Evidence map›Paper›PMID 36974273›Full record

ArticleInternational journal of chronic obstructive pulmonary disease2023

Inhaled Corticosteroids in Patients with Chronic Obstructive Pulmonary Disease and Risk of Acquiring

Christian Kjer Heerfordt, Josefin Eklöf, Pradeesh Sivapalan, Truls Sylvan Ingebrigtsen, Tor Biering-Sørensen, Zitta Barrella Harboe, Jesper Koefod Petersen, Christian Østergaard Andersen, Jonas Bredtoft Boel, Anne Kathrine Bock and 10 more

Open access · goldAbstract read
In one paragraph

Article in International journal of chronic obstructive pulmonary disease, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.6field-weighted citation impact, top 17% 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

5 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. Article
  3. Inhaled Corticosteroids and Risk ofJournal of clinical medicine · 2025
    Article
  4. Article
  5. 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

20 authors at 9 institutions in 2 countries.

Christian Kjer HeerfordtSection of Respiratory Medicine, Department of Medicine, Copenhagen University Hospital Herlev and Gentofte Hospital, Hellerup, Denmark.ORCID 0000-0001-8485-3235
Josefin EklöfSection of Respiratory Medicine, Department of Medicine, Copenhagen University Hospital Herlev and Gentofte Hospital, Hellerup, Denmark.
Pradeesh SivapalanSection of Respiratory Medicine, Department of Medicine, Copenhagen University Hospital Herlev and Gentofte Hospital, Hellerup, Denmark.
Truls Sylvan IngebrigtsenSection of Respiratory Medicine, Department of Medicine, Copenhagen University Hospital Herlev and Gentofte Hospital, Hellerup, Denmark.
Tor Biering-SørensenDepartment of Cardiology, Herlev and Gentofte Hospital, Cardiovascular Non-Invasive Imaging Research Laboratory, University of Copenhagen, Copenhagen, Denmark.
Zitta Barrella HarboeDepartment of Clinical Medicine Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark.ORCID 0000-0001-5552-0095
Jesper Koefod PetersenDepartment of Respiratory Medicine, Zealand University Hospital Naestved, Naestved, Denmark.
Christian Østergaard AndersenDepartment of Clinical Microbiology, Hvidovre University Hospital, Hvidovre, Denmark.
Jonas Bredtoft BoelDepartment of Clinical Microbiology, Herlev and Gentofte Hospital, University of Copenhagen, Herlev, Denmark.ORCID 0000-0003-3085-0930
Anne Kathrine BockDepartment of Respiratory Diseases and Allergy, Aarhus University Hospital, Aarhus, Denmark.
Alexander G MathioudakisThe North West Lung Centre, Wythenshawe Hospital, Manchester University NHS Foundation Trust, Manchester, UK.
John R HurstUCL Respiratory, University College London, London, UK.ORCID 0000-0002-7246-6040
Shailesh KolekarDepartment of Pulmonary Medicine, Zealand University Hospital, Roskilde, Denmark.ORCID 0000-0002-7375-4618
Sofie Lock JohanssonDepartment of Respiratory Medicine, Odense University Hospital, Odense, Denmark.
Jette Marie BangsborgDepartment of Clinical Microbiology, Herlev and Gentofte Hospital, University of Copenhagen, Herlev, Denmark.
Jens Otto JarløvDepartment of Clinical Microbiology, Herlev and Gentofte Hospital, University of Copenhagen, Herlev, Denmark.
Ram Benny DessauDepartment of Clinical Microbiology, Zealand University Hospital, Slagelse Hospital, Slagelse, Denmark.ORCID 0000-0002-1497-6309
Christian Borbjerg LaursenDepartment of Respiratory Medicine, Odense University Hospital, Odense, Denmark.
Michael PerchDepartment of Clinical Medicine Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark.
Jens-Ulrik Stæhr JensenSection of Respiratory Medicine, Department of Medicine, Copenhagen University Hospital Herlev and Gentofte Hospital, Hellerup, Denmark.ORCID 0000-0003-4036-0521
University of Copenhagen · DKGentofte Hospital · DKZealand University Hospital · DKAarhus University Hospital · DKHvidovre Hospital · DKManchester Academic Health Science Centre · GBOdense University Hospital · DKUniversity College London · GBUniversity of Southern Denmark · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Inhaled corticosteroids (ICS) are associated with an increased risk of clinical pneumonia among patients with chronic obstructive pulmonary disease (COPD). It is unknown whether the risk of microbiologically verified pneumonia such as pneumococcal pneumonia is increased in ICS users. Methods: The study population consists of all COPD patients followed in outpatient clinics in eastern Denmark during 2010-2017. ICS use was categorized into four categories based on accumulated use. A Cox proportional hazard regression model was used adjusting for age, body mass index, sex, airflow limitation, use of oral corticosteroids, smoking, and year of cohort entry. A propensity score matched analysis was performed for sensitivity analyses. Findings: A total of 21,438 patients were included. Five hundred and eighty-two (2.6%) patients acquired a positive lower airway tract sample with Interpretation: Use of ICS in patients with severe COPD was associated with an increased and dose-dependent risk of acquiring

Indexed as

Pneumococcal InfectionsPneumoniaPulmonary Disease, Chronic ObstructiveAdministration, InhalationAdrenal Cortex HormonesEpidemiologic StudiesHumansAdrenal Cortex Hormonesclinical epidemiologyCOPDinhaled corticosteroidsStreptococcus pneumoniae

Identifiers

PMID36974273
PMCPMC10039661
OpenAlexW4328111523

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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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.