ArticleJournal of thoracic disease2026
Specialty-led inpatient chronic obstructive pulmonary disease management and mortality: a propensity-weighted cohort study.
Article in Journal of thoracic disease, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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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.
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.
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Who cites it
1 citing paper in PubMed.
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Chronic obstructive pulmonary disease (COPD) is a major cause of hospitalization and mortality. Outcomes may vary by admitting specialty due to differences in expertise and adherence to evidence-based care. This study assessed whether specialty-led management influences inpatient outcomes for COPD exacerbations after adjusting for selection bias using propensity weighting. Methods: This retrospective cohort study was conducted for adults aged ≥40 years admitted with COPD exacerbations between January 2017 and March 2025. Patients with asthma, bronchiectasis, or direct intensive care unit (ICU) admissions were excluded. Data were extracted from electronic health records. Propensity scores derived from demographic and clinical covariates [age, gender, body mass index, comorbidities, smoking status, admission saturation of peripheral oxygen (SpO Results: Among 6,277 admissions (51.2% RM, 48.8% IM), IPTW achieved covariate balance in 1,034 COPD patients, comprising 516 RM and 518 IM. RM-led care was associated with lower in-hospital mortality [7.9% Conclusions: After propensity weighting, RM-led inpatient care remained associated with lower mortality and shorter LOS despite less ventilatory support use. These findings reinforce the benefit of specialty-driven management and support integration of respiratory expertise into general medical workflows to improve inpatient COPD outcomes.
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