Evidence map›Paper›PMID 36975054›Full record

ArticleSarcoidosis, vasculitis, and diffuse lung diseases : official journal of WASOG2023

Outcomes in pulmonary sarcoidosis: results of a newly implemented prednisone protocol.

Nynke Kampstra, Philip J Van der Wees, Frouke T Van Beek, Douwe H Biesma, Jan C Grutters, Paul B Van der Nat

Open access · greenAbstract read
In one paragraph

Article in Sarcoidosis, vasculitis, and diffuse lung diseases : official journal of WASOG, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.5field-weighted citation impact, top 36% 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

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. 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

6 authors at 4 institutions in 2 countries.

Nynke KampstraSt. Antonius Hospital. nynkekampstra@gmail.com.
Philip J Van der Wees3 Radboud Institute for Health Sciences, Scientific Center for Quality of Healthcare (IQ healthcare), Nijmegen, The Netherlands 4 Radboudumc, Department of Rehabilitation, Nijmegen, The Netherlands. philip.vanderwees@radboudumc.nl.
Frouke T Van Beek2 Sint Antonius Hospital, Interstitial Lung Diseases Center of Excellence, Department of Pulmonology, Nieuwegein, The Netherlands. f.van.beek@antoniusziekenhuis.nl.
Douwe H Biesma5 Leiden Universitair Medisch Centrum, Data-driven Healthcare Improvement, Leiden, The Netherlands 6 UMC Utrecht, Department of Internal Medicine, Utrecht, The Netherlands. d.h.biesma@lumc.nl.
Jan C Grutters2 Sint Antonius Hospital, Interstitial Lung Diseases Center of Excellence, Department of Pulmonology, Nieuwegein, The Netherlands 7 UMC Utrecht, Division of Heart and Lungs, University Medical Centre Utrecht, Utrecht, The Netherlands. j.grutters@antoniusziekenhuis.nl.
Paul B Van der Nat1 Sint Antonius Hospital, Department of Value-Based Healthcare, Nieuwegein, The Netherlands. paul.van.der.nat@antoniusziekenhuis.nl.
St. Antonius Ziekenhuis · NLNetherlands Metabolomics Centre · NLRadboud University Nijmegen · NLSt.-Antonius-Hospital Gronau · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and aim Prednisone is used as first-line therapy for patients with pulmonary sarcoidosis. There is however no clear association between prednisone dose and FVC change in patients with pulmonary sarcoidosis. In order to improve our standard of care we introduced a more conservative prednisone protocol. Methods This study is a single centre observational study, applying value-based healthcare (VBHC) and quality improvement (QI) principles. Prednisone intake was reduced from a starting dose of 40 mg to a starting dose of 20 mg. Primary outcomes evaluated were FVC, FEV1 and DLCO % predicted. The secondary outcome measure was BMI. Results 369 patients were included in the old-cohort and 215 in the new-cohort. In the old-cohort, 182 (49.0%) of the patients were treated with prednisone. In total, 114 patients (62.6%) were treated according to the old protocol with a mean initial prednisone dose of 32.1 ±14.2 mg. In the new-cohort, 93 patients (45.0%) were treated with prednisone of which 53 patients (57.0%) received prednisone according to the new protocol. The mean initial prednisone dose in the new-cohort was 21.4 ±9.8 mg. Changes in FVC and FEV1 % predicted did not vary. Change in % predicted DLCO was 2.4 ±9.3 for the old-cohort and -1.3 ±11.4 for the new-cohort (p = 0.01). No statistically significant changes in BMI were observed. Conclusions Our results indicate that in more than half of the patients the new protocol was followed. Data support the observation that a more conservative prednisone regimen might be equally effective, looking at changes in pulmonary function and BMI.

Identifiers

PMID36975054
PMCPMC10099653
OpenAlexW4361190673

What OpenQuestion holds

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LicenceCC BY-NC-SA
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Registered trials

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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.