Evidence map›Paper›PMID 39978333›Full record

ArticleThe clinical respiratory journal2025

Treatment Patterns of Patients With Pulmonary Hypertension: A Descriptive Study in Colombia.

Manuel Machado-Duque, Andrés Gaviria-Mendoza, Luis Fernando Valladales-Restrepo, Manuel Pacheco, Juan Sebastián Franco, María Del Rosario Forero, Rubiela Suarez, Oscar Peñuela, Jorge E Machado-Alba

Abstract read
In one paragraph

Article in The clinical respiratory journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. Article
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

9 authors.

Manuel Machado-DuqueGrupo de Investigación en Farmacoepidemiología y Farmacovigilancia, Universidad Tecnológica de Pereira y Audifarma S.A, Pereira, Colombia.ORCID https://orcid.org/0000-0001-8458-0986
Andrés Gaviria-MendozaGrupo de Investigación en Farmacoepidemiología y Farmacovigilancia, Universidad Tecnológica de Pereira y Audifarma S.A, Pereira, Colombia.ORCID https://orcid.org/0000-0003-2500-7658
Luis Fernando Valladales-RestrepoGrupo de Investigación en Farmacoepidemiología y Farmacovigilancia, Universidad Tecnológica de Pereira y Audifarma S.A, Pereira, Colombia.ORCID https://orcid.org/0000-0002-4245-0101
Manuel PachecoUniversidad Tecnológica de Pereira, Pereira, Colombia.ORCID https://orcid.org/0000-0001-6783-1608
Juan Sebastián FrancoMedical Affairs, Bayer S.A., Bogotá, Colombia.
María Del Rosario ForeroMedical Affairs, Bayer S.A., Bogotá, Colombia.
Rubiela SuarezMedical Affairs, Bayer S.A., Bogotá, Colombia.
Oscar PeñuelaMedical Affairs, Bayer S.A., Bogotá, Colombia.
Jorge E Machado-AlbaGrupo de Investigación en Farmacoepidemiología y Farmacovigilancia, Universidad Tecnológica de Pereira y Audifarma S.A, Pereira, Colombia.ORCID https://orcid.org/0000-0002-8455-0936

Funding

Bayer 22135
6 · The paper itself

Abstract

introductionPulmonary hypertension (PH) is a chronic disease characterized by a progressive rise in pulmonary artery blood pressure. The objective was to describe the treatment patterns among ambulatory patients with pulmonary arterial hypertension (PAH) and chronic thromboembolic pulmonary hypertension (CTEPH) in a real-world setting.

methodsThis is a longitudinal cohort follow-up study characterizing the treatment patterns of patients diagnosed with PAH or CTEPH, with secondary data from a population-based drug-dispensing database between 2022 and 2023, which includes sociodemographic, diagnosis, prescribing specialty, and treatment (drugs, persistence of use, and concomitant medications).

resultsIn total, 1045 patients with a diagnosis of PH were identified, with mean age of 62.9 ± 18.2 years, and 72.3% of females; of which 947 (90.6%) received monotherapy, and 98 (9.4%) received combination therapy at the beginning of follow-up. The most frequently used drugs for the treatment of PH were calcium channel blockers (58.1%), followed by phosphodiesterase 5 inhibitors (41.1%), endothelin receptor antagonist (32.5%), and guanylate cyclase stimulants (9.7%). The schemes used most frequently were monotherapy with amlodipine (31.0%), sildenafil (19.2%), or nifedipine (10.0%), but the main combination were sildenafil with nifedipine (2.5%). The mean of persistence of use was 161 ± 123 days during 1 year of follow-up.

conclusionsThis group of patients with PH from Colombia were treated predominantly with monotherapy of calcium channel blockers and phosphodiesterase 5 inhibitors. However, current clinical practice guidelines recommend the use of combined therapy. The average persistence of the use of drugs for treatment for less than 6 months may be associated with difficulties in follow-up, adherence, effectiveness, tolerability, and access.

Indexed as

Antihypertensive AgentsHypertension, PulmonaryPractice Patterns, Physicians'AdultAgedCalcium Channel BlockersColombiaDrug Therapy, CombinationEndothelin Receptor AntagonistsFemaleFollow-Up StudiesHumansLongitudinal StudiesMaleMiddle AgedPhosphodiesterase 5 InhibitorsAntihypertensive AgentsCalcium Channel BlockersEndothelin Receptor AntagonistsPhosphodiesterase 5 Inhibitorscalcium channel blockersendothelin receptor antagonistspharmacoepidemiologyphosphodiesterase 5 inhibitorspulmonary hypertension

Identifiers

PMID39978333
PMCPMC11842022

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.