Evidence map›Paper›PMID 42609776›Full record

ArticleERJ open research2026

Diversity representation in the development of respiratory society guidance documents.

Josephine Younan, Tong Hieu, Emma Marshall, Latisha E Witjaksono, Arwel W Jones, Seema Green, Yuxin Jiao, William Soon, Kirushallini Saravanan, Pulasthi V Wettesinghe and 3 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. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

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

13 authors.

Josephine YounanFaculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, Australia.ORCID https://orcid.org/0009-0000-4758-8663
Tong HieuFaculty of Medicine, University of Melbourne, Melbourne, Australia.
Emma MarshallInstitute for Breathing and Sleep, Heidelberg, Australia.ORCID https://orcid.org/0009-0006-6367-9497
Latisha E WitjaksonoFaculty of Medicine, Universitas Indonesia, Depok, Indonesia.ORCID https://orcid.org/0000-0001-7141-0566
Arwel W JonesRespiratory Research@Alfred, Monash University, Melbourne, Australia.ORCID https://orcid.org/0000-0003-1689-8065
Seema GreenRespiratory Research@Alfred, Monash University, Melbourne, Australia.
Yuxin JiaoDepartment of General Medicine, Austin Health, Heidelberg, Australia.
William SoonDepartment of General Medicine, Austin Health, Heidelberg, Australia.ORCID https://orcid.org/0000-0003-1570-5137
Kirushallini SaravananSchool of Health Sciences, Swinburne University of Technology, Melbourne, Australia.
Pulasthi V WettesingheFaculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, Australia.
Christopher J RyersonDepartment of Medicine, University of British Columbia, Vancouver, BC, Canada.
Kevin C WilsonDepartment of Medicine, Boston University School of Medicine, Boston, MA, USA.
Yet Hong KhorFaculty of Medicine, University of Melbourne, Melbourne, Australia.ORCID https://orcid.org/0000-0002-5434-9342

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Societal guidance documents, typically developed by diverse and multidisciplinary committees, are pivotal in supporting patient care and advancing research to improve respiratory health. This study evaluated panel member composition of guidance documents developed by two international respiratory societies, the American Thoracic Society (ATS) and the European Respiratory Society (ERS). Methods: Guidance documents from society inception until December 2024 were identified using online repositories and journal websites for ATS and ERS. For each document, characteristics of panel members were extracted with verification by a second reviewer. Trend of panel member composition was assessed, pooling at 5-year intervals from 2005. Results: Of the 318 included documents, there were 3838 contributing unique panel members (43% respiratory physicians; 64% male; 59% from North America). The involvement of different medical specialists and nonmedical healthcare professionals was unchanged over time, with increased patient representation from none to 57%. The percentages of panel members with conflicts of interest consistently met the recommended threshold of <50%. There was an increase in the percentage of female representation as panel members from 27% between 2005 and 2009 to 41% between 2020 and 2024. Panel members from different continents beyond North America and Europe continued to increase, with 24% of documents having at least one member from low- or middle-income countries between 2020 and 2024. Conclusion: There is increasing diversity in panel member composition in the development of international guidance documents in respiratory medicine. Ongoing efforts to maintain growing representation of panel members in international guidance documents are needed to incorporate broader perspectives and support applicability of clinical and research recommendations.

Identifiers

PMID42609776
PMCPMC13478888

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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.