Evidence map›Paper›PMID 37849918›Full record

ArticleInternational journal of chronic obstructive pulmonary disease2023

Exacerbations and Real-World Outcomes After Single-Inhaler Triple Therapy of Budesonide/Glycopyrrolate/Formoterol Fumarate, Among Patients with COPD: Results from the EROS (US) Study.

Charlie Strange, Joseph Tkacz, Jill Schinkel, Benjamin Lewing, Barnabie Agatep, Sean Swisher, Sushma Patel, Devechio Edwards, Daniel R Touchette, Edward Portillo and 2 more

Erratum issuedOpen 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. An erratum has been issued. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
5.4field-weighted citation impact, top 4% 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, 21 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Observational
  8. Proactive Strategies for Mitigating Cardiopulmonary Risk in COPD.Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2025
    Article
  9. Article
  10. Prompt versus Delayed Triple Therapy in COPD: Solutions to Time-Related Biases in Observational Studies.International journal of chronic obstructive pulmonary disease · 2025
    Observational
  11. Article
  12. Review
  13. Review
  14. Observational
  15. Global & regional health technology assessment
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 4 institutions in 1 country.

Charlie StrangeCollege of Medicine, The Medical University of South Carolina, Charleston, SC, USA.ORCID 0000-0002-8109-8067
Joseph TkaczData Solutions, Inovalon, Bowie, MD, USA.
Jill SchinkelData Solutions, Inovalon, Bowie, MD, USA.
Benjamin LewingData Solutions, Inovalon, Bowie, MD, USA.
Barnabie AgatepData Solutions, Inovalon, Bowie, MD, USA.
Sean SwisherBioPharmaceuticals Medical, AstraZeneca, Wilmington, DE, USA.
Sushma PatelBioPharmaceuticals Medical, AstraZeneca, Wilmington, DE, USA.
Devechio EdwardsBioPharmaceuticals Medical, AstraZeneca, Wilmington, DE, USA.
Daniel R TouchetteCollege of Pharmacy - Pharmacy Systems Outcomes and Policy, University of Illinois Chicago, Chicago, IL, USA.
Edward PortilloPharmacy Practice & Translational Research Division, University of Wisconsin-Madison, Madison, WI, USA.
Norbert FeiglerBioPharmaceuticals Medical, AstraZeneca, Wilmington, DE, USA.
Michael PollackBioPharmaceuticals Medical, AstraZeneca, Wilmington, DE, USA.ORCID 0000-0001-7351-3059
AstraZeneca (United States) · USMedical University of South Carolina · USUniversity of Illinois Urbana-Champaign · USUniversity of Wisconsin–Madison · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: Triple therapy to prevent exacerbations from chronic obstructive pulmonary disease (COPD) is associated with improved health compared to single and dual-agent therapy in some populations. This study assessed the benefits of prompt administration of budesonide/glycopyrrolate/formoterol fumarate (BGF) following a COPD exacerbation. Patients and methods: EROS was a retrospective analysis of people with COPD using the MORE Results: 2409 patients were identified: 434 prompt, 1187 delayed, and 788 very delayed. The rate (95% CI) of total exacerbations post-index increased as time to BGF initiation increased: prompt 1.52 (1.39-1.66); delayed 2.00 (1.92-2.09); and very delayed 2.30 (2.20-2.40). Adjusting for patient characteristics, each 30-day delay in receiving BGF was associated with a 5% increase in the average number of subsequent exacerbations (rate ratio, 95% CI: 1.05, 1.01-1.08; Conclusion: Following a COPD exacerbation, promptly initiating BGF was associated with a reduction in subsequent exacerbations and reduced healthcare utilization and costs.

Indexed as

Bronchodilator AgentsPulmonary Disease, Chronic ObstructiveAdministration, InhalationBudesonideDouble-Blind MethodDrug CombinationsFormoterol FumarateGlycopyrrolateHumansMetered Dose InhalersNebulizers and VaporizersRetrospective StudiesBronchodilator AgentsBudesonideDrug CombinationsFormoterol FumarateGlycopyrrolatebudesonide/glycopyrrolate/formoterol fumarateCOPDdelayed therapyexacerbationstriple therapy

Identifiers

PMID37849918
PMCPMC10577086
OpenAlexW4387575109

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.