Evidence mapPaperPMID 37993126Full record

SynthesisEuropean respiratory review : an official journal of the European Respiratory Society2023

Investigating the prognostic value of digital mobility outcomes in patients with chronic obstructive pulmonary disease: a systematic literature review and meta-analysis.

Sara C Buttery, Parris J Williams, Saeed M Alghamdi, Keir E J Philip, Alexis Perkins, Constantinos Kallis, Jennifer K Quint, Michael I Polkey, Sofie Breuls, Joren Buekers and 13 more

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in European respiratory review : an official journal of the European Respiratory Society, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 2 pooled it
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

17 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Gait differences between COPD and healthy controls: systematic review and meta-analysis.European respiratory review : an official journal of the European Respiratory Society · 2024
    Pooled it
  3. Article
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  5. Are Real-World Mobility Patterns Early Indicators of COPD Onset? Insights from Wrist-Worn Sensors.International journal of chronic obstructive pulmonary disease · 2026
    Article
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  14. Review
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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

23 authors.

Sara C ButteryNational Heart and Lung Institute, Imperial College London, London, UK s.buttery@rbht.nhs.uk.
Parris J WilliamsNational Heart and Lung Institute, Imperial College London, London, UK.
Saeed M AlghamdiClinical Technology Department, Respiratory Care Program, Faculty of Applied Medical Science, Umm Al-Qura University, Makkah, Saudi Arabia.
Keir E J PhilipNational Heart and Lung Institute, Imperial College London, London, UK.
Alexis PerkinsNational Heart and Lung Institute, Imperial College London, London, UK.
Constantinos KallisNational Heart and Lung Institute, Imperial College London, London, UK.
Jennifer K QuintNational Heart and Lung Institute, Imperial College London, London, UK.ORCID https://orcid.org/0000-0003-0149-4869
Michael I PolkeyNational Heart and Lung Institute, Imperial College London, London, UK.
Sofie BreulsKU Leuven, Department of Rehabilitation Sciences and Pulmonary Rehabilitation, Respiratory Division, University Hospital Gasthuisberg, Leuven, Belgium.ORCID https://orcid.org/0000-0002-6474-6923
Joren BuekersISGlobal, Barcelona, Spain.ORCID https://orcid.org/0000-0003-4866-5741
Nikolaos ChynkiamisDepartment of Sport, Exercise and Rehabilitation, Northumbria University Newcastle, Newcastle upon Tyne, UK.ORCID https://orcid.org/0000-0002-9595-6974
Laura Delgado-OrtizISGlobal, Barcelona, Spain.ORCID https://orcid.org/0000-0003-0311-7661
Heleen DemeyerKU Leuven, Department of Rehabilitation Sciences and Pulmonary Rehabilitation, Respiratory Division, University Hospital Gasthuisberg, Leuven, Belgium.
Anja FreiThorax Research Foundation and First Dept. of Respiratory Medicine, National and Kapodistrian University of Athens, Sotiria General Chest Hospital, Athens, Greece.ORCID https://orcid.org/0000-0002-7134-1000
Judith Garcia-AymerichISGlobal, Barcelona, Spain.ORCID https://orcid.org/0000-0002-7097-4586
Elena Gimeno-SantosISGlobal, Barcelona, Spain.
Sarah KochISGlobal, Barcelona, Spain.
Dimitrios MegaritisDepartment of Sport, Exercise and Rehabilitation, Northumbria University Newcastle, Newcastle upon Tyne, UK.ORCID https://orcid.org/0000-0001-6786-4346
Ashley PolhemusEpidemiology, Biostatistics and Prevention Institute, University of Zurich, Zurich, Switzerland.
Thierry TroostersKU Leuven, Department of Rehabilitation Sciences and Pulmonary Rehabilitation, Respiratory Division, University Hospital Gasthuisberg, Leuven, Belgium.
Ioannis VogiatzisThorax Research Foundation and First Dept. of Respiratory Medicine, National and Kapodistrian University of Athens, Sotiria General Chest Hospital, Athens, Greece.
Henrik WatzPulmonary Research Institute at Lungen Clinic Grosshansdorf, Airway Research Center North (ARCN), German Center for Lung Research (DZL), Grosshansdorf, Germany.
Nicholas S HopkinsonNational Heart and Lung Institute, Imperial College London, London, UK.ORCID https://orcid.org/0000-0003-3235-0454

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundReduced mobility is a central feature of COPD. Assessment of mobility outcomes that can be measured digitally (digital mobility outcomes (DMOs)) in daily life such as gait speed and steps per day is increasingly possible using devices such as pedometers and accelerometers, but the predictive value of these measures remains unclear in relation to key outcomes such as hospital admission and survival.

methodsWe conducted a systematic review, nested within a larger scoping review by the MOBILISE-D consortium, addressing DMOs in a range of chronic conditions. Qualitative and quantitative analysis considering steps per day and gait speed and their association with clinical outcomes in COPD patients was performed.

results21 studies (6076 participants) were included. Nine studies evaluated steps per day and 11 evaluated a measure reflecting gait speed in daily life. Negative associations were demonstrated between mortality risk and steps per day (per 1000 steps) (hazard ratio (HR) 0.81, 95% CI 0.75-0.88, p<0.001), gait speed (<0.80 m·s

conclusionDaily step count and gait speed are negatively associated with mortality risk and other important outcomes in people with COPD and therefore may have value as prognostic indicators in clinical trials, but the quantity and quality of evidence is limited. Larger studies with consistent methodologies are called for.

Indexed as

Pulmonary Disease, Chronic ObstructiveWalking SpeedHospitalizationHumansPrognosis

Identifiers

PMID37993126
PMCPMC10663939

What Socratic holds

Textmetadata
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 Socratic graph.