Evidence map›Paper›PMID 38444993›Full record

ReviewAnnals of thoracic medicine

Systematic literature review of treatments used for refractory or unexplained chronic cough in adults.

Vishal Bali, Peter Kardos, Clive Page, Paola Rogliani, Luigino Calzetta, Ada Adriano, Aidan Byrne, Adekemi Adeyemi, Andrew Frederickson, Jonathan Schelfhout

Open access · diamondAbstract readReview
In one paragraph

Review in Annals of thoracic medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
2.9field-weighted citation impact, top 9% 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, 7 citations in OpenAlex.

  1. Review
  2. Article
  3. Review
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

10 authors at 6 institutions in 4 countries.

Vishal BaliCenter for Observational and Real-World Evidence, Merck and Co. Inc., Rahway, NJ, USA.
Peter KardosRed Cross Hospital, Department for Respiratory, Allergy, and Sleep, Frankfurt am Main, Germany.
Clive PageProfessor of Pharmacology, Institute of Pharmaceutical Science, King's College, London, United Kingdom.
Paola RoglianiDepartment of Experimental Medicine, University of Rome Tor Vergata, Rome, Italy.
Luigino CalzettaDepartment of Medicine and Surgery, University of Parma, Parma, Italy.
Ada AdrianoOutcomes Research, MSD, London, United Kingdom.
Aidan ByrneOutcomes Research, MSD, London, United Kingdom.
Adekemi AdeyemiPRECISIONheor, New York, NY, United States.
Andrew FredericksonPRECISIONheor, New York, NY, United States.
Jonathan SchelfhoutCenter for Observational and Real-World Evidence, Merck and Co. Inc., Rahway, NJ, USA.
Health Economics and Outcomes Research (United Kingdom) · GBMerck & Co., Inc., Rahway, NJ, USA (United States) · USGerman Red Cross · DEKing's College London · GBUniversity of Parma · ITUniversity of Rome Tor Vergata · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRefractory or unexplained chronic cough (RCC or UCC) is difficult to manage and is usually treated by the off-label use of drugs approved for other indications.

objectiveThe objectives of this systematic literature review (SLR) were to identify and characterize the current published body of evidence for the efficacy and safety of treatments for RCC or UCC.

methodsThe SLR was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. The SLRs pre-defined population included patients ≥18 years of age who were diagnosed with chronic cough. The review was not restricted to any intervention type or study comparator, nor by timeframe.

resultsA total of 20 eligible publications from 19 unique trials were included. Seventeen of these trials were randomized controlled trials and most (14/17) were placebo-controlled. There was considerable variability between trials in the definition of RCC or UCC, participant exclusion and inclusion criteria, outcome measurement timepoints, and the safety and efficacy outcomes assessed. Several trials identified significant improvements in cough frequency, severity, or health-related quality of life measures while participants were on treatment, although these improvements did not persist in any of the studies that included a post-treatment follow-up timepoint.

conclusionsIn the absence of an approved therapy, placebo remains the most common comparator in trials of potential RCC or UCC treatments. The between-study comparability of the published evidence is limited by heterogeneity of study design, study populations, and outcomes measures, as well as by concerns regarding study size and risk of bias.

Indexed as

Chronic coughclinical trialsrefractory chronic coughsystematic literature reviewunexplained chronic cough

Identifiers

PMID38444993
PMCPMC10911236
OpenAlexW4391287639

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.