Evidence map›Paper›PMID 41638875›Full record

SynthesisEuropean respiratory review : an official journal of the European Respiratory Society2026

Global herpes zoster burden in adults with COPD: a systematic review and meta-analysis.

Alvaro A Cruz, Kevin J Mortimer, Ingrid T Sepúlveda-Pachón, Hilde Vroling, Charles Williams

Abstract readSystematic ReviewMeta-AnalysisReview
In one paragraph

Synthesis in European respiratory review : an official journal of the European Respiratory Society, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing papers in PubMed
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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

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

5 authors.

Alvaro A CruzProAR Foundation and Federal University of Bahia, Salvador, Brazil.
Kevin J MortimerCambridge Africa, Department of Pathology, University of Cambridge, Cambridge, UK.
Ingrid T Sepúlveda-PachónP95 Epidemiology and Pharmacovigilance, Bogotá, Colombia.
Hilde VrolingPallas Health Research and Consultancy, a P95 company, Rotterdam, The Netherlands.
Charles WilliamsGSK, Wavre, Belgium charles.t.williams@gsk.com.ORCID https://orcid.org/0000-0002-2437-3675

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCOPD is associated with an increased risk of infections, such as herpes zoster, potentially leading to greater morbidity and mortality. This systematic review assessed the evidence on herpes zoster burden in COPD.

methodsA global systematic literature review and meta-analysis was conducted (MEDLINE/Embase, 2003-2024) on herpes zoster burden (incidence, risk, complications, impact on COPD and healthcare resources) in adults aged ≥18 years with COPD.

results22 studies on herpes zoster burden in COPD were included. The pooled herpes zoster incidence rate per 1000 person-years in adults with COPD aged ≥18 years was 10.98 (95% CI 8.28-14.56), increasing to 13.95 (10.80-18.02) in adults aged ≥50 years. The pooled risk ratio of developing herpes zoster was 1.49 (1.17-1.89) in adults aged ≥18 years with COPD and 1.86 (1.28-2.69) in COPD treated with corticosteroids. The pooled rate ratio of developing post-herpetic neuralgia (persistent pain lasting ≥90 days) was 1.50 (1.10-2.04) in adults with herpes zoster and COPD

conclusionsAdults with COPD have an increased risk of herpes zoster and complications and an associated burden on healthcare systems, with higher risks in those on corticosteroids. Herpes zoster vaccines offer effective protection, including for adults with COPD, and could help reduce the disease and its economic burden.

Indexed as

Herpes ZosterPulmonary Disease, Chronic ObstructiveAdultAgedFemaleHumansIncidenceMaleMiddle AgedNeuralgia, PostherpeticRisk AssessmentRisk Factors

Identifiers

PMID41638875
PMCPMC12883191

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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.