Evidence map›Paper›PMID 40973369›Full record

ArticleBMJ open2025

Risk factors for dysphagia in elderly patients with COPD: a systematic review and meta-analysis protocol.

Tieyan Zhu, Miao Yang, Lingling Weng, Fengqin Cheng

Abstract read
In one paragraph

Article in BMJ open, 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. 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

4 authors.

Tieyan ZhuDepartment of Pulmonary and Critical Care Medicine, Mianyang 404 Hospital, Mianyang, Sichuan province, China.ORCID http://orcid.org/0009-0007-4511-0763
Miao YangDepartment of Pulmonary and Critical Care Medicine, Mianyang 404 Hospital, Mianyang, Sichuan province, China.ORCID http://orcid.org/0009-0005-6762-2976
Lingling WengDepartment of Pulmonary and Critical Care Medicine, Mianyang 404 Hospital, Mianyang, Sichuan province, China 1090915327@qq.com 572826839@qq.com.ORCID http://orcid.org/0009-0006-9822-6885
Fengqin ChengDepartment of Nursing, Mianyang 404 Hospital, Mianyang, Sichuan province, China 1090915327@qq.com 572826839@qq.com.ORCID http://orcid.org/0009-0000-7511-2101

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionGiven the global trend toward population ageing, chronic obstructive pulmonary disease (COPD) has emerged as an increasingly common health concern. As a chronic pulmonary disorder frequently encountered in clinical settings, COPD typically involves multiple organ-system impairments. Among these impairments, dysphagia is a significant complication in elderly patients with COPD. Dysphagia profoundly compromises the patients' quality of life and increases risks such as malnutrition and aspiration pneumonia, thereby exacerbating the overall disease burden. Although systematic reviews evaluating dysphagia prevalence in COPD populations, the quantitative synthesis of associated risk factors has been hindered by inadequate reporting in the original studies. At present, no systematic reviews or meta-analyses specifically address the risk factors associated with dysphagia among elderly patients with COPD. Therefore, this systematic review aims to identify and systematically analyse these risk factors, ultimately providing reliable evidence to facilitate early identification and improve clinical management strategies. METHODS AND ANALYSIS: The literature will be meticulously searched through a variety of electronic databases, including Web of Science, PubMed, Embase, Cochrane Library, China Biomedical Literature Service System (CBM), Chinese Scientific Journal Database (VIP), Wan Fang Database and China National Knowledge Infrastructure (CNKI). We will conduct a thorough investigation of the literature focusing on risk factors associated with dysphagia in elderly individuals diagnosed with COPD, spanning from the inception of each database up to October 2025. Two investigators will independently review the literature, evaluate the quality of studies and extract data based on clearly defined inclusion and exclusion criteria to maintain rigour and consistency. The analysis will employ Stata V.14.0 software for the purposes of data merging and assessment of potential biases. OR along with 95% CI will serve as integrated statistical metrics. Statistical heterogeneity will be assessed using the I ETHICS AND DISSEMINATION: Since this study involves an analysis of previously published literature without direct patient participation, obtaining ethical approval is not required. The outcomes of the current investigation will be disseminated through academic journals following a stringent peer-review process. PROSPERO REGISTRATION NUMBER: CRD420251006411.

Indexed as

Deglutition DisordersPulmonary Disease, Chronic ObstructiveAgedHumansMeta-Analysis as TopicQuality of LifeResearch DesignRisk FactorsSystematic Reviews as TopicAgedChronic airways diseaseMeta-AnalysisRisk FactorsSystematic Review

Identifiers

PMID40973369
PMCPMC12458662

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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.