Evidence map›Paper›PMID 36863703›Full record

ArticleRespirology (Carlton, Vic.)2023

Thoracic Society of Australia and New Zealand (TSANZ) position statement on chronic suppurative lung disease and bronchiectasis in children, adolescents and adults in Australia and New Zealand.

Anne B Chang, Scott C Bell, Catherine A Byrnes, Paul Dawkins, Anne E Holland, Emma Kennedy, Paul T King, Pamela Laird, Sarah Mooney, Lucy Morgan and 5 more

Registry-linked trialOpen access · hybridAbstract readConsensus Statement
In one paragraph

Article in Respirology (Carlton, Vic.), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07232550 (Biomarkers and Respiratory Omics as New CHildren Opportunities - Study of Clinical Outcomes and Predictivity Evaluation - a Multi-cohort, Multi-center Study), which is not on this map. Cited by 37 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 1 pooled it
20.7field-weighted citation impact, top 1% 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.

NCT07232550 recruitingnot on this mapstarted 2026, after this paper: background citation

Biomarkers and Respiratory Omics as New CHildren Opportunities - Study of Clinical Outcomes and Predictivity Evaluation - a Multi-cohort, Multi-center Study

TypeobservationalSponsorMedical University of WarsawRan2026 to 2035Enrolled160ConditionsAsthma in Children, Protracted Bacterial Bronchitis, Chronic CoughArmsfiberoptic bronchoscopy, blood sample collection, Respiratory functional tests, Sputum culture
3 · Its place in the literature

Who cites it

37 citing papers in PubMed, 1 synthesis or guideline pooled it, 80 citations in OpenAlex.

  1. Mucoactive agents in bronchiectasis: a systematic review and meta-analysis.European respiratory review : an official journal of the European Respiratory Society · 2026
    Pooled it
  2. Trial
  3. Trial
  4. Web-Based Physiotherapy Resources for Bronchiectasis: Evaluation of Content, Quality, and Implementation Evidence.Physiotherapy research international : the journal for researchers and clinicians in physical therapy · 2026
    Article
  5. Observational
  6. Article
  7. Article
  8. Searching for alpha-1 antitrypsin deficiency in patients with bronchiectasis: reducing idiopathic cases.Jornal brasileiro de pneumologia : publicacao oficial da Sociedade Brasileira de Pneumologia e Tisilogia · 2025
    Article
  9. Observational
  10. Review
  11. Article
  12. Review
  13. OvercomingAntibiotics (Basel, Switzerland) · 2025
    Review
  14. Article
  15. Review
  16. Review
  17. Review
  18. Article
  19. Patient-managed interventions for adults with bronchiectasis: evidence, challenges and prospects.European respiratory review : an official journal of the European Respiratory Society · 2024
    Review
  20. 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

15 authors at 11 institutions in 2 countries.

Anne B ChangAustralian Centre for Health Services Innovation, Queensland University of Technology, Brisbane, Queensland, Australia.ORCID 0000-0002-1331-3706
Scott C BellThoracic Medicine, The Prince Charles Hospital, Brisbane, Queensland, Australia.ORCID 0000-0001-8651-7139
Catherine A ByrnesDepartment of Paediatrics, University of Auckland, Auckland, New Zealand.
Paul DawkinsDepartment of Respiratory Medicine, Middlemore Hospital, Auckland, New Zealand.
Anne E HollandDepartment of Physiotherapy, Alfred Health, Melbourne, Victoria, Australia.ORCID 0000-0003-2061-845X
Emma KennedyCollege of Medicine and Public Health, Flinders University, Darwin, Northern Territory, Australia.
Paul T KingDepartments of Respiratory and Sleep Medicine and Medicine, Monash Medical Centre, Monash University, Melbourne, Victoria, Australia.ORCID 0000-0001-5197-1163
Pamela LairdDepartment Physiotherapy, Perth Children's Hospital, Perth, Western Australia, Australia.ORCID 0000-0002-9799-0471
Sarah MooneyDepartment of Respiratory Medicine, Middlemore Hospital, Auckland, New Zealand.
Lucy MorganDepartment of Respiratory Medicine at Concord and Nepean Hospitals, School of Medicine, Faculty of Medicine and Health, University of Sydney, Sydney, New South Wales, Australia.
Marianne ParsonsRepresentative of Parent Advisory Group, NHMRC Centre of Research Excellence in Paediatric Bronchiectasis, Cough and Airways Research Group, Australian Centre for Health Services Innovation, Queensland University of Technology, Brisbane, Queensland, Australia.
Betty PootRespiratory Department, Hutt Hospital, Te Whatu Ora Capital, Coast and Hutt Valley, Lower Hutt, New Zealand.
Maree ToombsSchool of Public Health, University of Sydney, Sydney, New South Wales, Australia.
Paul J TorzilloNganampa Health Council, Alice Springs, Northwest Territories, Australia.
Keith GrimwoodSchool of Medicine and Dentistry, Menzies Health Institute Queensland, Griffith University, Southport, Queensland, Australia.
The University of Sydney · AUQueensland University of Technology · AUUniversity of Auckland · NZFlinders University · AUGriffith University · AUInstitute for Breathing and Sleep · AUMiddlemore Hospital · NZMonash Medical Centre · AUThe Kids Research Institute Australia · AUTranslational Research Institute · AUVictoria University of Wellington · NZ

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This position statement, updated from the 2015 guidelines for managing Australian and New Zealand children/adolescents and adults with chronic suppurative lung disease (CSLD) and bronchiectasis, resulted from systematic literature searches by a multi-disciplinary team that included consumers. The main statements are: Diagnose CSLD and bronchiectasis early; this requires awareness of bronchiectasis symptoms and its co-existence with other respiratory diseases (e.g., asthma, chronic obstructive pulmonary disease). Confirm bronchiectasis with a chest computed-tomography scan, using age-appropriate protocols and criteria in children. Undertake a baseline panel of investigations. Assess baseline severity, and health impact, and develop individualized management plans that include a multi-disciplinary approach and coordinated care between healthcare providers. Employ intensive treatment to improve symptom control, reduce exacerbation frequency, preserve lung function, optimize quality-of-life and enhance survival. In children, treatment also aims to optimize lung growth and, when possible, reverse bronchiectasis. Individualize airway clearance techniques (ACTs) taught by respiratory physiotherapists, encourage regular exercise, optimize nutrition, avoid air pollutants and administer vaccines following national schedules. Treat exacerbations with 14-day antibiotic courses based upon lower airway culture results, local antibiotic susceptibility patterns, clinical severity and patient tolerance. Patients with severe exacerbations and/or not responding to outpatient therapy are hospitalized for further treatments, including intravenous antibiotics and intensive ACTs. Eradicate Pseudomonas aeruginosa when newly detected in lower airway cultures. Individualize therapy for long-term antibiotics, inhaled corticosteroids, bronchodilators and mucoactive agents. Ensure ongoing care with 6-monthly monitoring for complications and co-morbidities. Undertake optimal care of under-served peoples, and despite its challenges, delivering best-practice treatment remains the overriding aim.

Indexed as

BronchiectasisLung DiseasesAdolescentAdultAnti-Bacterial AgentsAustraliaChildHumansNew ZealandAnti-Bacterial Agentsadolescentsadultsbronchiectasischildrenevidence base practicesystematic review

Identifiers

PMID36863703
PMCPMC10947421
OpenAlexW4322762527

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

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.