Evidence map›Paper›PMID 40851937›Full record

ReviewAnnals of medicine and surgery (2012)2025

Endobronchial Zephyr valves for bronchoscopic lung volume reduction for severe emphysema: a systematic review and meta-analysis.

Yub Raj Sehdai, Hassnain Awan, Poulomi Roy, Faisal Chowdhury, Abdelmonem Siddiq, Sajina Shrestha, Harendra Singh, Sanskriti Chapagain, Sneha Khanal, Suman Kadariya and 9 more

Abstract readReview
In one paragraph

Review in Annals of medicine and surgery (2012), 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. Article
  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

19 authors.

Yub Raj SehdaiDepartment of Medicine, University of Kentucky, College of Medicine, Bowling Green, Kentucky, USA.
Hassnain AwanDepartment of Medicine, M Abdur Rahim Medical College, Dinajpur, Bangladesh.
Poulomi RoyDepartment of Medicine, North Bengal Medical College and Hospital, Siliguri, India.
Faisal ChowdhuryDepartment of Psychiatry, Chittagong Medical College and Hospital, Chattogram, Bangladesh.ORCID https://orcid.org/0000-0002-6961-0822
Abdelmonem SiddiqDepartment of Medicine, Mansoura University, Mansoura, 35516, Egypt.
Sajina ShresthaDepartment of Medicine, KIST Medical College and Teaching Hospital, Imadol, Lalitpur, Nepal.
Harendra SinghDepartment of Medicine, Bronx Health Care, Bronx, NY, USA.
Sanskriti ChapagainDepartment of Medicine, Devdaha Medical College and Research Institute, Bhaluhi, Rupandehi.
Sneha KhanalDepartment of Medicine, Bronx Health Care, Bronx, NY, USA.
Suman KadariyaDepartment of Medicine, KIST Medical College and Teaching Hospital, Imadol, Lalitpur, Nepal.
Sushil RayamajhiDepartment of Medicine, UCF/HCA Florida West Hospital, Pensacola, Florida, USA.
Aimi ShreshthaDepartment of Medicine, Emilio Aguinaldo College, School of Medicine, Manila, Philippines.
Aayush ShresthaDepartment of Medicine, B.P. Koirala Institute of Health Science, Dharan, Nepal.
Muhammad Altaf AhmedDepartment of Medicine, University of Kentucky, College of Medicine, Bowling Green, Kentucky, USA.
Nisarfathima KazimuddinDepartment of Medicine, University of Kentucky, College of Medicine, Bowling Green, Kentucky, USA.
Tahir Muhammad Abdullah KhanDepartment of Medicine, University of Kentucky, College of Medicine, Bowling Green, Kentucky, USA.
Karan SinghDepartment of Medicine, University of Kentucky, College of Medicine, Bowling Green, Kentucky, USA.
Irfan WaheedDepartment of Medicine, University of Kentucky, College of Medicine, Bowling Green, Kentucky, USA.
Rodney T SteffDepartment of Medicine, University of Kentucky, College of Medicine, Bowling Green, Kentucky, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Chronic obstructive pulmonary disease (COPD) causes permanent lung damage and is a global health issue. Bronchoscopic Lung Volume Reduction (BLVR) with Zephyr valves has increased COPD treatment choices for individuals with persistent symptoms despite maximal drug therapy. Objectives: This systematic review and meta-analysis evaluated available Zephyr valve data in severe emphysema patients. Data and methods: We searched Cochrane, PubMed, Google Scholar, Lilacs, and Science Direct extensively and included eight randomized control trials (RCTs). Results: This meta-analysis comprises 1083 patients 669 Zephyr valve-treated and 414 control. The mean difference in 6-minute walking distance was 37.53 meters (95% CI: 22.14-52.90, Conclusion: Zephyr valves may improve lung function, exercise capacity, and quality of life in patients suffering from severe emphysema. However, the increased risk of pneumothorax requires careful patient selection and rigorous post-intervention monitoring.

Identifiers

PMID40851937
PMCPMC12369822

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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.