Evidence map›Paper›PMID 39532288›Full record

Observational studyChronic respiratory disease

Antifibrotic drug treatment of patients with idiopathic pulmonary fibrosis in Sweden: A registry-based observational study.

Lisa Carlson, Dimitrios Kalafatis, Ida Pesonen, Jesper M Magnusson, Magnus Skold

Abstract readObservational Study
In one paragraph

Observational study in Chronic respiratory disease. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

5 authors.

Lisa CarlsonRespiratory Medicine Unit, Department of Medicine Solna, Karolinska Institutet, Stockholm, Sweden.ORCID 0000-0003-0328-2464
Dimitrios KalafatisRespiratory Medicine Unit, Department of Medicine Solna, Karolinska Institutet, Stockholm, Sweden.
Ida PesonenRespiratory Medicine Unit, Department of Medicine Solna, Karolinska Institutet, Stockholm, Sweden.
Jesper M MagnussonDepartment of Respiratory Medicine, Institute of Medicine Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Magnus SkoldRespiratory Medicine Unit, Department of Medicine Solna, Karolinska Institutet, Stockholm, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesIdiopathic pulmonary fibrosis (IPF) is characterized by progressive fibrosis of the lung parenchyma, resulting in respiratory failure. This study analysed differences in patient characteristics and antifibrotic treatment strategies during the first years after IPF diagnosis.

methodsData from patients with IPF was extracted from the Swedish IPF registry. Patients were defined as treated (either as fully- or reduced treated) or non-treated with antifibrotic drugs. Differences in clinical parameters and side effects were defined.

resultsAmong 532 patients, 371 received treatment with antifibrotic drugs. Treated patients were younger, had worse lung function, higher body mass index (BMI), higher Gender-Age-Physiology stage, and were more often on oxygen treatment. Non-treated patients displayed a stable BMI, whereas patients treated with antifibrotics declined in BMI during follow-up. More than half (56%) of treated patients had reduced antifibrotic treatment. Sixty per cent reported side effects, with diarrhoea, nausea, and skin rash as the most common.

conclusionsPatients prescribed antifibrotic treatment had more advanced disease compared to patients not prescribed antifibrotics. A considerable proportion of the patients had reduced treatment, probably due to more side effects in this group. This indicates that individuals starting treatment at IPF diagnosis are considered to be in greater need of antifibrotic drug treatment by the prescriber, compared to individuals with less severe disease.

Indexed as

Antifibrotic AgentsBody Mass IndexIdiopathic Pulmonary FibrosisRegistriesAgedAged, 80 and overAge FactorsDisease ProgressionFemaleHumansIndolesMaleMiddle AgedNauseaOxygen Inhalation TherapyPyridonesAntifibrotic AgentsIndolesnintedanibpirfenidonePyridonesbody mass indexdrug therapyIdiopathic pulmonary fibrosisregistriesside effects

Identifiers

PMID39532288
PMCPMC11558727

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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.