Evidence map›Paper›PMID 36615032›Full record

ArticleJournal of clinical medicine2022

Functional Benefit of Smoking Cessation and Triple Inhaler in Combustible Cigarette Smokers with Severe COPD: A Retrospective Study.

Aldo Pezzuto, Giuseppe Tonini, Massimo Ciccozzi, Pierfilippo Crucitti, Michela D'Ascanio, Fiammetta Cosci, Antonella Tammaro, Antonella Di Sotto, Teresa Palermo, Elisabetta Carico and 1 more

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 pooled it
3.5field-weighted citation impact, top 6% 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

20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 23 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Revefenacin Area Under the Curve Spirometry in Patients with Moderate to Very Severe COPD.International journal of chronic obstructive pulmonary disease · 2024
    Trial
  4. Trial
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Risk and Protective Factors of COPD Among Smokers: A Cross-Sectional Study Using NHANES Database.International journal of chronic obstructive pulmonary disease · 2025
    Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Observational
  18. Article
  19. Synergistic Effects of Resistive Breathing on Endotoxin-Induced Lung Injury in Mice.International journal of chronic obstructive pulmonary disease · 2023
    Article
  20. 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

11 authors at 4 institutions in 1 country.

Aldo PezzutoCardiovascular-Respiratory Sciences Department, Sant'Andrea Hospital-Sapienza University, Via di Grottarossa, 1035/39, 00189 Rome, Italy.
Giuseppe ToniniDepartment of Oncology Campus, Bio-Medico University, 00197 Rome, Italy.
Massimo CiccozziDepartment of Epidemiology Campus, Bio-Medico University, 00197 Rome, Italy.ORCID 0000-0003-3866-9239
Pierfilippo CrucittiDepartment of General Surgery Campus, Bio-Medico University, 00197 Rome, Italy.
Michela D'AscanioCardiovascular-Respiratory Sciences Department, Sant'Andrea Hospital-Sapienza University, Via di Grottarossa, 1035/39, 00189 Rome, Italy.ORCID 0000-0002-2141-7409
Fiammetta CosciDepartment of Health Sciences, University of Florence, 50121 Florence, Italy.ORCID 0000-0002-5022-0488
Antonella TammaroDepartment of Neurosciences, Mental Health and Sensory Organs [NESMOS], Sapienza University, 00189 Rome, Italy.ORCID 0000-0002-4230-100X
Antonella Di SottoDepartment of Physiology and Pharmacology, "Vittorio Erspamer"-Sapienza University, 00128 Rome, Italy.ORCID 0000-0002-7467-1689
Teresa PalermoCardiovascular-Respiratory Sciences Department, Sant'Andrea Hospital-Sapienza University, Via di Grottarossa, 1035/39, 00189 Rome, Italy.
Elisabetta CaricoClinical and Molecular Medicine Department, Sapienza University, 00189 Rome, Italy.
Alberto RicciClinical and Molecular Medicine Department, Sapienza University, 00189 Rome, Italy.ORCID 0000-0002-1718-1587
Azienda Ospedaliera Sant'Andrea · ITSapienza University of Rome · ITUniversità Campus Bio-Medico · ITUniversity of Florence · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Chronic obstructive pulmonary disease (COPD) is the third cause of mortality and it is smoking-related. It is characterized by a non-reversible airflow limitation and a progressive worsening of the respiratory function. Objective: The aim of this study is to point out the benefit of smoking cessation combined with a single inhaler triple therapy in terms of clinical and functional outcome in this setting. Methods: A retrospective analysis was performed in patients affected by severe COPD and at least one exacerbation a year, who underwent a smoking cessation program. All patients underwent a 6 min walking test, body plethysmography, and an exhaled test for carbon monoxide. The modified medical research council test (mMRC) test, the Fagestrom nicotine dependency test (FTND) and the COPD assessment test (CAT) questionnaire were also administered. All patients were checked at the baseline and in the six-month follow-up after the start of the treatment. Results: Smoking cessation was achieved by 51% of patients within a month and it was confirmed by eCO measure (<7 ppm). Patients who quit smoking reported better results after six months compared with patients who did not. The increase in FEV1 within the group of quitters was 90 mL (p < 0.05) and the walking test improved by 90 m (p < 0.01); eCO decreased by 15 ppm (p < 0.01) while FVC increased by 70 mL (p < 0.05). No significant changes were recorded within the group of sustainers. The difference in functional changes between groups was significant with regard to FEV1, cCO, and WT. Conclusions: Smoking cessation enhances the efficacy of single inhaler triple therapy, improving clinical and functional variables after six months from the start.

Indexed as

severe COPDsmoking cessationtriple therapy

Identifiers

PMID36615032
PMCPMC9821177
OpenAlexW4313327566

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.