Evidence map›Paper›PMID 35514769›Full record

ArticlePulmonary circulation2022

Delphi consensus recommendation for optimization of pulmonary hypertension therapy focusing on switching from a phosphodiesterase 5 inhibitor to riociguat.

Franck F Rahaghi, Vijay P Balasubramanian, Robert C Bourge, Charles D Burger, Murali M Chakinala, Michael S Eggert, Jean M Elwing, Jeremy Feldman, Christopher King, James R Klinger and 10 more

Open access · goldAbstract read
In one paragraph

Article in Pulmonary circulation, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 2 pooled it
1.7field-weighted citation impact, top 16% 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

8 citing papers in PubMed, 2 syntheses or guidelines pooled it, 13 citations in OpenAlex.

  1. International Society for Heart and Lung Transplantation Scientific Statement on pulmonary antibody-mediated rejection and proposed graft, antibody, and pathology (GAP) definition.The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation · 2026
    Guideline
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. 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

20 authors at 19 institutions in 1 country.

Franck F RahaghiAdvanced Lung Disease Clinic Cleveland Clinic Florida Weston Florida USA.
Vijay P BalasubramanianUCSF Fresno Fresno California USA.
Robert C BourgeThe University of Alabama at Birmingham Birmingham Alabama USA.
Charles D BurgerMayo Clinic Jacksonville Florida USA.
Murali M ChakinalaWashington University St. Louis Missouri USA.
Michael S EggertSentara Heart Hospital Norfolk Virginia USA.
Jean M ElwingUniversity of Cincinnati Cincinnati Ohio USA.ORCID 0000-0001-6199-1707
Jeremy FeldmanArizona Pulmonary Specialists Phoenix Arizona USA.
Christopher KingInova Fairfax Hospital Falls Church Virginia USA.
James R KlingerRhode Island Hospital Brown University Providence Rhode Island USA.
Stephen C MathaiJohns Hopkins Hospital Baltimore Maryland USA.
John Wesley McConnellUniversity of Kentucky Louisville Kentucky USA.
Harold I PalevskyUniversity of Pennsylvania Philadelphia Pennsylvania USA.
Ricardo Restrepo-JaramilloUniversity of South Florida Tampa Florida USA.
Zeenat SafdarCenter for Advanced Lung Diseases, Houston Methodist Hospital Weill Cornell Medicine Houston Texas USA.
Jeffrey S SagerCottage Pulmonary Hypertension Center Santa Barbara California USA.
Namita SoodUniversity of California-Davis Sacramento California USA.
Roxana SulicaNYU Langone Health New York New York USA.
R James WhiteUniversity of Rochester Medical Center Rochester New York USA.
Nicholas S HillTufts Medical Center Boston Massachusetts USA.
Arizona Pain Specialists · USBrown University · USCalifornia State University, Fresno · USCleveland Clinic Florida · USCornell University · USInova Fairfax Hospital · USJacksonville College · USJohns Hopkins Hospital · USNYU Langone Health · USSentara Heart Hospital · USTufts Medical Center · USUniversity of Alabama at Birmingham · USUniversity of California, Davis · USUniversity of Cincinnati · USUniversity of Kentucky · USUniversity of Pennsylvania · USUniversity of Rochester Medical Center · USUniversity of South Florida · USWashington University in St. Louis · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Dual combination therapy with a phosphodiesterase-5 inhibitor (PDE5i) and endothelin receptor antagonist is recommended for most patients with intermediate-risk pulmonary arterial hypertension (PAH). The RESPITE and REPLACE studies suggest that switching from a PDE5i to a soluble guanylate cyclase (sGC) activator may provide clinical improvement in this situation. The optimal approach to escalation or transition of therapy in this or other scenarios is not well defined. We developed an expert consensus statement on the transition to sGC and other treatment escalations and transitions in PAH using a modified Delphi process. The Delphi process used a panel of 20 physicians with expertise in PAH. Panelists answered three questionnaires on the management of treatment escalations and transitions in PAH. The initial questionnaire included open-ended questions. Later questionnaires consolidated the responses into statements that panelists rated on a Likert scale from -5 (

Indexed as

adherencegoal directedtolerabilitytreatment escalationtreat to target

Identifiers

PMID35514769
PMCPMC9063960
OpenAlexW4220681805

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.