Evidence map›Paper›PMID 40510054›Full record

ArticleInternational journal of chronic obstructive pulmonary disease2025

Burden of Exacerbations in Patients Newly Initiating an Inhaled Regimen for COPD: A Claims Analysis.

Sanjay Sethi, Emily S Wan, Vickram Tejwani, Claudia Lamprey, Kavita Aggarwal, Amy Dixon, Yi Pan, Trishul Siddharthan

Abstract read
In one paragraph

Article in International journal of chronic obstructive pulmonary disease, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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

8 authors.

Sanjay SethiDepartment of Medicine, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, NY, USA.ORCID 0000-0003-0809-7604
Emily S WanChanning Division of Network Medicine, Brigham and Young Women's Hospital, Boston, MA, USA.ORCID 0000-0002-4126-2467
Vickram TejwaniDepartment of Pulmonary Medicine, Integrated Hospital Care Institute, Cleveland Clinic, Cleveland, OH, USA.ORCID 0000-0003-2100-6148
Claudia LampreyVerona Pharma plc, Raleigh, NC, USA.
Kavita AggarwalVerona Pharma plc, Raleigh, NC, USA.
Amy DixonVerona Pharma plc, Raleigh, NC, USA.
Yi PanStratevi, Boston, MA, USA.
Trishul SiddharthanDivision of Pulmonary, Critical Care, and Sleep Medicine, University of Miami Miller School of Medicine, Miami, FL, USA.ORCID 0000-0001-9914-1839

Funding

Grifols and FisherNIH/NHLBIPaykel HealthcareUS Department of Veterans Affairs
6 · The paper itself

Abstract

Background: Chronic obstructive pulmonary disease (COPD) is a progressive disease that has a great impact on healthcare resource utilization (HRU). Large-scale real-world evidence studies evaluating the clinical and economic impact of current maintenance inhaler therapies are scarce. Objective: To assess annual exacerbation rate and COPD-related HRU in patients with COPD before and after initiation of an inhaled treatment regimen. Methods: The Optum Clinformatics Results: Of the 137,691 included patients, 51.5% were female and 74.6% were White, with a mean (standard deviation [SD]) age of 70.9 (9.49) years and a mean (SD) Elixhauser Comorbidity Index of 5.67 (3.29). Most (48.3%) patients were initiated on long-acting beta-agonists/inhaled corticosteroids (LABA/ICS). The proportions of patients with exacerbations significantly decreased overall (pre-index, 45.5%; post-index, 37.0%; Conclusion: Despite use of inhaled treatments for COPD, patients continue to experience exacerbations and HRU. Better implementation of guideline-based COPD care and novel therapies for persistent exacerbation burden are needed to improve care of the COPD population in real-world settings.

Indexed as

Adrenal Cortex HormonesAdrenergic beta-2 Receptor AgonistsBronchodilator AgentsLungPulmonary Disease, Chronic ObstructiveAdministration, InhalationAdministrative Claims, HealthcareAgedDatabases, FactualDisease ProgressionFemaleHospitalizationHumansInsurance Claim ReviewMaleMiddle AgedAdrenal Cortex HormonesAdrenergic beta-2 Receptor AgonistsBronchodilator Agentschronic obstructive pulmonary diseaseexacerbationshealthcare resource utilizationoutcomes researchreal-world data

Identifiers

PMID40510054
PMCPMC12159538

What OpenQuestion holds

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LicenceCC BY-NC
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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.