Evidence map›Paper›PMID 36554568›Full record

Observational studyInternational journal of environmental research and public health2022

Prognosis and Survival in Idiopathic Pulmonary Fibrosis in the Era of Antifibrotic Therapy in Italy: Evidence from a Longitudinal Population Study Based on Healthcare Utilization Databases.

Marica Iommi, Andrea Faragalli, Martina Bonifazi, Federico Mei, Lara Letizia Latini, Marco Pompili, Flavia Carle, Rosaria Gesuita

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in International journal of environmental research and public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.1field-weighted citation impact, top 22% 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, 7 citations in OpenAlex.

  1. Acute exacerbation in fibrotic interstitial lung disease: an international working group report.American journal of respiratory and critical care medicine · 2026
    Review
  2. Article
  3. Review
  4. Evidence that metformin promotes fibrosis resolutionActa pharmaceutica Sinica. B · 2025
    Article
  5. Review
  6. Article
  7. Article
  8. 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

8 authors at 2 institutions in 1 country.

Marica IommiCenter of Epidemiology Biostatistics and Medical Information Technology, Department of Biomedical Sciences and Public Health, Università Politecnica delle Marche, 60121 Ancona, Italy.ORCID 0000-0003-4589-3474
Andrea FaragalliCenter of Epidemiology Biostatistics and Medical Information Technology, Department of Biomedical Sciences and Public Health, Università Politecnica delle Marche, 60121 Ancona, Italy.ORCID 0000-0003-4414-4789
Martina BonifaziDepartment of Biomedical Sciences and Public Health, Università Politecnica delle Marche, 60121 Ancona, Italy.
Federico MeiDepartment of Biomedical Sciences and Public Health, Università Politecnica delle Marche, 60121 Ancona, Italy.
Lara Letizia LatiniDepartment of Biomedical Sciences and Public Health, Università Politecnica delle Marche, 60121 Ancona, Italy.
Marco PompiliRegional Health Agency of Marche, 60121 Ancona, Italy.
Flavia CarleCenter of Epidemiology Biostatistics and Medical Information Technology, Department of Biomedical Sciences and Public Health, Università Politecnica delle Marche, 60121 Ancona, Italy.ORCID 0000-0002-2422-6528
Rosaria GesuitaCenter of Epidemiology Biostatistics and Medical Information Technology, Department of Biomedical Sciences and Public Health, Università Politecnica delle Marche, 60121 Ancona, Italy.ORCID 0000-0002-6943-0602
Marche Polytechnic University · ITAgenzia Regionale per la Protezione Ambientale del Piemonte · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The aim was to evaluate the determinants of acute exacerbation (AE) and death in new cases of idiopathic pulmonary fibrosis (IPF) using administrative databases in the Marche Region. Adults at their first prescription of antifibrotics or hospitalization with a diagnosis of IPF occurring in 2014-2019 were considered as new cases. Multiple Cox regression was used to estimate the risk of AE and of all-cause mortality adjusted by demographic and clinical characteristics, stratifying patients according to antifibrotic treatment. Overall, 676 new cases of IPF were identified and 276 deaths and 248 AE events occurred. In never-treated patients, the risk of AE was higher in patients with poor health conditions at diagnosis; the risk of death was higher in males, in patients aged ≥75 and in those with poor health conditions at baseline. The increasing number of AEs increased the risk of death in treated and never-treated patients. Within the limits of an observational study based on secondary data, the combined use of healthcare administrative databases allows the accurate analysis of progression and survival of IPF from the beginning of the antifibrotic therapy era, suggesting that timely and early diagnosis is critical to prescribing the most suitable treatment to increase survival and maintain a healthy life expectancy.

Indexed as

Idiopathic Pulmonary FibrosisDelivery of Health CareDisease ProgressionHumansItalyMalePatient Acceptance of Health CareRetrospective Studiesacute exacerbationidiopathic pulmonary fibrosisreal-world evidencesecondary health databasessurvival analysis

Identifiers

PMID36554568
PMCPMC9779053
OpenAlexW4311319118

What OpenQuestion holds

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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.