Evidence map›Paper›PMID 40791927›Full record

ReviewInternational journal of chronic obstructive pulmonary disease2025

The Burden of COPD with Type 2 Inflammation in North-West Continental Europe.

Hanna Sandelowsky, Anders Løkke, Janwillem W H Kocks, Helle Stordrange Grøttum, Per S Bakke, Tuula Vasankari

Abstract readReview
In one paragraph

Review 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.

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. 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

6 authors.

Hanna Sandelowsky *Department of Neurobiology, Care Sciences and Society, Division of Family Medicine and Primary Care, Karolinska Institutet, Stockholm, Sweden.ORCID 0000-0002-1721-6540
Anders Løkke *Department of Medicine, Lillebælt Hospital, Vejle, Denmark.ORCID 0000-0002-6905-4141
Janwillem W H KocksGeneral Practitioners Research Institute, Groningen, the Netherlands.ORCID 0000-0002-2760-0693
Helle Stordrange GrøttumLHL (Formerly Known as the Norwegian Heart and Lung Association), Jessheim, Norway.
Per S BakkeDepartment of Clinical Science, University of Bergen, Bergen, Norway.
Tuula VasankariDepartment of Pulmonary Diseases and Clinical Allergology, University of Turku, Turku, Finland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Chronic obstructive pulmonary disease (COPD) is a complex and heterogeneous disease that places a huge burden on patients, health systems and societies. Yet despite this, COPD is often neglected: it is frequently underdiagnosed or misdiagnosed, and since tobacco exposure is a primary risk factor for its development, patients are often stigmatized and marginalized because they are perceived as having a "self-inflicted" disease. COPD is primarily understood to be a functional disorder with chronic airway obstruction, yet there are several underlying inflammatory pathways. For most patients with COPD, type 1 (neutrophilic) inflammation is the main such pathway; however, a considerable proportion has type 2 inflammation (associated with elevated eosinophil numbers). COPD with type 2 inflammation may represent a distinct COPD phenotype and a "treatable trait". In fact, the response to inhaled corticosteroids (ICS) is linked to blood eosinophil levels: treatment effects begin to increase in patients with blood eosinophil counts ≥100 cells/μL, and most treatment guidelines recommend considering ICS for patients with blood eosinophil counts ≥300 cells/μL. Data on the burden of COPD with type 2 inflammation are limited. COPD with type 2 inflammation may associate with poor outcomes, and higher blood eosinophil counts positively associate with an increased risk of moderate or severe exacerbations. Exacerbations are among the most dangerous aspects of COPD, accelerating disease progression and increasing morbidity and mortality. This review explores the burden of COPD - specifically eosinophilic COPD - across north-western Europe. It aims to provide information relevant to patients, clinicians and policymakers, educating them about type 2 inflammation and its contribution to the disease burden. It has been informed by multiple stakeholders, including patients, and offers practical and achievable recommendations for enhancing the care of all patients with COPD through a better understanding of COPD with type 2 inflammation.

Indexed as

InflammationLungPulmonary Disease, Chronic ObstructiveAdrenal Cortex HormonesCost of IllnessDisease ProgressionEosinophilsEuropeHumansPhenotypeRisk FactorsAdrenal Cortex Hormonescosteosinophilsexacerbationmorbiditymortality

Identifiers

PMID40791927
PMCPMC12338087

What OpenQuestion holds

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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.