Evidence map›Paper›PMID 37160771›Full record

ArticleLung2023

Characteristics and Management of Patients with Refractory or Unexplained Chronic Cough in Outpatient Hospital Clinics in Spain: A Retrospective Multicenter Study.

Ignacio Dávila, Luis Puente, Santiago Quirce, Ebymar Arismendi, Miguel Díaz-Palacios, Antonio Pereira-Vega, Alfredo de Diego, Juan Luis Rodriguez-Hermosa, Luis Cea-Calvo, Marta Sánchez-Jareño and 2 more

Open access · hybridAbstract readMulticenter Study
In one paragraph

Article in Lung, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
4.4field-weighted citation impact, top 5% 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

15 citing papers in PubMed, 17 citations in OpenAlex.

  1. Camlipixant in Refractory Chronic Cough: A Phase 2b, Randomized, Placebo-controlled Trial (SOOTHE).American journal of respiratory and critical care medicine · 2025
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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

12 authors at 9 institutions in 1 country.

Ignacio DávilaServicio de Alergia, Departamento de Ciencias Biomédicas Y del Diagnóstico, Facultad de Medicina, Hospital Universitario de Salamanca, Universidad de Salamanca, Salamanca, Spain.
Luis PuenteServicio de Neumología, Hospital Universitario Gregorio Marañón- Universidad Complutense, Madrid, Spain.
Santiago QuirceServicio de Alergia, Hospital Universitario La Paz, IdiPAZ, Madrid, Spain.
Ebymar ArismendiServei de Pneumologia, Hospital Clínic de Barcelona, Instituto de Salud Carlos III, CIBERES, IDIBAPS, Universitat de Barcelona, Barcelona, Spain.
Miguel Díaz-PalaciosServicio de Alergia, Hospital Universitari I Politècnic La Fe, Valencia, Spain.
Antonio Pereira-VegaServicio de Neumología, Hospital Juan Ramón Jiménez, Huelva, Spain.
Alfredo de DiegoServicio de Neumología, Hospital Universitari I Politècnic La Fe, Valencia, Spain.
Juan Luis Rodriguez-HermosaServicio de Neumología, Departamento de Medicina, Hospital Clínico San Carlos, Universidad Complutense, Madrid, Spain.
Luis Cea-CalvoMedical Affairs, MSD Spain, C. de Josefa Valcárcel, 38, 28027, Madrid, Spain. luis.cea@merck.com.
Marta Sánchez-JareñoMedical Affairs, MSD Spain, C. de Josefa Valcárcel, 38, 28027, Madrid, Spain.
Pilar López-CotareloMedical Affairs, MSD Spain, C. de Josefa Valcárcel, 38, 28027, Madrid, Spain.
Christian DomingoCorporació Parc Taulí, Universitat Autònoma de Barcelona (UAB), Sabadell, Spain.
MSD (Spain) · ESHospital Universitari i Politècnic La Fe · ESCorporació Sanitària Parc Taulí · ESHospital Clínic de Barcelona · ESHospital Clínico San Carlos · ESHospital General Universitario Gregorio Marañón · ESHospital Juan Ramón Jiménez · ESHospital Universitario La Paz · ESUniversidad de Salamanca · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeChronic cough (cough that persists for ≥ 8 weeks) can cause a range of physical symptoms and psychosocial effects that significantly impair patients' quality of life. Refractory chronic cough (RCC) and unexplained chronic cough (UCC) are challenging to diagnose and manage, with substantial economic implications for healthcare systems.

methodsThis retrospective multicenter non-interventional study aimed to characterize the profile and health resource consumption of patients with RCC or UCC who attended outpatient clinics at Spanish hospitals. Data were collected from medical records of patients with RCC or UCC for up to 3 years before study inclusion.

resultsThe patient cohort (n = 196) was representative of the chronic cough population (77.6% female, mean age 58.5 years). Two-thirds of patients (n = 126) had RCC. The most frequently visited doctors were pulmonologists (93.4% of patients) and primary care physicians (78.6%), with a mean of 5 visits per patient over three years' observation. The most common diagnostic tests were chest x-ray (83.7%) and spirometry with bronchodilation (77.0%). The most commonly prescribed treatments were proton pump inhibitors (79.6%) and respiratory medications (87.8%). Antibiotics were prescribed empirically to 56 (28.6%) patients. Differences between RCC or UCC groups related mainly to approaches used to manage cough-associated conditions (gastroesophageal reflux disease, asthma) in patients with RCC.

conclusionRCC and UCC are responsible for high health resource utilization in Spanish hospitals. Specific treatments targeting the pathological processes driving chronic cough may provide opportunities to reduce the associated burden for patients and healthcare systems.

Indexed as

Carcinoma, Renal CellKidney NeoplasmsAmbulatory Care FacilitiesChronic DiseaseCoughFemaleHospitalsHumansMaleMiddle AgedOutpatientsQuality of LifeSpainHealth resource utilizationNoninterventional studyRefractory chronic coughSpainUnexplained chronic cough

Identifiers

PMID37160771
PMCPMC10169201
OpenAlexW4376121840

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.