Evidence map›Paper›PMID 38123124›Full record

Observational studyChest2024

Use of Quantitative CT Imaging to Identify Bronchial Thermoplasty Responders.

Maanasi Samant, James G Krings, Daphne Lew, Charles W Goss, Tammy Koch, Mary Clare McGregor, Jonathan Boomer, Chase S Hall, Ken B Schechtman, Ajay Sheshadri and 12 more

Registry-linked trialOpen access · greenAbstract readObservational Study
In one paragraph

Observational study in Chest, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01185275 (A Prospective Observational Study of Biopredictors of Bronchial Thermoplasty Response in Patients With Severe Refractory Asthma), which is not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.2field-weighted citation impact, top 20% 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.

NCT01185275 completednot on this map

A Prospective Observational Study of Biopredictors of Bronchial Thermoplasty Response in Patients With Severe Refractory Asthma (BTR Study)

TypeobservationalSponsorWashington University School of MedicineRan2010 to 2019Enrolled133ConditionsAsthmaArmsAlair system
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

22 authors at 11 institutions in 1 country.

Maanasi SamantDivision of Pulmonary and Critical Care Medicine, Department of Medicine, Washington University in Saint Louis School of Medicine, Saint Louis, MO.
James G KringsDivision of Pulmonary and Critical Care Medicine, Department of Medicine, Washington University in Saint Louis School of Medicine, Saint Louis, MO.
Daphne LewDivision of Biostatistics, Washington University in Saint Louis School of Medicine, Saint Louis, MO.
Charles W GossDivision of Biostatistics, Washington University in Saint Louis School of Medicine, Saint Louis, MO.
Tammy KochDivision of Pulmonary and Critical Care Medicine, Department of Medicine, Washington University in Saint Louis School of Medicine, Saint Louis, MO.
Mary Clare McGregorDivision of Pulmonary and Critical Care Medicine, Department of Medicine, Washington University in Saint Louis School of Medicine, Saint Louis, MO.
Jonathan BoomerDivision of Pulmonary, Critical Care and Sleep Medicine, Department of Medicine, University of Kansas School of Medicine, Kansas City, KS.
Chase S HallDivision of Pulmonary, Critical Care and Sleep Medicine, Department of Medicine, University of Kansas School of Medicine, Kansas City, KS.
Ken B SchechtmanDivision of Biostatistics, Washington University in Saint Louis School of Medicine, Saint Louis, MO.
Ajay SheshadriDivision of Pulmonary Critical Care Medicine, Department of Medicine, University of Texas MD Anderson Cancer Center, Houston, TX.
Samuel PetersonVIDA Diagnostics, Coralville, IA.
Serpil ErzurumLerner Research Institute and the Respiratory Institute, Cleveland Clinic, Cleveland, OH.
Zachary DePewDivision of Pulmonary, Critical Care and Sleep Medicine, Department of Medicine, Creighton University Medical Center, Omaha, NE.
Lee E MorrowDivision of Pulmonary, Critical Care and Sleep Medicine, Department of Medicine, Creighton University Medical Center, Omaha, NE.
D Kyle HogarthDivision of Pulmonary and Critical Care Medicine, Department of Medicine, University of Chicago, Chicago, IL.
Richard TejedorDivision of Pulmonary and Critical Care, Department of Medicine, LSU Health Sciences Center, New Orleans, LA.
Jennifer TrevorDivision of Pulmonary, Allergy, and Critical Care Medicine, Department of Medicine, University of Alabama at Birmingham, Birmingham, AL.
Michael E WechslerDepartment of Medicine, National Jewish Health, Denver, CO.
Afshin SamDivision of Pulmonary and Critical Care, Department of Medicine, University of Arizona, Tuscon, AZ.
Xiaosong ShiDivision of Pulmonary, Critical Care and Sleep Medicine, Department of Medicine, University of Kansas School of Medicine, Kansas City, KS.
Jiwoong ChoiDivision of Pulmonary, Critical Care and Sleep Medicine, Department of Medicine, University of Kansas School of Medicine, Kansas City, KS.
Mario CastroDivision of Pulmonary, Critical Care and Sleep Medicine, Department of Medicine, University of Kansas School of Medicine, Kansas City, KS. Electronic address: mcastro2@kumc.edu.
Washington University in St. Louis · USUniversity of Kansas · USCHI Health Creighton University Medical Center - Bergan Mercy · USCleveland Clinic Lerner College of Medicine · USLouisiana State University Health Sciences Center New Orleans · USNational Jewish Health · USThe University of Texas MD Anderson Cancer Center · USUniversity of Alabama at Birmingham · USUniversity of Arizona · USUniversity of Chicago · USVida Diagnostics (United States) · US

Funding

Rapid saliva antigen test for SARS-CoV-2 detectionU01HL146002 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI ARONICA, MARK A, CASTRO, MARIO · 2019 to 2023
$17.3M
Washington University Institute of Clinical and Translational Sciences (KL2) KL2TR002346 · NCATS · WASHINGTON UNIVERSITY · PI Dominic N Reeds · 2017 to 2026
$14.0M
Severe Asthma Research Program (SARP)-Washington UniversityU10HL109257 · NHLBI · WASHINGTON UNIVERSITY · PI CASTRO, MARIO · 2011 to 2016
$3.8M
NCATS NIH HHS KL2 TR002346NHLBI NIH HHS U01 HL146002NHLBI NIH HHS U10 HL109257
6 · The paper itself

Abstract

backgroundBronchial thermoplasty (BT) is a treatment for patients with poorly controlled, severe asthma. However, predictors of treatment response to BT are defined poorly. RESEARCH QUESTION: Do baseline radiographic and clinical characteristics exist that predict response to BT? STUDY DESIGN AND

methodsWe conducted a longitudinal prospective cohort study of participants with severe asthma receiving BT across eight academic medical centers. Participants received three separate BT treatments and were monitored at 3-month intervals for 1 year after BT. Similar to prior studies, a positive response to BT was defined as either improvement in Asthma Control Test results of ≥ 3 or Asthma Quality of Life Questionnaire of ≥ 0.5. Regression analyses were used to evaluate the association between pretreatment clinical and quantitative CT scan measures with subsequent BT response.

resultsFrom 2006 through 2017, 88 participants received BT, with 70 participants (79.5%) identified as responders by Asthma Control Test or Asthma Quality of Life Questionnaire criteria. Responders were less likely to undergo an asthma-related ICU admission in the prior year (3% vs 25%; P = .01). On baseline quantitative CT imaging, BT responders showed less air trapping percentage (OR, 0.90; 95% CI, 0.82-0.99; P = .03), a greater Jacobian determinant (OR, 1.49; 95% CI, 1.05-2.11), greater SD of the Jacobian determinant (OR, 1.84; 95% CI, 1.04-3.26), and greater anisotropic deformation index (OR, 3.06; 95% CI, 1.06-8.86).

interpretationTo our knowledge, this is the largest study to evaluate baseline quantitative CT imaging and clinical characteristics associated with BT response. Our results show that preservation of normal lung expansion, indicated by less air trapping, a greater magnitude of isotropic expansion, and greater within-lung spatial variation on quantitative CT imaging, were predictors of future BT response. TRIAL REGISTRY: ClinicalTrials.gov; No.: NCT01185275; URL: www. CLINICALTRIALS: gov.

Indexed as

AsthmaBronchial ThermoplastyHumansLongitudinal StudiesProspective StudiesQuality of LifeTomography, X-Ray Computedair trappingbronchial thermoplastylung deformationquantitative CTsevere asthma

Identifiers

PMID38123124
PMCPMC11026166
OpenAlexW4389922879

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.