Evidence map›Paper›PMID 40379264›Full record

ArticleBMJ open respiratory research2025

Optimal dose of maintenance steroid therapy for relapse of chronic eosinophilic pneumonia: a multicentre retrospective study.

Kenichiro Atsumi, Shunichi Nishima, Toru Tanaka, Koichiro Kamio, Namiko Taniuchi, Yoshinobu Saito, Masamitsu Shimizu, Tetsuya Okano, Masahiro Seike, Takashi Hirose

Abstract readMulticenter Study
In one paragraph

Article in BMJ open respiratory research, 2025. 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

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

1 citing paper in PubMed.

  1. 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

10 authors.

Kenichiro AtsumiDepartment of Pulmonary Medicine and Medical Oncology, Nippon Medical School Tama Nagayama Hospital, Tama-shi, Tokyo, Japan s7003@nms.ac.jp.ORCID http://orcid.org/0000-0003-1264-0227
Shunichi NishimaDepartment of Pulmonary Medicine and Medical Oncology, Nippon Medical School Tama Nagayama Hospital, Tama-shi, Tokyo, Japan.
Toru TanakaDepartment of Pulmonary Medicine and Oncology, Graduate School of Medicine, Nippon Medical School, Bunkyo-ku, Tokyo, Japan.
Koichiro KamioDepartment of Pulmonary Medicine and Oncology, Graduate School of Medicine, Nippon Medical School, Bunkyo-ku, Tokyo, Japan.
Namiko TaniuchiDepartment of Respiratory Medicine, Nippon Medical School Musashi Kosugi Hospital, Kawasaki-shi, Kanagawa, Japan.
Yoshinobu SaitoDepartment of Respiratory Medicine, Nippon Medical School Musashi Kosugi Hospital, Kawasaki-shi, Kanagawa, Japan.
Masamitsu ShimizuDepartment of Respiratory Medicine, Nippon Medical School Chiba Hokusoh Hospital, Inba-gun, Chiba, Japan.
Tetsuya OkanoDepartment of Respiratory Medicine, Nippon Medical School Chiba Hokusoh Hospital, Inba-gun, Chiba, Japan.
Masahiro SeikeDepartment of Pulmonary Medicine and Oncology, Graduate School of Medicine, Nippon Medical School, Bunkyo-ku, Tokyo, Japan.
Takashi HiroseDepartment of Pulmonary Medicine and Medical Oncology, Nippon Medical School Tama Nagayama Hospital, Tama-shi, Tokyo, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLong-term maintenance steroid therapy (MST) is often necessary for repeated relapses of chronic eosinophilic pneumonia (CEP). Because relapse does not indicate a worse prognosis, determining the optimal steroid dose to avoid overtreatment presents a clinical challenge. Our primary objective was to evaluate the optimal MST dose to prevent repeated relapses, and the secondary objectives included identifying serum eosinophil count at relapse and background factors of relapse.

methodsA multicentre retrospective study was conducted on patients with steroid-treated CEP. Background characteristics were compared between the non-relapse and relapse groups. The optimal MST dose was determined based on dose at relapse and the final relapse prevention dose. Additionally, serum eosinophil count at relapse was assessed.

resultsA total of 79 patients were included, with 44 in the non-relapse group and 35 in the relapse group. The prednisolone doses required to achieve relapse-free rates of 50% (ED

conclusionOur study demonstrated that a prednisolone dose of 7.2 mg achieved a 50% relapse-free rate in the relapse group. Based on these findings, we encourage clinicians to evaluate individual minimum effective steroid doses.

Indexed as

GlucocorticoidsPrednisolonePulmonary EosinophiliaAdultAgedChronic DiseaseDose-Response Relationship, DrugEosinophilsFemaleHumansLeukocyte CountMaleMiddle AgedRecurrenceRetrospective StudiesSecondary PreventionGlucocorticoidsPrednisoloneAllergic lung diseaseAsthmaEosinophil BiologyPulmonary eosinophilia

Identifiers

PMID40379264
PMCPMC12086887

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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.