit, Queen's University, Kingston, Ontario, Canada.
Francesca PolverinoAsthma and Airway Disease Research Center, University of Arizona, Tucson, Arizona, USA.
Bartolome R CelliPulmonary Department, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.ORCID 0000-0002-7266-8371
Juan P de TorresPulmonary Department, Clínica Universidad de Navarra, Pamplona, Spain.ORCID 0000-0003-1231-4894
Clinica Universidad de Navarra · ESBrigham and Women's Hospital · USQueen's University · CABaystate Medical Center · USHospital Universitario de Gran Canaria Doctor Negrín · ESHospital Universitario Miguel Servet · ESHospital Universitario Nuestra Señora de Candelaria · ESUniversity of Arizona · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectiveThe availability of chest computed tomography (CT) imaging can help diagnose comorbidities associated with chronic obstructive pulmonary disease (COPD). Their systematic identification and relationship with all-cause mortality have not been explored. Furthermore, whether their CT-detected prevalence differs from clinical diagnosis is unknown.

methodsThe prevalence of 10 CT-assessed comorbidities was retrospectively determined at baseline in 379 patients (71% men) with mild to severe COPD attending pulmonary clinics. Anthropometrics, smoking history, dyspnoea, lung function, exercise capacity, BODE (BMI, Obstruction, Dyspnoea and Exercise capacity) index and exacerbations rate were recorded. The prevalence of CT-determined comorbidities was compared with that recorded clinically. Over a median of 78 months of observation, the independent association with all-cause mortality was analysed. A 'CT-comorbidome' graphically expressed the strength of their association with mortality risk.

resultsCoronary artery calcification, emphysema and bronchiectasis were the most prevalent comorbidities (79.8%, 62.7% and 33.9%, respectively). All were underdiagnosed before CT. Coronary artery calcium (hazard ratio [HR] 2.09; 95% CI 1.03-4.26, p = 0.042), bronchiectasis (HR 2.12; 95% CI 1.05-4.26, p = 0.036) and low psoas muscle density (HR 2.61; 95% CI 1.23-5.57, p = 0.010) were independently associated with all-cause mortality and helped define the 'CT-comorbidome'.

conclusionThis study of COPD patients shows that systematic detection of 10 CT-diagnosed comorbidities, most of which were not detected clinically, provides information of potential use to patients and clinicians caring for them.

Indexed as

BronchiectasisCoronary Artery DiseaseEmphysemaPulmonary Disease, Chronic ObstructiveCohort StudiesComorbidityDyspneaFemaleHumansMalePrevalenceRetrospective StudiesTomography, X-Ray Computedall-cause mortalitychest CTcomorbidityCOPDtomography

Identifiers

PMID35132732
PMCPMC9303420
OpenAlexW4210847565

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.