Evidence map›Paper›PMID 38609095›Full record

Observational studyThe European respiratory journal2024

Objective sputum colour assessment and clinical outcomes in bronchiectasis: data from the European Bronchiectasis Registry (EMBARC).

Stefano Aliberti, Felix C Ringshausen, Raja Dhar, Charles S Haworth, Michael R Loebinger, Katerina Dimakou, Megan L Crichton, Anthony De Soyza, Montse Vendrell, Pierre-Regis Burgel and 32 more

Open access · bronzeAbstract readObservational StudyValidation Study
In one paragraph

Observational study in The European respiratory journal, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 pooled it
10.9field-weighted citation impact, top 1% 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

19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 26 citations in OpenAlex.

  1. Guideline
  2. Guideline
  3. Review
  4. Article
  5. Review
  6. The importance of symptoms in bronchiectasis.European respiratory review : an official journal of the European Respiratory Society · 2026
    Review
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Review
  13. Neutrophilic inflammation in bronchiectasis.European respiratory review : an official journal of the European Respiratory Society · 2025
    Review
  14. Article
  15. Article
  16. Patient-managed interventions for adults with bronchiectasis: evidence, challenges and prospects.European respiratory review : an official journal of the European Respiratory Society · 2024
    Review
  17. Article
  18. Microbiome and its role in bronchiectasis.Therapeutic advances in respiratory disease
    Review
  19. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

42 authors at 20 institutions in 18 countries.

Stefano AlibertiRespiratory Unit, IRCCS Humanitas Research Hospital, Pieve Emanuele, Italy.ORCID https://orcid.org/0000-0002-0090-4531
Felix C RingshausenDepartment of Respiratory Medicine and Infectious Diseases, Hannover Medical School, Hannover, Germany.ORCID https://orcid.org/0000-0001-9084-4968
Raja DharCK Birla Hospitals, Kolkata, India.
Charles S HaworthCambridge Centre for Lung Infection, Royal Papworth Hospital and University of Cambridge, Cambridge, UK.
Michael R LoebingerRoyal Brompton and Harefield Hospitals and National Heart and Lung Institute, Imperial College London, London, UK.
Katerina Dimakou5th Respiratory Department and Bronchiectasis Unit, "Sotiria" General Hospital of Chest Diseases Medical Practice, Athens, Greece.
Megan L CrichtonDivision of Molecular and Clinical Medicine, University of Dundee, Ninewells Hospital and Medical School, Dundee, UK.
Anthony De SoyzaPopulation and Health Science Institute, Newcastle University and NIHR Biomedical Research Centre for Ageing, Freeman Hospital, Newcastle, UK.ORCID https://orcid.org/0000-0002-8566-0344
Montse VendrellDepartment of Pulmonology, Dr Trueta University Hospital, Girona Biomedical Research Institute (IDIBGI), University of Girona, Girona, Spain.
Pierre-Regis BurgelDepartment of Respiratory Medicine and French Cystic Fibrosis National Reference Center, Hôpital Cochin, AP-HP, Paris, France.ORCID https://orcid.org/0000-0003-0903-9828
Melissa McDonnellDepartment of Respiratory Medicine, Galway University Hospital, Galway, Ireland.ORCID https://orcid.org/0000-0002-5721-5710
Sabina SkrgatUniversity Clinic of Respiratory and Allergic Diseases Golnik, Golnik, Slovenia.
Luis Maiz CarroChronic Bronchial Infection Unit, Pneumology Service, Ramón y Cajal Hospital, Alcalá de Henares University, Madrid, Spain.
Andres de RouxPneumologische Praxis am Schloss Charlottenburg, Berlin, Germany.
Oriol SibilaServicio de Neumología, Instituto Clínico de Respiratorio, IDIBAPS, Hospital Clínic, University of Barcelona, Barcelona, Spain.
Apostolos BossiosDepartment of Respiratory Medicine and Allergy, Karolinska University Hospital, Stockholm, Sweden.ORCID https://orcid.org/0000-0002-0494-2690
Menno van der EerdenErasmus MC, Department of Respiratory Medicine, Rotterdam, The Netherlands.
Paula KauppiHeart and Lung Center, Helsinki, Finland.
Robert WilsonRoyal Brompton and Harefield Hospitals and National Heart and Lung Institute, Imperial College London, London, UK.
Branislava MilenkovicClinic for Pulmonary Diseases, University Clinical Center of Serbia, Belgrade, Serbia.
Rosario MenendezPneumology Department, Hospital Universitario y Politécnico La Fe - Instituto de Investigación Sanitaria La Fe, Valencia, Spain.
Marlene MurrisDepartment of Respiratory Diseases, CHU Toulouse, Toulouse, France.
Sermin BorekciDepartment of Pulmonology Diseases, Cerrahpasa Medical Faculty, Istanbul University - Cerrahpasa, Istanbul, Turkey.
Oxana MunteanuPneumology/Allergology Division, University of Medicine and Pharmacy Nicolae Testemitanu, Chisinau, Moldova.
Dusanka ObradovicFaculty of Medicine Novi Sad, University of Novi Sad, Novi Sad, Serbia.
Adam NowinskiDepartment of Epidemiology, National Tuberculosis and Lung Diseases Research Institute, Warsaw, Poland.
Adelina AmorimPulmonology Department, Centro Hospitalar Universitário S. João and Faculty of Medicine, University of Porto, Porto, Portugal.
Antoni TorresServicio de Neumología, Instituto Clínico de Respiratorio, IDIBAPS, Hospital Clínic, University of Barcelona, Barcelona, Spain.ORCID https://orcid.org/0000-0002-8643-2167
Natalie LorentDepartment of Respiratory Diseases, University Hospitals Leuven, Leuven, Belgium.ORCID https://orcid.org/0000-0002-2653-5885
Eva Van BraeckelDepartment of Internal Medicine and Paediatrics, Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium.ORCID https://orcid.org/0000-0002-7242-0747
Josje AltenburgDepartment of Pulmonary Diseases, Amsterdam University Medical Centers, Amsterdam, The Netherlands.
Amelia ShoemarkDivision of Molecular and Clinical Medicine, University of Dundee, Ninewells Hospital and Medical School, Dundee, UK.ORCID https://orcid.org/0000-0001-7360-6060
Michal ShteinbergPulmonology Institute and CF Center, Carmel Medical Center, Haifa, Israel.ORCID https://orcid.org/0000-0002-0432-3398
Wim BoersmaDepartment of Pulmonary Diseases, Northwest Clinics, Alkmaar, The Netherlands.
Pieter C GoeminneDepartment of Respiratory Disease, AZ Nikolaas, Sint-Niklaas, Belgium.
J Stuart ElbornFaculty of Medicine, Health and Life Sciences, Queen's University, Belfast, UK.
Adam T HillDepartment of Respiratory Medicine, Royal Infirmary of Edinburgh, Edinburgh, UK.
Tobias WelteDepartment of Respiratory Medicine and Infectious Diseases, Hannover Medical School, Hannover, Germany.ORCID https://orcid.org/0000-0002-9947-7356
Francesco BlasiDepartment of Pathophysiology and Transplantation, University of Milan, Milan, Italy.
Eva PolverinoPneumology Department, Hospital Universitari Vall d'Hebron, Vall d'Hebron Institut de Recerca (VHIR), Vall d'Hebron Barcelona Hospital Campus, CIBERES, Barcelona, Spain.
James D ChalmersDivision of Molecular and Clinical Medicine, University of Dundee, Ninewells Hospital and Medical School, Dundee, UK j.chalmers@dundee.ac.uk.
EMBARC Registry Investigators
University of Dundee · GBHarefield Hospital · GBInstituto de Salud Carlos III · ESMedizinische Hochschule Hannover · DEAMRI Hospitals · INAmsterdam University Medical Centers · NLCentre Hospitalier Universitaire de Toulouse · FREdinburgh Royal Infirmary · GBErasmus MC · NLFreeman Hospital · GBGhent University Hospital · BEHumanitas University · ITInserm · FRInstituto de Investigación Sanitaria La Fe · ESIstanbul University-Cerrahpaşa · TRKarolinska University Hospital · SEKU Leuven · BENicolae Testemițanu State University of Medicine and Pharmacy · MDNorthwest Hospital · USOrthopädische Praxis · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA validated 4-point sputum colour chart can be used to objectively evaluate the levels of airway inflammation in bronchiectasis patients. In the European Bronchiectasis Registry (EMBARC), we tested whether sputum colour would be associated with disease severity and clinical outcomes.

methodsWe used a prospective, observational registry of adults with bronchiectasis conducted in 31 countries. Patients who did not produce spontaneous sputum were excluded from the analysis. The Murray sputum colour chart was used at baseline and at follow-up visits. Key outcomes were frequency of exacerbations, hospitalisations for severe exacerbations and mortality during up to 5-year follow-up.

results13 484 patients were included in the analysis. More purulent sputum was associated with lower forced expiratory volume in 1 s (FEV

conclusionSputum colour is a simple marker of disease severity and future risk of exacerbations, severe exacerbations and mortality in patients with bronchiectasis.

Indexed as

BronchiectasisSputumAdultColorHumansProspective StudiesQuality of LifeRegistries

Identifiers

PMID38609095
PMCPMC11024393
OpenAlexW4394766120

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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.