Evidence map›Paper›PMID 42647847›Full record

ArticleTherapeutic advances in respiratory disease

Early treatment burden predicts recurrence or progression after bronchoscopic intervention for infection- or injury-related benign airway stenosis: A two-center longitudinal cohort study.

Jiaping Liu, Zhina Wang, Ying Lin, Heng Zou, Shujuan Pan, Shuiping Chen, Hong Gao, Nan Zhang, Hongwu Wang

Abstract readMulticenter Study
In one paragraph

Article in Therapeutic advances in respiratory disease. 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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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Jiaping LiuDongzhimen Hospital, Beijing University of Chinese Medicine, Beijing, China.
Zhina WangEmergency General Hospital, Beijing, China.
Ying LinDongzhimen Hospital, Beijing University of Chinese Medicine, Beijing, China.
Heng ZouDongzhimen Hospital, Beijing University of Chinese Medicine, Beijing, China.
Shujuan PanDongzhimen Hospital, Beijing University of Chinese Medicine, Beijing, China.
Shuiping ChenDongzhimen Hospital, Beijing University of Chinese Medicine, Beijing, China.
Hong GaoEmergency General Hospital, Beijing, China.
Nan ZhangEmergency General Hospital, Beijing, China.
Hongwu WangDongzhimen Hospital, Beijing University of Chinese Medicine, Beijing, China.ORCID 0000-0001-6401-977X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BackgroundPatients with infection- or injury-related benign airway stenosis often require repeated bronchoscopic interventions, but evidence is limited on how early treatment patterns can guide follow-up and risk reassessment.ObjectivesTo derive phase-adapted surveillance windows after bronchoscopic intervention and determine whether the 24-week treatment trajectory identifies patients at increased risk of subsequent recurrence or progression.DesignTwo-center retrospective longitudinal cohort study.MethodsPatients treated between January 2019 and December 2024 were included if they had infection- or injury-related benign airway stenosis and did not receive stent or T-tube placement during follow-up. Adjacent bronchoscopic records separated by ≤1 week were merged into one treatment episode. Valid intervals were defined as adjacent records separated by >1 week with assessable recurrence/progression status. Risk strata were constructed using treatment episodes within 24 weeks and window-end airway control: low risk, 1-3 episodes with adequate control; intermediate risk, 4-5 episodes or 1-3 episodes with inadequate control; and high risk, ≥6 episodes. A 24-week landmark analysis evaluated subsequent composite events.ResultsOverall, 213 patients contributed 879 valid intervals. Data-informed surveillance windows were approximately 1 week in the early phase, 2-3 weeks in the mid and consolidation phases, and 4-5 weeks in the maintenance phase. Among 93 patients included in landmark analysis, post-landmark composite event proportions were 31.3%, 60.9%, and 80.6% in the low-, intermediate-, and high-risk groups, respectively (log-rank P<0.001). In multivariable Cox regression, the high-risk group had a significantly increased risk of composite events (HR=5.849, 95% CI 2.031-16.845, P=0.001), whereas the intermediate-risk group showed a non-significant trend (HR=2.514, 95% CI 0.920-6.871, P=0.072).ConclusionEarly treatment burden provides clinically meaningful risk stratification after bronchoscopic intervention for benign airway stenosis. Six or more treatment episodes within 24 weeks may identify a treatment-dependent high-risk phenotype requiring intensified surveillance and comprehensive reassessment.

Indexed as

Airway ObstructionBronchial DiseasesBronchoscopyAgedConstriction, PathologicDisease ProgressionFemaleHumansLongitudinal StudiesMaleMiddle AgedRecurrenceRetrospective StudiesRisk AssessmentRisk FactorsTime Factorsbenign airway stenosisbronchoscopic interventioncohort studyfollow-up intervalrisk stratification

Identifiers

PMID42647847
PMCPMC13519211

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