Evidence map›Paper›PMID 35281476›Full record

ArticleInternational journal of chronic obstructive pulmonary disease

Benefit of Prompt versus Delayed Use of Single-Inhaler Fluticasone Furoate/Umeclidinium/Vilanterol (FF/UMEC/VI) Following a COPD Exacerbation.

David Mannino, Michael Bogart, Guillaume Germain, Shirley P Huang, Afisi S Ismaila, François Laliberté, Young Jung, Sean D MacKnight, Marjorie A Stiegler, Mei Sheng Duh

Open access · goldAbstract read
In one paragraph

Article in International journal of chronic obstructive pulmonary disease. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
4.1field-weighted citation impact, top 5% 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

17 citing papers in PubMed, 28 citations in OpenAlex.

  1. Profiles and Disease Burden of Patients with COPD Initiating Triple Therapy in China.International journal of chronic obstructive pulmonary disease · 2026
    Observational
  2. Proactive Strategies for Mitigating Cardiopulmonary Risk in COPD.Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2025
    Article
  3. Review
  4. Article
  5. Article
  6. Prompt versus Delayed Triple Therapy in COPD: Solutions to Time-Related Biases in Observational Studies.International journal of chronic obstructive pulmonary disease · 2025
    Observational
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Are We Missing the Opportunity to Disseminate GOLD Recommendations Through AECOPD Discharge Letters?International journal of chronic obstructive pulmonary disease · 2023
    Article
  14. Article
  15. Clinical Concepts for Triple Therapy Use in Patients with COPD: A Delphi Consensus.International journal of chronic obstructive pulmonary disease · 2023
    Article
  16. Article
  17. 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

10 authors at 5 institutions in 2 countries.

David ManninoDepartment of Medicine, University of Kentucky, Lexington, KY, USA.
Michael BogartGlaxoSmithKline, Value Evidence and Outcomes, Research Triangle Park, NC, USA.ORCID 0000-0002-1681-9710
Guillaume GermainGroupe d'analyse, Ltée, Montréal, QC, Canada.ORCID 0000-0002-4525-7673
Shirley P HuangGlaxoSmithKline, Value Evidence and Outcomes, Research Triangle Park, NC, USA.
Afisi S IsmailaGlaxoSmithKline, Value Evidence and Outcomes, Collegeville, PA, USA.ORCID 0000-0002-2876-8308
François LalibertéGroupe d'analyse, Ltée, Montréal, QC, Canada.ORCID 0000-0003-2601-6214
Young JungGroupe d'analyse, Ltée, Montréal, QC, Canada.ORCID 0000-0002-9101-9641
Sean D MacKnightGroupe d'analyse, Ltée, Montréal, QC, Canada.ORCID 0000-0001-5032-2110
Marjorie A StieglerGlaxoSmithKline, Medical Affairs, Research Triangle Park, NC, USA.ORCID 0000-0002-5369-1680
Mei Sheng DuhAnalysis Group, Boston, MA, USA.ORCID 0000-0001-5035-6687
Research Triangle Park Foundation · USAnalysis Group (United States) · USGlaxoSmithKline (United States) · USUniversity of Kentucky · USUniversity of North Carolina at Chapel Hill · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: Triple therapy (TT; inhaled corticosteroid, long-acting muscarinic antagonist, and long-acting β Patients and Methods: This retrospective cohort study used data from the IQVIA PharMetrics Results: A total of 1904 patients (prompt: 529; delayed: 1375) were included. After weighting, baseline characteristics were well balanced between cohorts. Patients in the prompt cohort had significantly lower rates per person-year (PPY) of overall (0.98 vs 1.23; rate ratio [RR] [95% CI] = 0.79 [0.65-0.94], p = 0.004), moderate (0.86 vs 1.03; RR [95% CI] = 0.84 [0.69-0.99], p = 0.038), and severe (0.11 vs 0.20; RR [95% CI] = 0.57 [0.37-0.79], p = 0.002) exacerbations, compared with delayed initiators. Mean all-cause and COPD-related healthcare costs were significantly lower among prompt initiators (all-cause: $26,107 vs $32,400 PPY, p = 0.014; COPD-related: $12,694 vs $17,640 PPY, p = 0.002). Conclusion: Prompt initiation of FF/UMEC/VI following a moderate or severe COPD exacerbation was associated with significant reductions in exacerbations and healthcare costs relative to delayed initiation.

Indexed as

Bronchodilator AgentsPulmonary Disease, Chronic ObstructiveAdministration, InhalationAdultAndrostadienesBenzyl AlcoholsChlorobenzenesDouble-Blind MethodDrug CombinationsHumansNebulizers and VaporizersQuinuclidinesRetrospective StudiesAndrostadienesBenzyl AlcoholsBronchodilator AgentsChlorobenzenesDrug Combinationsfluticasone furoateGSK573719Quinuclidinesvilanterolchronic obstructive pulmonary diseaseexacerbationhealthcare costsingle-inhaler triple therapy

Identifiers

PMID35281476
PMCPMC8906822
OpenAlexW4214846659

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.