Evidence map›Paper›PMID 41846693›Full record

ArticleERJ open research2026

The COCOS-IPF core outcome set for idiopathic pulmonary fibrosis/progressive pulmonary fibrosis care: a mixed-method multi-perspective approach.

Sofie Breuls, Vivien Somogyi, Silja Schenk, Nur Toreyin, Steve Jones, Liam Galvin, Jeanette Boyd, Thomy Tonia, Anouk Delameillieure, Liesbet Van Bulck and 6 more

Abstract read
In one paragraph

Article in ERJ open 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

16 authors.

Sofie BreulsDept of Public Health and Primary Care, Academic Centre for Nursing and Midwifery, University of Leuven, Leuven, Belgium.ORCID https://orcid.org/0000-0002-6474-6923
Vivien SomogyiMainz Center for Pulmonary Medicine, Departments of Pneumology, Mainz University Medical Center and of Pulmonary, Critical Care and Sleep Medicine, Marienhaus Clinic Mainz, Mainz, Germany.
Silja SchenkDept of Psychology, Psychologische Hochschule Berlin, Berlin, Germany.ORCID https://orcid.org/0009-0008-1309-1710
Nur ToreyinDept of Pulmonary Medicine, Ege University Medical School, Ege University Hospital, Izmir, Türkiye.
Steve JonesEuropean Pulmonary Fibrosis Federation (EU-PFF), Overijse, Belgium.
Liam GalvinEuropean Pulmonary Fibrosis Federation (EU-PFF), Overijse, Belgium.
Jeanette BoydEuropean Lung Foundation, Sheffield, UK.
Thomy ToniaInstitute of Social and Preventive Medicine, University of Bern, Bern, Switzerland.ORCID https://orcid.org/0000-0001-7896-6188
Anouk DelameillieureDept of Public Health and Primary Care, Academic Centre for Nursing and Midwifery, University of Leuven, Leuven, Belgium.ORCID https://orcid.org/0000-0003-1612-0317
Liesbet Van BulckDept of Public Health and Primary Care, Academic Centre for Nursing and Midwifery, University of Leuven, Leuven, Belgium.
Ömer Faruk DadaşDepartment of Biostatistics and Medical Informatics, Ege University Faculty of Medicine, Izmir, Türkiye.
Nesrin MogulkocDept of Pulmonary Medicine, Ege University Medical School, Ege University Hospital, Izmir, Türkiye.
Nikola StenzelDept of Psychology, Psychologische Hochschule Berlin, Berlin, Germany.
Michael KreuterMainz Center for Pulmonary Medicine, Departments of Pneumology, Mainz University Medical Center and of Pulmonary, Critical Care and Sleep Medicine, Marienhaus Clinic Mainz, Mainz, Germany.
Wim WuytsDept of Respiratory Diseases, University Hospitals Leuven, Leuven, Belgium.ORCID https://orcid.org/0000-0001-9648-3497
Fabienne DobbelsDept of Public Health and Primary Care, Academic Centre for Nursing and Midwifery, University of Leuven, Leuven, Belgium.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: It is unclear which outcomes are essential for the care of individuals with idiopathic pulmonary fibrosis or progressive pulmonary fibrosis (IPF/PPF). We aimed to develop a core outcome set (COS) together with patients with IPF/PPF for standard care across Europe. Methods: A modified three-round Delphi study in five languages involved patients, caregivers, pulmonologists, nurses and other healthcare professionals. The initial survey consisted of 56 outcomes potentially relevant for IPF/PFF care that were identified through a scoping review, a survey with healthcare professionals and patient-led focus groups with patients and caregivers. The importance of each outcome for IPF/PPF care was scored on a 9-point Likert scale. After each round, outcomes were removed if not deemed critically important by all stakeholder groups, using predefined criteria. Afterwards, a multi-stakeholder consensus workshop was held to endorse the included outcomes and discuss and vote on those without consensus. Results: The three rounds involved 110, 78 and 66 participants from 14 European countries (one third being patients and caregivers). 14 stakeholders contributed to the consensus workshop. The final COS consists of 17 outcomes: acute exacerbation, breathlessness, complications and side-effects of the treatment, cough, exercise capacity, lung function, nutritional status, physical activity, activities of daily living, being knowledgeable about the disease, capability to do activities you enjoy, coping with the disease, feelings of anxiety, life satisfaction, loss of independence, satisfaction with care and treatment adherence. Conclusions: This COS is recommended for use in clinical IPF/PPF care, but will also guide future intervention research.

Identifiers

PMID41846693
PMCPMC12991021

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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.