Evidence map›Paper›PMID 41046288›Full record

ArticleLung2025

The Healthcare Resource Utilization of Patients with Refractory Chronic Cough Compared to Those with Non-Refractory Chronic Cough.

Laurent Guilleminault, Clairelyne Dupin, Laurent Portel, Maeva Zysman, Thomas Flament, Pauline Roux, Nadège Costa, Michael Mounié

Registry-linked trialAbstract readMulticenter StudyComparative Study
PubMed Publisher
In one paragraph

Article in Lung, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04882943 (COllaboration REsearch on Chronic Cough), which is not on this 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.

NCT04882943 terminatednot on this map

COllaboration REsearch on Chronic Cough (COREC): a French Multicenter Database

TypeobservationalSponsorUniversity Hospital, ToulouseRan2021 to 2026Enrolled178ConditionsRefractory Chronic CoughArmsquestionnaires
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Observational
  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

8 authors.

Laurent GuilleminaultPôle Des Voies Respiratoires, Service de Pneumo-Allergologie, Centre Hospitalier Universitaire de Toulouse (CHU), 24 Chemin de Pouvourville, 31059, Toulouse, France. guilleminault.l@chu-toulouse.fr.
Clairelyne DupinService de Pneumologie A, Centre de Référence Des Maladies Pulmonaires Rares, Hôpital Bichat, AP-HP, Paris, France.
Laurent PortelCollège de Pneumologues Des Hôpitaux Généraux, Centre Hospitalier Robert Boulin BP 199, 33500, Libourne, France.
Maeva ZysmanService Des Maladies Respiratoires, Centre Hospitalier Universitaire de Bordeaux, Hôpital Haut Lévèque, Avenue du Haut Lévêque, 33604, Pessac, France.
Thomas FlamentService de Pneumologie Et Explorations Fonctionnelles Respiratoires, Centre de Référence Des Maladies Pulmonaires Rares, CHRU de Tours, Tours, France.
Pauline RouxCentre Hospitalier Universitaire de Besançon, 3 Boulevard Alexander Fleming, 25030, Besançon, France.
Nadège CostaResearch and Health Economic Evaluation Unit (EREES), Centre Hospitalier Universitaire de Toulouse, Toulouse, France.
Michael MouniéResearch and Health Economic Evaluation Unit (EREES), Centre Hospitalier Universitaire de Toulouse, Toulouse, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRefractory chronic cough (RCC) significantly impairs patient quality of life and poses a major challenge in clinical management. However, little is known about the healthcare resource utilization (HRU) of patients with RCC.

objectiveThe goal of our study is to describe the HRU and associated costs of RCC patients and those with non-refractory chronic cough (non-RCC).

methodsPatients with chronic cough were prospectively recruited from 6 centers in France. At 6 months, the patients were classified as having RCC or no RCC. A retrospective analysis was made using the French National Health Insurance Database (SNDS) in order to determine healthcare utilization for the one-year period preceding inclusion at the site and for the one-year period thereafter.

resultsSixty-eight patients were included. Among them, 32 (47%) patients had RCC. There was no difference between groups regarding clinical data apart from cough duration (56.8 ± 59.5 months in the no RCC group vs. 139.3 ± 123.8 months in the RCC group, p = 0.002). Within 1 year prior to inclusion, there was no difference in terms of drug dispensations between the 2 groups. During the 1-year post-inclusion period, a significantly higher proportion of patients with RCC received at least one dispensation of opioids and amitriptyline compared to those with no RCC (8 (25%) vs. 2 (6%) for opioids, p = 0.038 and 14 (44%) vs. 3 (8%) for amitriptyline, p = 0.0015, respectively). Within 1 year after inclusion, more patients with RCC had attended speech pathologist visits in comparison to patients with no RCC (14 (44%) patients vs. 10 (28%) patients, p = 0.21, respectively). Total costs within 12 months prior to inclusion were 3,878€ [2,498 - 5,755€] for patients with no RCC and 5,159€ [3,426 - 7,138€] with RCC, but the difference was not significant. No change occurred in the 1-year period following inclusion.

conclusionRCC has a high healthcare utilization with substantial costs.

Indexed as

CoughHealth Care CostsHealth ResourcesPatient Acceptance of Health CareAdultAgedAnalgesics, OpioidChronic CoughChronic DiseaseDatabases, FactualFemaleFranceHumansMaleMiddle AgedProspective StudiesAnalgesics, OpioidCostCoughRefractory

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Registered trials

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.