Evidence map›Paper›PMID 37887076›Full record

ArticleAdvances in respiratory medicine2023

Chronic Lung Allograft Dysfunction Is Associated with Significant Disability after Lung Transplantation-A Burden of Disease Analysis in 1025 Cases.

Roland Diel, Susanne Simon, Jens Gottlieb

Open access · goldAbstract read
In one paragraph

Article in Advances in respiratory medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
2.5field-weighted citation impact, top 10% 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

8 citing papers in PubMed, 8 citations in OpenAlex.

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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

3 authors at 2 institutions in 1 country.

Roland DielInstitute for Epidemiology, University Medical Hospital Schleswig Holstein, Campus Kiel, Niemannsweg 11, 24105 Kiel, Germany.ORCID 0000-0001-8304-7709
Susanne SimonDepartment of Respiratory Medicine, Hannover Medical School, 30625 Hannover, Germany.
Jens GottliebDepartment of Respiratory Medicine, Hannover Medical School, 30625 Hannover, Germany.ORCID 0000-0002-9540-9022
Medizinische Hochschule Hannover · DEUniversity Hospital Schleswig-Holstein · DE

Funding

German Center of Lung Research (DZL n.a.
6 · The paper itself

Abstract

backgroundChronic lung allograft dysfunction (CLAD) is the leading cause of death after the first postoperative years of lung transplantation (LTx).

objectiveTo assess the number of disability-adjusted life years (DALYs) per patient with severe CLAD.

methodsThe clinical and demographic data of patients who received their lung transplantation between 2010 and 2020 in the Hanover Medical School (Germany) were evaluated.

resultsA total of 1025 lung transplant patients were followed for a median of 51 months (4.25 years); the median age at transplantation was 52.8 (interquartile range (IQR) 19) years. More than a quarter of transplant patients (271/1025 or 26.4%) developed CLAD, mostly (60%) of the bronchiolitis obliterans syndrome (BOS) phenotype. Of the CLAD patients, 99, or 36.5%, suffered from significant disability, which on average occurred after 2 years (IQR 2.55). The survival of CLAD patients with disability after transplantation was significantly lower compared to that of patients without CLAD (median 4.04 versus 5.41 years). Adjusted to the DALY estimation approach, CLAD patients lost 1.29 life years (YLL) and lived for 0.8 years with their disability (YLD), adding up to 2.09 DALYs (range 1.99-2.72) per patient.

conclusionsCLAD after lung transplantation is a major public health problem and is associated with substantial disability and costs. Further work is needed to develop therapeutic interventions that reduce its development.

Indexed as

Bronchiolitis ObliteransLung TransplantationAdultAllograftsCost of IllnessHumansLungYoung Adultbronchiolitis obliterans syndromechronic lung allograft dysfunctiondisabilitydisability-adjusted life yearslung transplantationpatient outcome assessment

Identifiers

PMID37887076
PMCPMC10603923
OpenAlexW4387581388

What OpenQuestion holds

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LicenceCC BY
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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.