Evidence map›Paper›PMID 35174574›Full record

ArticleJournal of paediatrics and child health2022

Controlled inhalation improves central and peripheral deposition in cystic fibrosis patients with moderate lung disease.

Crystal Bourke, Sunalene Devadason, William Ditcham, Julie Depiazzi, Mark L Everard

Open access · hybridAbstract read
In one paragraph

Article in Journal of paediatrics and child health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.6field-weighted citation impact, top 33% 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

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Review
  2. Aerosol pulmonary immune engineering.Advanced drug delivery reviews · 2023
    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

5 authors at 2 institutions in 1 country.

Crystal BourkePhysiotherapy Department, Perth Children's Hospital, Perth, Western Australia, Australia.
Sunalene DevadasonDivision of Paediatrics, Medical School, University of Western Australia, Perth, Western Australia, Australia.
William DitchamDivision of Paediatrics, Medical School, University of Western Australia, Perth, Western Australia, Australia.
Julie DepiazziPhysiotherapy Department, Perth Children's Hospital, Perth, Western Australia, Australia.
Mark L EverardDivision of Paediatrics, Medical School, University of Western Australia, Perth, Western Australia, Australia.ORCID 0000-0003-1571-261X
The University of Western Australia · AUPrincess Margaret Hospital for Children · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimWith progressive impairment of lung function, deposition of inhaled drug in the lungs becomes progressively more central, limiting its effectiveness. This pilot study explored the possibility that long slow inhalations might improve delivery of aerosol to the lung periphery in cystic fibrosis patients with moderate lung disease.

methodsFive subjects aged 12-18 years (mean FEV

resultsLong slow breaths resulted in much lower oropharyngeal deposition with higher lung doses. Importantly, the peripheral lung increased proportionately. The increased lung dose is attributable to more of the larger inhaled droplets passing into the lower airways. This would be expected to increase the central deposition unless significantly more of the smaller droplets were able to penetrate deeper into the lungs. The data support improved delivery of drug to the distal lung when compared with tidal breathing.

conclusionThese pilot data suggest that this approach may prove to be clinically relevant in improving the efficacy of inhaled medication in those with moderate-severe lung disease.

Indexed as

Cystic FibrosisAdministration, InhalationAerosolsHumansLungNebulizers and VaporizersPilot ProjectsAerosolscontrolled inhalationcystic fibrosismoderate lung diseaseperipheral deposition

Identifiers

PMID35174574
PMCPMC9303168
OpenAlexW4213362460

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.