Evidence map›Paper›PMID 36566185›Full record

ArticleRespiratory research2022

Association between weight loss and mortality in idiopathic pulmonary fibrosis.

Aleksandr Kalininskiy, Ashley Rose Rackow, David Nagel, Daniel Croft, Heather McGrane-Minton, Robert Matthew Kottmann

Open access · goldAbstract read
In one paragraph

Article in Respiratory research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
2.3field-weighted citation impact, top 10% 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

11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Review
  6. Observational
  7. Initiation of antifibrotic treatment in fibrosing interstitial lung disease: is the clock ticking till proven progression?European respiratory review : an official journal of the European Respiratory Society · 2025
    Review
  8. Article
  9. Sarcopenia in interstitial lung disease.European respiratory review : an official journal of the European Respiratory Society · 2024
    Review
  10. Article
  11. 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

6 authors at 3 institutions in 1 country.

Aleksandr KalininskiyDivision of Pulmonary Disease and Critical Care Medicine, Arnot Ogden Medical Center, Elmira, NY, USA.
Ashley Rose RackowDivision of Pulmonary Disease and Critical Care Medicine, University of Rochester Medical Center Rochester, 601 Elmwood Ave, Box 692, Rochester, NY, 14642, USA.
David NagelDivision of Pulmonary Disease and Critical Care Medicine, University of Rochester Medical Center Rochester, 601 Elmwood Ave, Box 692, Rochester, NY, 14642, USA.
Daniel CroftDivision of Pulmonary Disease and Critical Care Medicine, University of Rochester Medical Center Rochester, 601 Elmwood Ave, Box 692, Rochester, NY, 14642, USA.
Heather McGrane-MintonDivision of Pulmonary Disease and Critical Care Medicine, University of Rochester Medical Center Rochester, 601 Elmwood Ave, Box 692, Rochester, NY, 14642, USA.
Robert Matthew KottmannDivision of Pulmonary Disease and Critical Care Medicine, University of Rochester Medical Center Rochester, 601 Elmwood Ave, Box 692, Rochester, NY, 14642, USA. matt_kottmann@urmc.rochester.edu.
University of Rochester Medical Center · USArnot Ogden Medical Center · USSt. John Fisher College · US

Funding

VISUAL INDICES OF NEUROTOXICITYP30ES001247 · NIEHS · UNIVERSITY OF ROCHESTER · PI Martha Susiarjo · 1985 to 2026
$42.8M
MULTIDISCIPLINARY TRAINING IN PULMONARY RESEARCHT32HL066988 · NHLBI · UNIVERSITY OF ROCHESTER · PI GEORAS, STEVE N, O'REILLY, MICHAEL A · 2001 to 2021
$8.1M
Effect of Air Pollution on the Immune Response to Respiratory Viral Infection in AdultsK23ES032459 · NIEHS · UNIVERSITY OF ROCHESTER · PI CROFT, DANIEL PATRICK · 2021 to 2025
$1.2M
NHLBI NIH HHS T32 HL066988NIEHS NIH HHS K23 ES032459NIEHS NIH HHS P30 ES001247
6 · The paper itself

Abstract

rationaleIdiopathic pulmonary fibrosis (IPF) is a chronic, progressive interstitial lung disease that has no cure. Many current research efforts center on diagnostic and therapeutic modalities for IPF while other risk factors affecting disease pathogenesis receive less attention. Emerging data support the clinical importance of weight loss in patients with IPF. However, factors associated with weight loss and the impact of weight loss on mortality remain incompletely explored.

objectivesExplore the association between weight loss and transplant-free survival in patients with IPF and identify clinical variables associated with weight loss in this population.

methodsKaplan-Meier and Cox proportional hazard regression analyses were generated and stratified by weight loss or use of antifibrotic medications. Conditional logistic regression was used to evaluate for factors associated with weight loss.

resultsThere was a significant increase in mortality in patients who lost ≥ 5% of their body weight loss (HR 2.21, [1.29, 4.43] p = .021). The use of supplemental oxygen (adjusted OR 13.16), and ≥ 200 mL loss of FVC over 1 year (adjusted OR 5.44) were both associated with a ≥ 5% weight loss in the year following a diagnosis of IPF. The use of antifibrotic medication did not significantly change median transplant-free survival in patients who lost more than ≥ 5% of their body mass.

conclusionsWeight loss over the first year following a diagnosis of IPF is strongly associated with decreased transplant-free survival. More research is needed to determine the mechanisms surrounding weight loss in patients with IPF.

Indexed as

Idiopathic Pulmonary FibrosisLung Diseases, InterstitialLung TransplantationHumansRetrospective StudiesRisk FactorsBMIMortalityPulmonary fibrosisWeight loss

Identifiers

PMID36566185
PMCPMC9790113
OpenAlexW4312212115

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.