Evidence map›Paper›PMID 40696522›Full record

ArticleJournal of Korean medical science2025

Effects of Triple Therapy on the Clinical Course of Non-Eosinophilic COPD Groups B.

Jin Hwa Song, Shinhee Park, Jong Geol Jang, Youlim Kim, Seung Won Ra, Chang Youl Lee, Deog Kyeom Kim, Hyoung Kyu Yoon, Kwang Ha Yoo, Hee Joung Kim

Abstract read
In one paragraph

Article in Journal of Korean medical science, 2025. 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
  2. Review
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.

Jin Hwa SongDivision of Pulmonary, Allergy, and Critical Care Medicine, Department of Internal Medicine, Veteran Health Service Medical Center, Seoul, Korea.ORCID https://orcid.org/0000-0002-8161-3970
Shinhee ParkDivision of Allergy and Pulmonary Medicine, Department of Internal Medicine, Soonchunhyang University Bucheon Hospital, Bucheon, Korea.ORCID https://orcid.org/0000-0002-5783-6795
Jong Geol JangDivision of Pulmonology and Allergy, Department of Internal Medicine, Yeungnam University Medical Center, Yeungnam University College of Medicine, Daegu, Korea.ORCID https://orcid.org/0000-0001-8040-5363
Youlim KimDivision of Pulmonary and Allergy, Department of Internal Medicine, Konkuk University Medical Center, Konkuk University School of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0002-1051-0667
Seung Won RaDepartment of Internal Medicine, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea.ORCID https://orcid.org/0000-0002-2458-8414
Chang Youl LeeDivision of Pulmonary, Allergy and Critical Care Medicine, Department of Internal Medicine, Chuncheon Sacred Heart Hospital, Chuncheon, Korea.ORCID https://orcid.org/0000-0002-4088-4993
Deog Kyeom KimDivision of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Seoul National University College of Medicine, Seoul Metropolitan Government-Seoul National University Boramae Medical Center, Seoul, Korea.ORCID https://orcid.org/0000-0001-9379-8098
Hyoung Kyu YoonDivision of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Yeouido St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.ORCID https://orcid.org/0000-0003-4783-2077
Kwang Ha YooDivision of Pulmonary and Allergy, Department of Internal Medicine, Konkuk University Medical Center, Konkuk University School of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0001-9969-2657
Hee Joung KimDivision of Pulmonary and Allergy, Department of Internal Medicine, Konkuk University Medical Center, Konkuk University School of Medicine, Seoul, Korea. 20090116@kuh.ac.kr.ORCID https://orcid.org/0000-0002-2516-5085

Funding

Korea National Institute of Health 2016ER670100Korea National Institute of Health 2016ER670101Korea National Institute of Health 2016ER670102Korea National Institute of Health 2018ER67100Korea National Institute of Health 2018ER67101Korea National Institute of Health 2018ER67102Korea National Institute of Health 2021ER120500Korea National Institute of Health 2021ER120501Korea National Institute of Health 2021ER120502Korea National Institute of Health 2024ER120500
6 · The paper itself

Abstract

backgroundAlthough the efficacy of triple therapy in treating chronic obstructive pulmonary disease (COPD) patients with a history of exacerbation is well established in groups with frequent exacerbations, less research has been conducted on its use in group B. Here, we investigated the effects of triple therapy on COPD patients with low eosinophil counts in the context of the current management of group B.

methodsUsing data from the Korean COPD Subtype Study (KOCOSS), we selected patients with blood eosinophil count (BEC) less than 300 cells/μL as non-eosinophilic COPD groups. The study evaluated the effect of a triple therapy group (combination of inhaled corticosteroid, a long-acting β2-agonist [LABA] and a long-acting muscarinic antagonist [LAMA]) and a dual therapy group (LABA/LAMA) on moderate-to-severe exacerbations, as well as longitudinal changes in lung function over 3 years in patients categorized as Global Initiative for Chronic Obstructive Lung Disease (GOLD) B.

resultsOf the 328 non-eosinophilic COPD group B, 145 (44.2%) patients were in triple therapy and 183 (55.8%) patients were in dual therapy. Triple therapy group showed an increased risk of moderate-to-severe exacerbation in multivariate adjusted model (adjusted incidence rate ratio of annual rate, 2.04; 95% confidence interval, 1.45 to 2.84;

conclusionIn conclusion, our research suggests that triple therapy was associated with a higher risk of moderate-to-severe exacerbations in non-eosinophilic COPD categorized as GOLD B compared with dual therapy.

Indexed as

Adrenal Cortex HormonesAdrenergic beta-2 Receptor AgonistsMuscarinic AntagonistsPulmonary Disease, Chronic ObstructiveAdministration, InhalationAgedDisease ProgressionDrug Therapy, CombinationEosinophilsFemaleForced Expiratory VolumeHumansLeukocyte CountMaleMiddle AgedSeverity of Illness IndexAdrenal Cortex HormonesAdrenergic beta-2 Receptor AgonistsMuscarinic AntagonistsBronchodilator AgentsKOCOSS CohortPulmonary Disease, Chronic ObstructiveRegistries

Identifiers

PMID40696522
PMCPMC12284306

What OpenQuestion holds

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LicenceCC BY-NC
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.