Evidence map›Paper›PMID 41813031›Full record

ArticleBMJ open respiratory research2026

Sex differences in efficacy and adverse events following bronchoscopic thermal vapour ablation for severe emphysema: results from a multinational real-world registry.

Franziska C Trudzinski, Konstantina Kontogianni, Arschang Valipour, Theresa Klemm, Stephan Eisenmann, Joachim Ficker, Daniel Franzen, Wolfgang Gesierich, Christian Grah, Susanne Dittrich and 7 more

Abstract readMulticenter Study
In one paragraph

Article in BMJ open respiratory research, 2026. 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. Review
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

17 authors.

Franziska C TrudzinskiDepartment of Pneumology and Critical Care Medicine, Thoraxklinik, Heidelberg, Germany Franziska.trudzinski@med.uni-heidelberg.de.ORCID http://orcid.org/0000-0002-0980-7586
Konstantina KontogianniThoraxklinik at University of Heidelberg, Heidelberg, Germany.
Arschang ValipourKlinik Floridsdorf, Karl Landsteiner Institute for Lung Research and Pulmonary Oncology, Vienna, Austria.
Theresa KlemmDepartment of Respiratory and Critical Care Medicine, Karl Landsteiner Institute for Lung Research and Pulmonary Oncology, Vienna, Austria.
Stephan EisenmannDepartment of Internal Medicine, Martin-Luther University, Halle an der Saale, Germany.
Joachim FickerDepartment of Respiratory Medicine, Allergology and Sleep Medicine, Klinikum Nuernberg/Paracelsus Medical University, Nuremberg, Germany.ORCID http://orcid.org/0000-0002-7175-5852
Daniel FranzenDepartment of Medicine and Pulmonology, Hospital Uster, Uster, Switzerland.
Wolfgang GesierichKlinik für Pneumologie, Asklepios Fachkliniken Munchen-Gauting, Gauting, Germany.
Christian GrahDepartment of Internal Medicine and Respiratory Medicine, Gemeinschaftskrankenhaus Havelhöhe gGmbH, Berlin, Germany.
Susanne DittrichDepartment of Pneumology and Critical Care Medicine, Heidelberg University, Thoraxklinik, Heidelberg, Germany.ORCID http://orcid.org/0000-0003-0803-7513
Philipp HögerPneumology, Thoraxklinik-Heidelberg gGmbH, Heidelberg, Germany.
Peter HammerlLungenfachklinik Immenhausen, Immenhausen, Germany.
Martin HetzelKlinik für Pneumologie, Internistische Intensivmedizin, Krankenhaus vom Roten Kreuz, Stuttgart, Germany.
Teresa ByczkowskiInstitute of Medical Biometry, University of Heidelberg, Heidelerg, Germany.
Manuel FeisstInstitute of Medical Biometry, University of Heidelberg, Heidelerg, Germany.
Felix HerthDepartment of Pneumology and Critical Care Medicine, Thoraxklinik am Universitätsklinikum Heidelberg, Heidelberg, Germany.
Kaid DarwicheDepartment of Pulmonary Medicine, Lungenklinik Hemer, Hemer, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBronchoscopic thermal vapour ablation (BTVA) is a treatment option for selected patients with severe emphysema, inducing lung volume reduction through a localised inflammatory response. This study investigated sex-specific differences in outcomes and safety after BTVA.

methodsData from the multicentre BTVA post-market registry (December 2018-July 2024) were retrospectively analysed. Sex-specific outcomes at 3, 6 and 12 months were compared, and the effect of sex on residual volume (RV%) was assessed using an adjusted mixed-effects model.

resultsA total of 231 patients (105 women) were included. In women, significant improvements were observed in forced expiratory volume in 1 s at 3, 6 and 12 months (+60 mL, +70 mL, +20 mL), RV at 6 and 12 months (-0.38 L and -0.50 L), 6-Minute Walk Distance (6-MWD) at 3 and 6 months (+17.5 m and +23.5 m), and a consistent improvement in St. George's Respiratory Questionnaire (SGRQ) at 3, 6 and 12 months (-9.3, -6.9, -9.1). In men, significant improvements were noted in RV at 3, 6 and 12 months (-0.32 L, -0.47 L, -0.32 L) and in SGRQ at 3 and 6 months (-4.8 and -3.7), but not at 12 months. An improvement in 6-MWD was not observed in men. Additionally, a significant time-by-sex interaction was observed for RV% (χ²=5.88, p=0.015), indicating distinct RV trajectories between the sexes.

conclusionsThe results indicate that women experienced greater improvements in lung function and SGRQ scores after BTVA, which may be explained by differences in perception and reporting of functional benefits, as well as potential biological factors such as a stronger inflammatory response.

Indexed as

Ablation TechniquesBronchoscopyPneumonectomyPulmonary EmphysemaAgedFemaleForced Expiratory VolumeHumansMaleMiddle AgedRegistriesRetrospective StudiesSeverity of Illness IndexSex FactorsTreatment OutcomeBronchoscopyCOPDCOPD ExacerbationsEmphysemaLung Volume Reduction Surgery

Identifiers

PMID41813031
PMCPMC12983785

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

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.