Evidence map›Paper›PMID 35510163›Full record

ArticleInternational journal of chronic obstructive pulmonary disease2022

Comparing Clinical Outcomes of Tiotropium/Olodaterol, Umeclidinium/Vilanterol, and Indacaterol/Glycopyrronium Fixed-Dose Combination Therapy in Patients with Chronic Obstructive Pulmonary Disease in Taiwan: A Multicenter Cohort Study.

Meng-Jer Hsieh, Ning-Hung Chen, Shih-Lung Cheng, Chi-Wei Tao, Yu-Feng Wei, Yao-Kuang Wu, Ming-Cheng Chan, Shih-Feng Liu, Wu-Huei Hsu, Tsung-Ming Yang and 4 more

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in International journal of chronic obstructive pulmonary disease, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.5field-weighted citation impact, top 17% 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

6 citing papers in PubMed, 10 citations in OpenAlex.

  1. Breath and Bottle: Evaluating Pharmacotherapy for Alcohol Use Disorder on COPD Exacerbation Outcomes.International journal of chronic obstructive pulmonary disease · 2025
    Article
  2. Article
  3. Asthma and COPD: A Focus on β-Agonists - Past, Present and Future.Handbook of experimental pharmacology · 2024
    Review
  4. Article
  5. Article
  6. 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

14 authors at 11 institutions in 2 countries.

Meng-Jer HsiehDepartment of Pulmonary and Critical Care Medicine, Linkou Chang Gung Memorial Hospital, Chang Gung Medical Foundation and Department of Respiratory Therapy, College of Medicine, Chang Gung University, Taoyuan, Taiwan.ORCID 0000-0002-2077-0470
Ning-Hung ChenDepartment of Pulmonary and Critical Care Medicine, Linkou Chang Gung Memorial Hospital and School of Traditional Chinese Medicine, Chang Gung University, Taoyuan, Taiwan.
Shih-Lung ChengDepartment of Internal Medicine, Far Eastern Memorial Hospital, Taipei, Taiwan.
Chi-Wei TaoDepartment of Internal Medicine, Cheng-Hsin General Hospital, Taipei, Taiwan.
Yu-Feng WeiSchool of Medicine for International Students, College of Medicine, I-Shou University, Kaohsiung, Taiwan.ORCID 0000-0002-6380-3527
Yao-Kuang WuDivision of Pulmonary Medicine, Department of Internal Medicine, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, New Taipei City, Taiwan.ORCID 0000-0001-7898-6963
Ming-Cheng ChanDivision of Critical Care and Respiratory Therapy, Department of Internal Medicine, Taichung Veterans General Hospital, Taichung, Taiwan.
Shih-Feng LiuDepartment of Respiratory Therapy, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung, Taiwan.ORCID 0000-0003-1394-5401
Wu-Huei HsuCritical Medical Center, China Medical University Hospital, Taichung, Taiwan.
Tsung-Ming YangDivision of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Chiayi Chang Gung Memorial Hospital, Chiayi, Taiwan.
Ming-Shian LinDivision of Pulmonary Medicine, Department of Internal Medicine, Ditmanson Medical Foundation Chia-Yi Christian Hospital, Chiayi, Taiwan.
Ching-Lung LiuDivision of Chest Medicine, Department of Internal Medicine, MacKay Memorial Hospital, Taipei, Taiwan.
Ping-Hung KuoDepartment of Internal Medicine, National Taiwan University Hospital, Taipei, Taiwan.ORCID 0000-0003-3756-3395
Ying-Huang TsaiDepartment of Pulmonary and Critical Care Medicine, Linkou Chang Gung Memorial Hospital, Chang Gung Medical Foundation and Department of Respiratory Therapy, College of Medicine, Chang Gung University, Taoyuan, Taiwan.
Chang Gung University · TWChang Gung University of Science and Technology · TWCheng Hsin General Hospital · TWChiayi Chang Gung Memorial Hospital · TWChina Medical University · TWE-Da Hospital · TWFar Eastern Memorial Hospital · TWMackay Memorial Hospital · TWNational Chung Hsing University · TWNational Taiwan University Hospital · TWTaipei Tzu Chi Hospital · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Long-acting beta-agonists (LABA) and long-acting muscarinic antagonists (LAMA) combination therapy improved lung function and health-related quality-of-life and reduced exacerbation rates and dyspnea in symptomatic chronic obstructive pulmonary disease (COPD) patients. We compared the real-world effects of three fixed-dose LABA/LAMA combinations for COPD in Taiwan. Methods: This multicenter, retrospective study evaluated 1-year outcomes after LABA/LAMA combination therapy in patients with symptomatic COPD. Exacerbations and symptoms of COPD, lung functions, and therapy escalation were compared among patients using tiotropium/olodaterol, umeclidinium/vilanterol and indacaterol/glycopyrronium. Propensity score matching (PSM) was applied to balance the baseline characteristics. Results: Data of 1,617 patients were collected. After PSM, time to first moderate-to-severe COPD exacerbation was comparable among three groups, while the annualized rates of the exacerbation (episodes/patient/year) in patients receiving tiotropium/olodaterol (0.19) or umeclidinium/vilanterol (0.17) were significantly lower than those receiving indacaterol/glycopyrronium (0.38). COPD-related symptoms were stable over the treatment period, and there was no significant difference in the changes of symptom scores including CAT and mMRC among three groups at the end of the study period. Conclusion: This study presented valuable real-world outcome in terms of exacerbation and treatment response of COPD patients treated with fixed-dose LABA/LAMA regimens in Taiwan. The annualized rates of moderate-to-severe exacerbation in patients receiving tiotropium/olodaterol or umeclidinium/vilanterol were significantly lower than those receiving indacaterol/glycopyrronium, though the time to first moderate-to-severe exacerbation was similar among different fixed-dose LABA/LAMA combinations.

Indexed as

GlycopyrrolatePulmonary Disease, Chronic ObstructiveAdrenergic beta-2 Receptor AgonistsBenzoxazinesBenzyl AlcoholsBronchodilator AgentsChlorobenzenesDrug CombinationsHumansIndansMuscarinic AntagonistsQuinolonesQuinuclidinesRetrospective StudiesTaiwanTiotropium BromideAdrenergic beta-2 Receptor AgonistsBenzoxazinesBenzyl AlcoholsBronchodilator AgentsChlorobenzenesDrug CombinationsGlycopyrrolateGSK573719indacaterolIndansMuscarinic AntagonistsolodaterolQuinolonesQuinuclidinesTiotropium Bromidevilanterolchronic obstructive pulmonary diseasecohort studyindacaterol/glycopyrroniumLABA/LAMA therapymoderate-to-severe exacerbationpropensity score matchingTaiwantiotropium/olodaterolumeclidinium/vilanterol

Identifiers

PMID35510163
PMCPMC9058003
OpenAlexW4224926697

What OpenQuestion holds

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Registered trials

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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.