Evidence map›Paper›PMID 37560988›Full record

ReviewAmerican journal of respiratory and critical care medicine2023

Phenotypes, Etiotypes, and Endotypes of Exacerbations of Chronic Obstructive Pulmonary Disease.

Surya P Bhatt, Alvar Agusti, Mona Bafadhel, Stephanie A Christenson, Jessica Bon, Gavin C Donaldson, Don D Sin, Jadwiga A Wedzicha, Fernando J Martinez

Abstract readReview
In one paragraph

Review in American journal of respiratory and critical care medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

40 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Observational
  4. Article
  5. Review
  6. Review
  7. Review
  8. Review
  9. The Evolving Landscape of COPD Typization.Medicina (Kaunas, Lithuania) · 2026
    Review
  10. Observational
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Review
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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

9 authors.

Surya P BhattDivision of Pulmonary, Allergy and Critical Care Medicine, University of Alabama at Birmingham, Birmingham, Alabama.ORCID 0000-0002-8418-4497
Alvar AgustiInstitut Respiratori (Clinic Barcelona), Càtedra Salut Respiratoria (Universitat de Barcelona), Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS-Barcelona), Centro de Investigación en Red de Enfermedades Respiratorias (CIBERES), España.ORCID 0000-0003-3271-3788
Mona BafadhelFaculty of Life Sciences and Medicine, School of Immunology and Microbial Sciences, King's College London, London, United Kingdom.
Stephanie A ChristensonDivision of Pulmonary, Critical Care, Allergy and Sleep Medicine, University of California, San Francisco, San Francisco, California.
Jessica BonDivision of Pulmonary, Allergy and Critical Care Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania.ORCID 0000-0002-4336-3835
Gavin C DonaldsonNational Heart and Lung Institute, Imperial College London, London, United Kingdom.
Don D SinCentre for Heart Lung Innovation and.
Jadwiga A WedzichaNational Heart and Lung Institute, Imperial College London, London, United Kingdom.
Fernando J MartinezWeill Cornell Medicine/NewYork-Presbyterian Hospital, New York, New York.

Funding

The CAPTURE Study: Validating a unique COPD screening tool in primary careR01HL136682 · NHLBI · WEILL MEDICAL COLL OF CORNELL UNIV · PI HAN, MEILAN K, MARTINEZ, FERNANDO J · 2017 to 2021
$10.7M
1/2 Video Telehealth Pulmonary Rehabilitation to Reduce Hospital Readmission in Chronic Obstructive Pulmonary Disease (Tele-COPD)UH3HL155806 · NHLBI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI Surya P Bhatt · 2022 to 2026
$5.4M
Fungal Translocation in Chronic Obstructive Pulmonary DiseaseR01HL163646 · NHLBI · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI BON, JESSICA, MORRIS, ALISON · 2022 to 2025
$2.9M
Structural Determinants of Disease Progression in COPDR01HL151421 · NHLBI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI BHATT, SURYA P., NAKHMANI, ARIE · 2020 to 2024
$2.6M
Autoimmunity and emphysema and risk of osteoporosis in smokersR01HL128289 · NHLBI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI BON, JESSICA · 2016 to 2020
$1.9M
NHLBI NIH HHS R01 HL128289NHLBI NIH HHS R01 HL136682NHLBI NIH HHS R01 HL151421NHLBI NIH HHS R01 HL163646NHLBI NIH HHS UH3 HL155806NIH HHS 1R01 HL136682
6 · The paper itself

Abstract

Chronic obstructive pulmonary disease is a major health problem with a high prevalence, a rising incidence, and substantial morbidity and mortality. Its course is punctuated by acute episodes of increased respiratory symptoms, termed exacerbations of chronic obstructive pulmonary disease (ECOPD). ECOPD are important events in the natural history of the disease, as they are associated with lung function decline and prolonged negative effects on quality of life. The present-day therapy for ECOPD with short courses of antibiotics and steroids and escalation of bronchodilators has resulted in only modest improvements in outcomes. Recent data indicate that ECOPD are heterogeneous, raising the need to identify distinct etioendophenotypes, incorporating traits of the acute event and of patients who experience recurrent events, to develop novel and targeted therapies. These characterizations can provide a complete clinical picture, the severity of which will dictate acute pharmacological treatment, and may also indicate whether a change in maintenance therapy is needed to reduce the risk of future exacerbations. In this review we discuss the latest knowledge of ECOPD types on the basis of clinical presentation, etiology, natural history, frequency, severity, and biomarkers in an attempt to characterize these events.

Indexed as

Pulmonary Disease, Chronic ObstructiveQuality of LifeAnti-Bacterial AgentsDisease ProgressionHumansPhenotypeAnti-Bacterial AgentsCOPDendotypingetiotypingexacerbationsphenotyping

Identifiers

PMID37560988
PMCPMC10867924

What OpenQuestion holds

Textmetadata
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.