Evidence map›Paper›PMID 36264441›Full record

ReviewDrugs2022

Inhaled Corticosteroids in Adults with Non-cystic Fibrosis Bronchiectasis: From Bench to Bedside. A Narrative Review.

Miguel Ángel Martínez-García, Grace Oscullo, Alberto García-Ortega, Maria Gabriella Matera, Paola Rogliani, Mario Cazzola

Abstract readReview
In one paragraph

Review in Drugs, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
–field-weighted citation impact
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

19 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
  4. Article
  5. Review
  6. Inhaled Corticosteroid Use and Risk ofJournal of clinical medicine · 2025
    Article
  7. Inflammatory Phenotypes of Bronchiectasis.Journal of personalized medicine · 2025
    Review
  8. Review
  9. Article
  10. Exacerbations of bronchiectasis.European respiratory review : an official journal of the European Respiratory Society · 2024
    Review
  11. Article
  12. Review
  13. Article
  14. Article
  15. Brazilian Thoracic Association recommendations for the management of post-tuberculosis lung disease.Jornal brasileiro de pneumologia : publicacao oficial da Sociedade Brasileira de Pneumologia e Tisilogia · 2024
    Article
  16. Article
  17. Review
  18. Article
  19. Bronchiectasis.Open respiratory archives
    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

6 authors.

Miguel Ángel Martínez-García *Respiratory Department, Politechnic and University La Fe Hospital, Valencia, Spain.ORCID http://orcid.org/0000-0003-2194-1478
Grace OsculloRespiratory Department, Politechnic and University La Fe Hospital, Valencia, Spain.ORCID http://orcid.org/0000-0002-2121-7554
Alberto García-OrtegaRespiratory Department, Politechnic and University La Fe Hospital, Valencia, Spain.
Maria Gabriella MateraUnit of Pharmacology, Department of Experimental Medicine, University of Campania "Luigi Vanvitelli", Naples, Italy.ORCID http://orcid.org/0000-0002-5113-9235
Paola RoglianiUnit of Respiratory Medicine, Department of Experimental Medicine, University of Rome "Tor Vergata", Rome, Italy.ORCID http://orcid.org/0000-0001-7801-5040
Mario Cazzola *Unit of Respiratory Medicine, Department of Experimental Medicine, University of Rome "Tor Vergata", Rome, Italy. mario.cazzola@uniroma2.it.ORCID http://orcid.org/0000-0003-4895-9707

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Due to their potent anti-inflammatory capacity (particularly in predominantly eosinophilic inflammation) and immunosuppressive properties, inhaled corticosteroids (ICSs) are widely used in asthmatic patients and also in individuals with chronic obstructive pulmonary disease (COPD) who suffer multiple exacerbations or have peripheral eosinophilia. However, there is little evidence for their use in non-cystic fibrosis bronchiectasis (hereafter, bronchiectasis). According to data extracted from large databases of bronchiectasis in adults, ICSs are used in more than 50% of patients without any scientific evidence to justify their efficacy and contrary to the recommendations of international guidelines on bronchiectasis that generally advise against their use. Indeed, bronchiectasis is a disease with predominantly neutrophilic inflammation and a high likelihood of chronic bacterial bronchial infection. Furthermore, it is known that due to their immunosuppressive properties, ICSs can induce an increase in bacterial infections. This manuscript aims to review the basic properties of ICSs, how they impact bronchiectasis in adults, the current position of international guidelines on this treatment, and the current indications and future challenges related to ICS use in bronchiectasis.

Indexed as

BronchiectasisAdministration, InhalationAdrenal Cortex HormonesAdultAnti-Bacterial AgentsFibrosisHumansInflammationAdrenal Cortex HormonesAnti-Bacterial Agents

Identifiers

PMID36264441
PMCPMC9626424

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.