Evidence map›Paper›PMID 41189584›Full record

ArticleERJ open research2025

Lung disease in never-smokers with severe α

Chiara Premuda, Cristina Aljama, Galo Granados, Ilaria Ferrarotti, Angelo Guido Corsico, Alice M Turner, María Torres-Duran, Hanan Tanash, Carlota Rodríguez-García, Jens-Ulrik Stæhr Jensen and 5 more

Abstract read
In one paragraph

Article in ERJ open research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–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 synthesis or guideline pooled it.

  1. Pooled it
  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

15 authors.

Chiara PremudaRespiratory Unit and Cystic Fibrosis Adult Centre, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
Cristina AljamaDepartment of Pneumology, Hospital Universitari Vall d'Hebron/Vall d'Hebron Institut de Recerca (VHIR), Vall d'Hebron Barcelona Hospital Campus, European Reference Network on Rare Respiratory Diseases (ERN LUNG), Barcelona, Spain.
Galo GranadosDepartment of Pneumology, Hospital Universitari Vall d'Hebron/Vall d'Hebron Institut de Recerca (VHIR), Vall d'Hebron Barcelona Hospital Campus, European Reference Network on Rare Respiratory Diseases (ERN LUNG), Barcelona, Spain.ORCID https://orcid.org/0000-0002-1902-1835
Ilaria FerrarottiDepartment of Internal Medicine and Medical Therapeutics, IRCCS Policlinico San Matteo Foundation, Pavia, Italy.ORCID https://orcid.org/0000-0003-4892-4192
Angelo Guido CorsicoDepartment of Internal Medicine and Medical Therapeutics, IRCCS Policlinico San Matteo Foundation, Pavia, Italy.
Alice M TurnerRespiratory Medicine, University Hospitals Birmingham NHS Foundation Trust, School of Health Sciences, University of Birmingham, Birmingham, UK.ORCID https://orcid.org/0000-0002-5947-3254
María Torres-DuranServicio de Neumología, Hospital Álvaro Cunqueiro, NeumoVigo I+i Research Group, IIS Galicia Sur, Vigo, and CIBERES-ISCIII, Madrid, Spain.ORCID https://orcid.org/0000-0001-6710-3766
Hanan TanashDepartment of Respiratory Medicine and Allergology, Skåne University Hospital, Lund University, Malmö, Sweden.
Carlota Rodríguez-GarcíaServicio de Neumología, Complejo Hospitalario Clínico-Universitario de Santiago, Santiago de Compostela, Spain.
Jens-Ulrik Stæhr JensenSection of Respiratory Medicine, Department of Medicine, Herlev and Gentofte Hospital, University of Copenhagen, Hellerup, Denmark.ORCID https://orcid.org/0000-0003-4036-0521
Marco ManteroRespiratory Unit and Cystic Fibrosis Adult Centre, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
Francesco BlasiRespiratory Unit and Cystic Fibrosis Adult Centre, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.ORCID https://orcid.org/0000-0002-2285-9970
Marc MiravitllesDepartment of Pneumology, Hospital Universitari Vall d'Hebron/Vall d'Hebron Institut de Recerca (VHIR), Vall d'Hebron Barcelona Hospital Campus, European Reference Network on Rare Respiratory Diseases (ERN LUNG), Barcelona, Spain.ORCID https://orcid.org/0000-0002-9850-9520
Miriam BarrechegurenDepartment of Pneumology, Hospital Universitari Vall d'Hebron/Vall d'Hebron Institut de Recerca (VHIR), Vall d'Hebron Barcelona Hospital Campus, European Reference Network on Rare Respiratory Diseases (ERN LUNG), Barcelona, Spain.
Cristina EsquinasDepartment of Public Health, Mental Health and Maternal and Child Health Nursing, Faculty of Nursing, University of Barcelona, Barcelona, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Although the role of smoking as a risk factor for emphysema in α Methods: We performed a cross-sectional and observational study to analyse the characteristics of the population of never-smoker severe AATD (genotype) individuals of the international EARCO Registry. Results: 914 PI*ZZ individuals were analysed, of whom 472 (51.7%) were active or former smokers and 442 (48.3%) were never-smokers. Never-smokers were older (p<0.001), more frequently females (58.8% Conclusions: Among PI*ZZ never-smokers lung disease remains prevalent, even if milder. Nonetheless, some never-smokers develop severe lung impairment requiring augmentation therapy. Non-index cases are healthier with a higher quality of life. Among never-smokers, lower body mass index, male sex, comorbidities and pulmonary exacerbations are associated with fixed airflow obstruction.

Identifiers

PMID41189584
PMCPMC12581167

What OpenQuestion holds

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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.