Evidence map›Paper›PMID 35586449›Full record

ArticleERJ open research2022

Severe pulmonary hypertension associated with lung disease is characterised by a loss of small pulmonary vessels on quantitative computed tomography.

Dheyaa Alkhanfar, Yousef Shahin, Faisal Alandejani, Krit Dwivedi, Samer Alabed, Chris Johns, Allan Lawrie, A A Roger Thompson, Alexander M K Rothman, Juerg Tschirren and 6 more

Open access · goldAbstract read
In one paragraph

Article in ERJ open research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 pooled it
4.0field-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

18 citing papers in PubMed, 2 syntheses or guidelines pooled it, 27 citations in OpenAlex.

  1. A systematic review of the role of quantitative CT in the prognostication and disease monitoring of interstitial lung disease.European respiratory review : an official journal of the European Respiratory Society · 2025
    Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Pulmonary hypertension associated with lung diseases.The European respiratory journal · 2024
    Review
  12. Review
  13. Article
  14. Review
  15. Article
  16. Sarcoidosis-Associated Pulmonary Hypertension.Journal of clinical medicine · 2024
    Review
  17. The vascular perspective on acute and chronic lung disease.The Journal of clinical investigation · 2023
    Review
  18. 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

16 authors at 6 institutions in 2 countries.

Dheyaa AlkhanfarDept of Infection, Immunity and Cardiovascular Disease, University of Sheffield, Sheffield, UK.ORCID https://orcid.org/0000-0002-4726-7365
Yousef ShahinDept of Infection, Immunity and Cardiovascular Disease, University of Sheffield, Sheffield, UK.ORCID https://orcid.org/0000-0001-7425-7798
Faisal AlandejaniDept of Infection, Immunity and Cardiovascular Disease, University of Sheffield, Sheffield, UK.ORCID https://orcid.org/0000-0003-1227-401X
Krit DwivediDept of Infection, Immunity and Cardiovascular Disease, University of Sheffield, Sheffield, UK.
Samer AlabedDept of Infection, Immunity and Cardiovascular Disease, University of Sheffield, Sheffield, UK.ORCID https://orcid.org/0000-0002-9960-7587
Chris JohnsDept of Clinical Radiology, Sheffield Teaching Hospitals, Sheffield, UK.
Allan LawrieDept of Infection, Immunity and Cardiovascular Disease, University of Sheffield, Sheffield, UK.ORCID https://orcid.org/0000-0003-4192-9505
A A Roger ThompsonDept of Infection, Immunity and Cardiovascular Disease, University of Sheffield, Sheffield, UK.ORCID https://orcid.org/0000-0002-0717-4551
Alexander M K RothmanDept of Infection, Immunity and Cardiovascular Disease, University of Sheffield, Sheffield, UK.
Juerg TschirrenVIDA Diagnostics Inc., Coralville, IA, USA.
Johanna M UthoffDept of Computer Science, University of Sheffield, Sheffield, UK.
Eric HoffmanDept of Radiology, University of Iowa, Iowa City, IA, USA.
Robin CondliffeSheffield Pulmonary Vascular Disease Unit, Royal Hallamshire Hospital, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK.ORCID https://orcid.org/0000-0002-3492-4143
Jim M WildDept of Infection, Immunity and Cardiovascular Disease, University of Sheffield, Sheffield, UK.
David G KielyINSIGNEO, Institute for In Silico Medicine, University of Sheffield, Sheffield, UK.ORCID https://orcid.org/0000-0003-0184-6502
Andrew J SwiftDept of Infection, Immunity and Cardiovascular Disease, University of Sheffield, Sheffield, UK.
Royal Hallamshire Hospital · GBUniversity of Sheffield · GBInsigneo · GBSheffield Teaching Hospitals NHS Foundation Trust · GBUniversity of Iowa · USVida Diagnostics (United States) · US

Funding

British Heart Foundation FS/18/13/33281British Heart Foundation SP/14/6/31350Medical Research Council MR/M008894/1Wellcome Trust 205188/Z/16/ZWellcome Trust 206632/Z/17/Z
6 · The paper itself

Abstract

Background: Pulmonary hypertension (PH) in patients with chronic lung disease (CLD) predicts reduced functional status, clinical worsening and increased mortality, with patients with severe PH-CLD (≥35 mmHg) having a significantly worse prognosis than mild to moderate PH-CLD (21-34 mmHg). The aim of this cross-sectional study was to assess the association between computed tomography (CT)-derived quantitative pulmonary vessel volume, PH severity and disease aetiology in CLD. Methods: Treatment-naïve patients with CLD who underwent CT pulmonary angiography, lung function testing and right heart catheterisation were identified from the ASPIRE registry between October 2012 and July 2018. Quantitative assessments of total pulmonary vessel and small pulmonary vessel volume were performed. Results: 90 patients had PH-CLD including 44 associated with COPD/emphysema and 46 with interstitial lung disease (ILD). Patients with severe PH-CLD (n=40) had lower small pulmonary vessel volume compared to patients with mild to moderate PH-CLD (n=50). Patients with PH-ILD had significantly reduced small pulmonary blood vessel volume, compared to PH-COPD/emphysema. Higher mortality was identified in patients with lower small pulmonary vessel volume. Conclusion: Patients with severe PH-CLD, regardless of aetiology, have lower small pulmonary vessel volume compared to patients with mild-moderate PH-CLD, and this is associated with a higher mortality. Whether pulmonary vessel changes quantified by CT are a marker of remodelling of the distal pulmonary vasculature requires further study.

Identifiers

PMID35586449
PMCPMC9108962
OpenAlexW4226327841

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.