Evidence map›Paper›PMID 39609797›Full record

ArticleBMC pulmonary medicine2024

Comparison between community-acquired pneumonia and post-obstructive pneumonia associated with endobronchial tumors.

Wenwen Yu, Yubo Shi, Qingsong Zheng, Jianwu Chen, Xie Zhang, Ali Chen, Zhiyang Yu, Weilong Zhou, Li Lin, Legui Zheng and 2 more

Abstract readComparative Study
In one paragraph

Article in BMC pulmonary medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–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

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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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

12 authors.

Wenwen YuDepartment of Respiratory and Critical Care Medicine, Affiliated Yueqing Hospital of Wenzhou Medical University, Wenzhou, 325600, Zhejiang, China.
Yubo ShiDepartment of Respiratory and Critical Care Medicine, Affiliated Yueqing Hospital of Wenzhou Medical University, Wenzhou, 325600, Zhejiang, China.
Qingsong ZhengDepartment of Oncology, Wenzhou Central Hospital of Wenzhou Medical University, Wenzhou, 325000, Zhejiang, China.
Jianwu ChenDepartment of Pathology, Affiliated Yueqing Hospital of Wenzhou Medical University, Wenzhou, 325600, Zhejiang, China.
Xie ZhangDepartment of Respiratory and Critical Care Medicine, Affiliated Yueqing Hospital of Wenzhou Medical University, Wenzhou, 325600, Zhejiang, China.
Ali ChenDepartment of Respiratory and Critical Care Medicine, Affiliated Yueqing Hospital of Wenzhou Medical University, Wenzhou, 325600, Zhejiang, China.
Zhiyang YuDepartment of Respiratory and Critical Care Medicine, Affiliated Yueqing Hospital of Wenzhou Medical University, Wenzhou, 325600, Zhejiang, China.
Weilong ZhouDepartment of Respiratory and Critical Care Medicine, Affiliated Yueqing Hospital of Wenzhou Medical University, Wenzhou, 325600, Zhejiang, China.
Li LinDepartment of Respiratory and Critical Care Medicine, Affiliated Yueqing Hospital of Wenzhou Medical University, Wenzhou, 325600, Zhejiang, China.
Legui ZhengDepartment of Respiratory and Critical Care Medicine, Affiliated Yueqing Hospital of Wenzhou Medical University, Wenzhou, 325600, Zhejiang, China.
Hua YeDepartment of Respiratory and Critical Care Medicine, Affiliated Yueqing Hospital of Wenzhou Medical University, Wenzhou, 325600, Zhejiang, China.
Yunlei LiDepartment of Respiratory and Critical Care Medicine, Affiliated Yueqing Hospital of Wenzhou Medical University, Wenzhou, 325600, Zhejiang, China. tgyule151@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEndobronchial tumors can infiltrate the bronchial wall or protrude into the bronchial lumen, causing post-obstructive pneumonia (POP). Differentiating between POP and community-acquired pneumonia (CAP) is challenging due to similar clinical, laboratory, and imaging findings, which can delay the diagnosis and treatment of endobronchial tumors.

methodsWe compared general demographic information, laboratory test results, lung CT images, bronchoscopic observations, pathological findings between the POP group and the CAP group.

results(1) The POP group consisted mainly of older individuals (mean age 69 vs. 56 years; P < 0.05), males (93.4% vs. 47.1%; P < 0.05), and smokers (67.2% vs. 14.7%; P < 0.05). Clinical symptoms varied, with chest pain (23.0% vs. 11.8%; P < 0.05) and hemoptysis (26.2% vs. 10.8%; P < 0.05) more prevalent in the POP group. MSCT showed that bronchial wall thickening, bronchial stenosis, occlusion, obstructive emphysema, mucoid impaction, and endobronchial shadows occurred more frequently in POP, while consolidation and exudation shadows were predominant in CAP (P < 0.05). (2) In the POP group, neoplasms were the most frequent bronchoscopic findings (57 cases, 93.44%), especially in the upper lungs. Squamous cell carcinoma was the primary pathological type (52 cases, 85.25%). The average delay in diagnosing endobronchial tumors was 214.8 days. In the POP group, 34 cases (55.74%) had abnormal CT images in the past and did not undergo bronchoscopy, resulting in delayed diagnosis. (3) Factors such as gender, age, bronchial occlusion, stenosis, mucus embolism, and intraluminal shadow were determined to be independent risk factors for endobronchial tumors (P < 0.05 and OR > 1).

conclusionsEndobronchial tumors combined with POP are easily misdiagnosed as CAP in the early stage. Factors like bronchial occlusion, stenosis, mucus embolism, and intraluminal shadows on MSCT are significant independent risk factors for these tumors, indicating the need for early bronchoscopy.

Indexed as

Bronchial NeoplasmsBronchoscopyCommunity-Acquired InfectionsPneumoniaTomography, X-Ray ComputedAdultAgedDiagnosis, DifferentialFemaleHumansMaleMiddle AgedRetrospective StudiesCommunity acquired pneumoniaEndobronchial tumorPost-obstructive pneumonia

Identifiers

PMID39609797
PMCPMC11606229

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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.