Evidence map›Paper›PMID 29529382›Full record

ArticleAnnals of the American Thoracic Society2018

Prognostic Significance of Large Airway Dimensions on Computed Tomography in the General Population. The Multi-Ethnic Study of Atherosclerosis (MESA) Lung Study.

Elizabeth C Oelsner, Benjamin M Smith, Eric A Hoffman, Ravi Kalhan, Kathleen M Donohue, Joel D Kaufman, Jennifer N Nguyen, Ani W Manichaikul, Jerome I Rotter, Erin D Michos and 6 more

Abstract readMulticenter Study
In one paragraph

Article in Annals of the American Thoracic Society, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing 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

30 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
  4. Article
  5. Pre-COPD: Impact on prevention, detection, and treatment.Presse medicale (Paris, France : 1983) · 2026
    Review
  6. Article
  7. Review
  8. Review
  9. Airway tapering in COPD.The European respiratory journal · 2024
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Observational
  15. Association of dysanapsis with mortality among older adults.The European respiratory journal · 2023
    Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors.

Elizabeth C Oelsner1 Department of Medicine, Columbia University College of Physicians and Surgeons, New York, New York.
Benjamin M Smith1 Department of Medicine, Columbia University College of Physicians and Surgeons, New York, New York.
Eric A Hoffman4 Department of Radiology, University of Iowa, Iowa City, Iowa.
Ravi Kalhan5 Division of Pulmonary, Northwestern University, Chicago, Illinois.ORCID 0000-0003-2443-0876
Kathleen M Donohue1 Department of Medicine, Columbia University College of Physicians and Surgeons, New York, New York.
Joel D Kaufman6 Department of Environmental and Occupational Health Sciences, University of Washington, Seattle, Washington.
Jennifer N Nguyen7 Division of Biostatistics and Epidemiology, Department of Public Health Sciences, University of Virginia, Charlottesville, Virginia.
Ani W Manichaikul7 Division of Biostatistics and Epidemiology, Department of Public Health Sciences, University of Virginia, Charlottesville, Virginia.
Jerome I Rotter8 Division of Genomic Outcomes, University of California, Los Angeles, School of Medicine, Torrance, California.
Erin D Michos9 Department of Cardiology, Johns Hopkins University, Baltimore, Maryland.
David R Jacobs10 Division of Epidemiology and Community Health, University of Minnesota, Minneapolis, Minnesota.
Gregory L Burke11 Division of Public Health Sciences, Wake Forest School of Medicine, Winston-Salem, North Carolina; and.
Aaron R Folsom10 Division of Epidemiology and Community Health, University of Minnesota, Minneapolis, Minnesota.
Joseph E Schwartz1 Department of Medicine, Columbia University College of Physicians and Surgeons, New York, New York.
Karol Watson12 Division of Cardiology, University of California, Los Angeles, School of Medicine, Los Angeles, California.
R Graham Barr1 Department of Medicine, Columbia University College of Physicians and Surgeons, New York, New York.

Funding

Institute for Clinical and Translational Research (UL1)UL1RR025005 · NCRR · JOHNS HOPKINS UNIVERSITY · PI FORD, DANIEL ERNEST · 2007 to 2011
$75.8M
True Metal fac coreP30ES009089 · NIEHS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI Steven N. Chillrud · 1998 to 2026
$44.7M
Pulmonary Toxicology Facility CoreP30ES005605 · NIEHS · UNIVERSITY OF IOWA · PI Jong Sung Kim · 1990 to 2026
$40.5M
Clinical and Translational Science AwardUL1TR000040 · NCATS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI GINSBERG, HENRY N · 2012 to 2015
$26.2M
Pulmonary microvascular perfusion in the Multi-Ethnic Study of AtherosclerosisR01HL077612 · NHLBI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI R Graham BARR · 2004 to 2026
$18.8M
Pulmonary Vascular Changes in Early Chronic Obstructive Pulmonary Disease (COPD)R01HL093081 · NHLBI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI R Graham BARR · 2008 to 2026
$17.2M
Chronic obstructive pulmonary disease in non-smokersR01HL130506 · NHLBI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI HERBSTMAN, JULIE BETH, SMITH, BENJAMIN M. · 2016 to 2025
$6.3M
Multi-center Structural & Functional Quantitative CT Pulmonary PhenotypingR01HL112986 · NHLBI · UNIVERSITY OF IOWA · PI HOFFMAN, ERIC ALFRED · 2012 to 2016
$4.6M
Fish Oil Intake, Biomarkers and Change in Lung FunctionR01HL075476 · NHLBI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI BARR, R GRAHAM · 2004 to 2008
$2.8M
Cigarette Smoke and Susceptibility to Influenza InfectionR01HL095163 · NHLBI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI JASPERS, ILONA, NOAH, TERRY L · 2009 to 2013
$2.0M
Adjunctive Use of Apyrase to Fibrinolytic TherapyR44HL095169 · NHLBI · APT THERAPEUTICS, INC. · PI CHEN, RIDONG · 2012 to 2013
$1.3M
SUBCLINICAL CARDIOVASCULAR DISEASE STUDYN01HC095166 · HC · UNIVERSITY OF VERMONT &ST AGRIC COLLEGE · PI TRACY, RUSSELL P · 1999 to 2001
$758k
NCATS NIH HHS UL1 TR000040NCRR NIH HHS UL1 RR025005NHLBI NIH HHS K23 HL130627NHLBI NIH HHS N01 HC095159NHLBI NIH HHS N01 HC095160NHLBI NIH HHS N01 HC095161NHLBI NIH HHS N01 HC095162NHLBI NIH HHS N01 HC095163NHLBI NIH HHS N01 HC095164NHLBI NIH HHS N01 HC095165NHLBI NIH HHS N01 HC095166NHLBI NIH HHS N01 HC095167NHLBI NIH HHS N01 HC095168NHLBI NIH HHS N01 HC095169NHLBI NIH HHS R01 HL075476NHLBI NIH HHS R01 HL077612NHLBI NIH HHS R01 HL093081NHLBI NIH HHS R01 HL112986NHLBI NIH HHS R01 HL130506NHLBI NIH HHS R21 HL129924NIEHS NIH HHS P30 ES005605NIEHS NIH HHS P30 ES009089
6 · The paper itself

Abstract

rationaleLarge airway dimensions on computed tomography (CT) have been associated with lung function, symptoms, and exacerbations in chronic obstructive pulmonary disease (COPD), as well as with symptoms in smokers with preserved spirometry. Their prognostic significance in persons without lung disease remains undefined.

objectivesTo examine associations between large airway dimensions on CT and respiratory outcomes in a population-based cohort of adults without prevalent lung disease.

methodsThe Multi-Ethnic Study of Atherosclerosis recruited participants ages 45-84 years without cardiovascular disease in 2000-2002; we excluded participants with prevalent chronic lower respiratory disease (CLRD). Spirometry was measured in 2004-2006 and 2010-2012. CLRD hospitalizations and deaths were classified by validated criteria through 2014. The average wall thickness for a hypothetical airway of 10-mm lumen perimeter on CT (Pi10) was calculated using measures of airway wall thickness and lumen diameter. Models were adjusted for age, sex, principal components of ancestry, body mass index, smoking, pack-years, scanner, percent emphysema, genetic risk score, and initial forced expiratory volume in 1 second (FEV

resultsGreater Pi10 was associated with 9% faster FEV

conclusionsIn adults without CLRD, large airway dimensions on CT were prospectively associated with accelerated lung function decline and increased risks of COPD and CLRD hospitalization and mortality.

Indexed as

EthnicityAgedAged, 80 and overAtherosclerosisFemaleForced Expiratory VolumeHumansIncidenceLungMaleMiddle AgedRespiratory Tract DiseasesSurvival RateTomography, X-Ray ComputedUnited Stateschronic obstructive pulmonary diseasecomputed tomographylung functionrisk stratification

Identifiers

PMID29529382
PMCPMC6137677

What Socratic holds

Textmetadata
Read underepoch 390

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 Socratic graph.