Evidence map›Paper›PMID 39680953›Full record

ReviewAmerican journal of respiratory and critical care medicine2025

Is Disease Stability an Attainable Chronic Obstructive Pulmonary Disease Treatment Goal?

Dave Singh, MeiLan K Han, Surya P Bhatt, Marc Miravitlles, Chris Compton, Stefanie Kolterer, Tharishini Mohan, Suneal K Sreedharan, Lee Tombs, David M G Halpin

Abstract readReview
In one paragraph

Review in American journal of respiratory and critical care medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.

0numbers the graph read from it
0cells of the map it votes in
32citing 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

32 citing papers in PubMed.

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  16. Real-Life Effectiveness of Aclidinium/Formoterol on COPD Control: The REDACT Observational Study.International journal of chronic obstructive pulmonary disease · 2026
    Observational
  17. Article
  18. Review
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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

10 authors.

Dave SinghCentre for Respiratory Medicine and Allergy, Institute of Inflammation and Repair, Manchester Academic Health Science Centre, University of Manchester, Manchester University NHS Foundation Trust, Manchester, United Kingdom.ORCID 0000-0001-8918-7075
MeiLan K HanUniversity of Michigan, Ann Arbor, Michigan.ORCID 0000-0002-9095-4419
Surya P BhattDivision of Pulmonary, Allergy, and Critical Care Medicine, University of Alabama at Birmingham, Birmingham, Alabama.ORCID 0000-0002-8418-4497
Marc MiravitllesPneumology Department, Hospital Universitari Vall d'Hebron, Vall d'Hebron Institut de Recerca (VHIR), Vall d'Hebron Barcelona Hospital Campus, CIBER de Enfermedades Respiratorias (CIBERS), Barcelona, Spain.ORCID 0000-0002-9850-9520
Chris ComptonGlobal Medical Affairs, General Medicines, and.
Stefanie KoltererSpecialty Medicines, GSK, London, United Kingdom.
Tharishini MohanGlobal Medical Affairs, General Medicines, and.ORCID 0009-0002-6798-4078
Suneal K SreedharanGlobal Medical Affairs, General Medicines, and.ORCID 0009-0004-0045-5838
Lee TombsPrecise Approach Ltd., London, United Kingdom; and.
David M G HalpinUniversity of Exeter Medical School, University of Exeter, Exeter, United Kingdom.ORCID 0000-0003-2009-4406

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Chronic obstructive pulmonary disease (COPD) is a heterogeneous lung condition characterized by progressive airflow obstruction. Despite advancements in diagnosis and treatment, the disease burden remains high; although clinical trials have shown improvements in outcomes such as exacerbations, quality of life, and lung function, improvement may not be attainable for many patients. For patients who do experience improvement, it is challenging to set management goals given the progressive nature of COPD. We therefore propose disease stability as an appropriate and attainable treatment goal. Other disease areas have developed definitions of no disease activity or remission, which provide relevant information for defining and achieving stability for patients with COPD. Disease stability builds on related concepts already defined in COPD, such as clinical control and clinically important deterioration. Current components that could form part of a disease stability definition include exacerbations, health status (including quality of life and symptoms), and lung function. Considerations should be given to intervals over which stability is defined and assessed, appropriate thresholds, and defining a composite. Ensuring a holistic approach, objective measurements, and harmonious, clear communication between patients and physicians can further support establishing disease stability. Here we propose a preliminary definition of disease stability, informed by existing research in COPD. Further research will be needed to validate the framework for use in clinical and research settings. Exploring disease stability as a goal, however, is an opportunity to develop and validate an attainable treatment target to advance the standard of care for patients with COPD.

Indexed as

Disease ManagementPulmonary Disease, Chronic ObstructiveDisease ProgressionHealth StatusHumansQuality of LifeCOPDdisease managementtreatment outcome

Identifiers

PMID39680953
PMCPMC11936119

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.