Evidence map›Paper›PMID 41069893›Full record

ArticleCureus2025

Nutritional Status as a Risk Factor for the Early Discontinuation of Inhaled Liposomal Amikacin in Mycobacterium avium Complex Pulmonary Disease.

Hideaki Yamakawa, Chisa Uzuka, Daisuke Nakatani, Moe Nomaki, Tomohiro Oba, Rie Kawabe, Shintaro Sato, Keiichi Akasaka, Masako Amano, Jun Araya and 1 more

Abstract read
In one paragraph

Article in Cureus, 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

11 authors.

Hideaki YamakawaDepartment of Respiratory Medicine, Saitama Red Cross Hospital, Saitama, JPN.
Chisa UzukaDepartment of Respiratory Medicine, Saitama Red Cross Hospital, Saitama, JPN.
Daisuke NakataniDepartment of Respiratory Medicine, Saitama Red Cross Hospital, Saitama, JPN.
Moe NomakiDepartment of Respiratory Medicine, Saitama Red Cross Hospital, Saitama, JPN.
Tomohiro ObaDepartment of Respiratory Medicine, Saitama Red Cross Hospital, Saitama, JPN.
Rie KawabeDepartment of Respiratory Medicine, Saitama Red Cross Hospital, Saitama, JPN.
Shintaro SatoDepartment of Respiratory Medicine, Saitama Red Cross Hospital, Saitama, JPN.
Keiichi AkasakaDepartment of Respiratory Medicine, Saitama Red Cross Hospital, Saitama, JPN.
Masako AmanoDepartment of Respiratory Medicine, Saitama Red Cross Hospital, Saitama, JPN.
Jun ArayaDivision of Respiratory Diseases, Department of Internal Medicine, Jikei University School of Medicine, Tokyo, JPN.
Hidekazu MatsushimaDepartment of Respiratory Medicine, Saitama Red Cross Hospital, Saitama, JPN.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPulmonary nontuberculous mycobacterial (NTM) disease, especially

methodsWe retrospectively analyzed patients with MAC-PD who received ALIS at Saitama Red Cross Hospital (November 2021-December 2024). Patients were categorized into early discontinuation (<6 months) and continuation (≥6 months) groups. Baseline data included age, sex, body mass index (BMI), albumin, comorbidities, pulmonary function, radiographic patterns, and co-infection status. Statistical tests included Welch's t-test, the Mann-Whitney U test, and Fisher's exact test.

resultsAmong 25 patients, 24% discontinued ALIS within six months. The early discontinuation group had significantly lower BMI (14.9±1.8 kg/m² vs. 19.0±3.3; p=0.002) and albumin (3.53±0.54 g/dL vs. 4.04±0.39; p=0.001). Fibrocavitary (FC) patterns were more frequent (50% vs. 11%;

conclusionsLow BMI, hypoalbuminemia, and FC radiographic patterns were significant risk factors for early ALIS discontinuation. These findings emphasize that maintaining adequate nutritional status is a prerequisite for successful multidrug antimicrobial therapy for pulmonary NTM disease. Clinicians should carefully evaluate these factors before starting ALIS and ensure close monitoring and nutritional support to improve adherence and outcomes.

Indexed as

amikacin liposome inhalation suspensionmycobacterium avium complex pulmonary diseasenutritiontherapytolerability

Identifiers

PMID41069893
PMCPMC12507385

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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.