Evidence map›Paper›PMID 40617601›Full record

ArticleBMJ open respiratory research2025

Impact of body mass index on outcomes of non-cystic fibrosis bronchiectasis.

Wan-Hsuan Hsu, Bo-Wen Shiau, Yu-Feng Wei, Chih-Cheng Lai, Ching-Yi Chen

Abstract read
In one paragraph

Article in BMJ open respiratory research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Review
  3. 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

5 authors.

Wan-Hsuan HsuDepartment of Internal Medicine, Chi Mei Medical Center, Tainan, Taiwan.
Bo-Wen ShiauDepartment of Internal Medicine, Chi Mei Medical Center, Tainan, Taiwan.
Yu-Feng WeiSchool of Medicine for International Students, College of Medicine, I-Shou University, Kaohsiung, Taiwan.
Chih-Cheng LaiDepartment of Intensive Care Medicine, Chi Mei Medical Center, Tainan, Taiwan.
Ching-Yi ChenDivision of Chest Medicine, Department of Internal Medicine, E-Da Hospital, Kaohsiung, Taiwan chingyi19880712@gmail.com.ORCID http://orcid.org/0000-0002-3320-1680

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLow body mass index (BMI) is associated with poor prognosis in patients with non-cystic fibrosis (non-CF) bronchiectasis. However, the impact of being overweight or obese on clinical outcomes of these patients remains controversial. MATERIALS AND

methodsThis retrospective cohort study was conducted using TriNetX. Patients diagnosed with non-CF bronchiectasis between 2012 and 2022 were identified. The eligible population was divided into four groups based on their BM. Propensity score matching (PSM) was used to balance baseline demographic and clinical characteristics between study groups. The primary outcome of interest was all-cause mortality during a 5-year follow-up period.

resultsA total of 14 469 patients were included in the analysis. After PSM, the underweight group exhibited significantly higher all-cause mortality compared with those with a normal BMI (24.3% vs 15.3%; HR 1.83; 95% CI 1.49 to 2.25; p=0.0150). Conversely, both the overweight (16.6% vs 21.4%; HR 0.77; 95% CI 0.68 to 0.88; p=0.0138) and obese groups (16.8% vs 20.2%; HR 0.79; 95% CI 0.71 to 0.87; p=0.0356) demonstrated lower all-cause mortality rates. In addition, consistently higher risks in the underweight group and lower risks in the overweight and obese groups were observed for several critical health outcomes, including the need for critical care service, incidence of pneumonia, tuberculosis or non-tuberculous mycobacterial infection, acute exacerbation of bronchiectasis, acute respiratory failure and ventilator use.

conclusionsBeing underweight is a risk factor for all-cause mortality in patients with non-CF bronchiectasis and the aforementioned clinical outcomes. Conversely, overweight and obesity are associated with lower all-cause mortality rates and better outcomes.

Indexed as

Body Mass IndexBronchiectasisObesityThinnessAdultAgedFemaleHumansMaleMiddle AgedOverweightPrognosisPropensity ScoreRetrospective StudiesRisk FactorsBronchiectasis

Identifiers

PMID40617601
PMCPMC12228436

What Socratic holds

Textmetadata
LicenceCC BY-NC
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.