Evidence map›Paper›PMID 41573428›Full record

ArticleCureus2025

Predictors of Disease Progression in Idiopathic Pulmonary Fibrosis Under Antifibrotic Therapy: A Retrospective Study.

Tomoo Kishaba, Mariko Higa, Hiroaki Nagano

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. 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

3 authors.

Tomoo KishabaDepartment of Respiratory Medicine, Okinawa Chubu Hospital, Uruma City, JPN.
Mariko HigaDepartment of Respiratory Medicine, Okinawa Chubu Hospital, Uruma City, JPN.
Hiroaki NaganoDepartment of Internal Medicine, Ikigai Zaitaku Clinic, Okinawa City, JPN.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIdiopathic pulmonary fibrosis (IPF) is a progressive fibrosing lung disease with a low median survival of three to five years. Antifibrotic agents, pirfenidone and nintedanib, slow but do not reverse disease progression, and treatment response varies. Identifying baseline predictors of progression may help personalize care.

methodsWe retrospectively analyzed consecutive IPF patients treated at Okinawa Chubu Hospital between 2012 and 2020. Eligible patients received antifibrotics for ≥3 months and had baseline and follow-up pulmonary function tests (PFTs). Clinical, laboratory, PFT, and high-resolution computed tomography (HRCT) data were collected. Disease progression within one year was defined as ≥2 of: worsening symptoms, ≥5% decline in forced vital capacity (FVC), or radiologic progression. Predictors were evaluated using exact logistic regression; survival was assessed with Kaplan-Meier analysis.

resultsForty-seven patients (mean age 73.3 years, 32 men) were included; 63.8% were ever-smokers. Mean baseline FVC was 1.93 L, %FVC 67.6%, % peak expiratory flow (PEF) 75.0%, %total leucocyte count (TLC) 72.4%, %diffusing capacity of the lungs for carbon monoxide (

conclusionsLower %PEF and %TLC may predict poorer response to antifibrotics in IPF. These readily available PFT indices could serve as practical markers for risk stratification and early intervention. Prospective, multicenter studies are warranted to confirm predictive value.

Indexed as

antifibrotic therapiesdisease progressionipfpeak expiratory flowtotal lung capacity

Identifiers

PMID41573428
PMCPMC12820742

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