Evidence map›Paper›PMID 39382508›Full record

ArticleThe Indian journal of medical research2024

Covert airflow obstruction dominates the overt ones in interstitial lung disease: An appraisal.

Parthasarathi Bhattacharyya, Sayanti Karmakar, Sayoni Sengupta, Mintu Paul, Avishek Kar, Debkanya Dey, Shuvam Ghosh, Srijita Sen

Abstract read
In one paragraph

Article in The Indian journal of medical research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

8 authors.

Parthasarathi BhattacharyyaDepartment of Pulmonary Medicine, Institute of Pulmocare & Research (IPCR), Kolkata, India.
Sayanti KarmakarDepartment of Pleuro-Parenchymal Diseases, Institute of Pulmocare & Research (IPCR), Kolkata, India.
Sayoni SenguptaDepartment of Pulmonary Circulation, Institute of Pulmocare & Research (IPCR), Kolkata, India.
Mintu PaulDepartment of Pulmonary Medicine, Institute of Pulmocare & Research (IPCR), Kolkata, India.
Avishek KarDepartment of Pulmonary Medicine, Institute of Pulmocare & Research (IPCR), Kolkata, India.
Debkanya DeyDepartment of Airway Diseases, Institute of Pulmocare & Research (IPCR), Kolkata, India.
Shuvam GhoshDepartment of Airway Diseases, Institute of Pulmocare & Research (IPCR), Kolkata, India.
Srijita SenDepartment of Airway Diseases, Institute of Pulmocare & Research (IPCR), Kolkata, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background & objectives The co-presence of non-emphysematous airflow obstruction in interstitial Lung disease (ILD) is not elaborated. The present study aims the job with spirometry. Methods ILD affected individuals with or without airflow obstruction (FEV1/FVC<0.7 or >0.7) on spirometry were compared in terms of FEV1 and FEF25-75 derived variables [FEF25-75 (%-predicted), FEV1-FEF25-75 distance, reversibility of FEV1 and FEF25-75 to salbutamol and change in FEV1 and FEF25-75 in %-predicted values]. Those showing significant difference (P=0.0001) suggesting obstruction were selected to draw respective receiver operating curve (ROC) curves to identify the best cut-off value for individual parameters. The efficacy of each surrogate was tested to identify airflow obstruction in both the initial 'overlap' as well as the 'unmixed' ILD affected individual for the presence of airflow obstruction. Results FEV1/FVC identified 30 overlap from 235 ILDs. The FEF25-75 (%-predicted), FEV1-FEF25-75 distance, FEF25-75 reversibility (in ml) and FEV1 (%-predicted) were significantly (P<0.0001) different between the two groups. Of these, the FEF25-75 (%-predicted) had high specificity and sensitivity (93.33 and 79.47%) to identify airflow limitation in the initial unmixed ILD-group. The surrogates with their cut off values identified 92 extra individuals making it 122/235 (51.91%) of ILD having airflow obstruction. The 'unmixed' group showed higher frequency and degree of FEV1 reversibility. Interpretation & conclusions The findings of this study suggest that the airflow obstruction in ILD involves both the intrathoracic large and small airways. Although seemingly parallel, their relative status (qualitative and quantitative) needs research especially in light of the a etio pathology and the extent of involvement of ILD.

Indexed as

Lung Diseases, InterstitialSpirometryAdultAgedAirway ObstructionFemaleForced Expiratory VolumeHumansMaleMiddle AgedPulmonary Disease, Chronic ObstructiveROC CurveAirflow obstructionFEF25-75FEV1-FEF25-75 distanceinterstitial lung diseaseobstructive airway diseasesmall airway disease

Identifiers

PMID39382508
PMCPMC11463853

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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.