Evidence map›Paper›PMID 37377652›Full record

ArticleERJ open research2023

Diaphragm dome height on chest radiography as a predictor of dynamic lung hyperinflation in COPD.

Masashi Shiraishi, Yuji Higashimoto, Ryuji Sugiya, Hiroki Mizusawa, Yu Takeda, Masaya Noguchi, Osamu Nishiyama, Ryo Yamazaki, Shintarou Kudo, Tamotsu Kimura and 2 more

Open access · goldAbstract read
In one paragraph

Article in ERJ open research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 25% 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 3 citations in OpenAlex.

  1. Respiratory Muscle Strength and Mortality in Patients with COPD: A Systematic Review and Meta-Analysis.International journal of chronic obstructive pulmonary disease · 2025
    Pooled it
  2. Article
  3. 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

12 authors at 2 institutions in 1 country.

Masashi ShiraishiDepartment of Rehabilitation Medicine, Kindai University School of Medicine, Osaka, Japan.
Yuji HigashimotoDepartment of Rehabilitation Medicine, Kindai University School of Medicine, Osaka, Japan.ORCID https://orcid.org/0000-0002-9210-9083
Ryuji SugiyaDepartment of Rehabilitation Medicine, Kindai University School of Medicine, Osaka, Japan.
Hiroki MizusawaDepartment of Rehabilitation Medicine, Kindai University School of Medicine, Osaka, Japan.ORCID https://orcid.org/0000-0001-8324-4294
Yu TakedaDepartment of Rehabilitation Medicine, Kindai University School of Medicine, Osaka, Japan.
Masaya NoguchiDepartment of Rehabilitation Medicine, Kindai University School of Medicine, Osaka, Japan.
Osamu NishiyamaDepartment of Respiratory Medicine and Allergology, Kindai University School of Medicine, Osaka, Japan.
Ryo YamazakiDepartment of Respiratory Medicine and Allergology, Kindai University School of Medicine, Osaka, Japan.
Shintarou KudoInclusive Medical Science Research Institute, Morinomiya University of Medical Sciences, Osaka, Japan.ORCID https://orcid.org/0000-0001-9483-1830
Tamotsu KimuraDepartment of Rehabilitation Medicine, Kindai University School of Medicine, Osaka, Japan.
Yuji TohdaDepartment of Respiratory Medicine and Allergology, Kindai University School of Medicine, Osaka, Japan.
Hisako MatsumotoDepartment of Respiratory Medicine and Allergology, Kindai University School of Medicine, Osaka, Japan.ORCID https://orcid.org/0000-0002-8754-6318
Kindai University · JPMorinomiya University of Medical Sciences · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and objective: Dynamic lung hyperinflation (DLH) can play a central role in exertional dyspnoea in patients with COPD. Chest radiography is the basic tool for assessing static lung hyperinflation in COPD. However, the predictive capacity of DLH using chest radiography remains unknown. This study was conducted to determine whether DLH can be predicted by measuring the height of the right diaphragm (dome height) on chest radiography. Methods: This single-centre, retrospective cohort study included patients with stable COPD with pulmonary function test, cardiopulmonary exercise test, constant load test and pulmonary images. They were divided into two groups according to the median of changes of inspiratory capacity (ΔIC=IC lowest - IC at rest). The right diaphragm dome height and lung height were measured on plain chest radiography. Results: Of the 48 patients included, 24 were classified as having higher DLH (ΔIC ≤-0.59 L from rest; -0.59 L, median of all) and 24 as having lower DLH. Dome height correlated with ΔIC (r=0.66, p<0.001). Multivariate analysis revealed that dome height was associated with higher DLH independent of % low attenuation area on chest computed tomography and forced expiratory volume in 1 s (FEV Conclusion: Diaphragm dome height on chest radiography may adequately predict higher DLH in patients with COPD.

Identifiers

PMID37377652
PMCPMC10291310
OpenAlexW4379056086

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.