Evidence map›Paper›PMID 41151942›Full record

ArticleBMJ open2025

Gender differences in clinical features, comorbidities and prognostic outcomes in idiopathic pulmonary fibrosis-a retrospective cohort analysis from the British Thoracic Society Interstitial Lung Disease Registry.

Leng Cheng Sia, Gina Amanda, Karol Bączek, Andrew Achaiah, Lucile Sesé, Nazia Chaudhuri, British Thoracic Society Interstitial Lung Disease Registry Steering Group

Abstract read
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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 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

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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

7 authors.

Leng Cheng SiaRespiratory Medicine, University Malaya Medical Centre, Federal Territory of Kuala Lumpur, Malaysia.ORCID http://orcid.org/0000-0001-6927-2571
Gina AmandaDepartment of Medicine, Jakarta Islamic Hospital Cempaka Putih, Jakarta, Indonesia.
Karol BączekDepartment of Pneumology, Medical University of Lodz, Łódź, Poland.
Andrew AchaiahGloucestershire Hospitals NHS Foundation Trust, Cheltenham, UK.
Lucile SeséHôpital Avicenne, Bobigny, France.
Nazia ChaudhuriDepartment of Life and Health Sciences, Ulster University, Coleraine, UK nazia.chaudhuri@nhs.net.
British Thoracic Society Interstitial Lung Disease Registry Steering Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIdiopathic pulmonary fibrosis (IPF), an unknown aetiology type of interstitial lung disease (ILD), carries the poorest prognosis and is more common in males and the elderly. Gender differences in baseline presentation, lung function and comorbidities may have an impact on prognostic outcomes.

objectiveThe aim of this study was to explore gender differences in clinical features, comorbidities and outcomes in IPF in a UK cohort.

methodThis was a retrospective cohort study analysing data from the British Thoracic Society UK IPF ILD Registry from January 2013 to February 2024. We compared baseline characteristics between males and females, and a survival analysis in both genders was performed using the Cox proportional hazards model.

resultsWe identified 6666 IPF patients with a mean age at diagnosis of 74.1±8.1. Our cohort was predominantly male (5197, 78%), with a higher proportion of current and ex-smokers compared with females (69.9% vs 59.9%, p<0.001) and higher rates of comorbidities such as ischaemic heart disease (IHD) and diabetes (19.7% vs 14.6% and 19.9% vs 11.2%, respectively, p<0.001). Baseline forced vital capacity (FVC) % predicted was 77.76±17.4 in males and 81.83±19.7 in females (p=0.001), while diffusing capacity for carbon monoxide (DLCO) was similar between the two groups. In multivariate analysis, after adjusting for age, IHD and lower baseline FVC, DLCO was a poor survival predictor in males. Hiatus hernia is a protective factor. Conversely, disease duration of <12 months, gastro-oesophageal reflux disease, not requiring oxygen at baseline and higher baseline DLCO predicted better survival in females.

conclusionGender differences in baseline characteristics and prognostic factors were observed in IPF. A gender-based approach in managing IPF is warranted, and further studies are needed to clarify these differences and their impact on IPF management.

Indexed as

Idiopathic Pulmonary FibrosisAgedAged, 80 and overComorbidityFemaleHumansMaleMiddle AgedPrognosisProportional Hazards ModelsRegistriesRetrospective StudiesSex FactorsUnited KingdomVital CapacityFibrosisInterstitial lung diseaseREGISTRIES

Identifiers

PMID41151942
PMCPMC12570927

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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.