Evidence map›Paper›PMID 42568093›Full record

Observational studyOrphanet journal of rare diseases2026

Expiratory phase lung mechanics in late-onset Pompe disease: a multicenter study using oscillometry to identify specific breathing abnormalities.

Grazia Crescimanno, Oreste Marrone, Marta Lazzeri, Paolo Innocente Banfi, Agata Lax, Elena Compalati, Rosario Di Marco, Sabrina Planiscig, Paola Confalonieri, Fabrizio Seidita and 2 more

Abstract readLetterMulticenter StudyObservational Study
In one paragraph

Observational study in Orphanet journal of rare diseases, 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
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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

12 authors.

Grazia CrescimannoInstitute for Biomedical Research and Innovation (IRIB), National Research Council, Palermo, Italy. grazia.crescimanno@irib.cnr.it.ORCID http://orcid.org/0000-0003-4830-9544
Oreste MarroneDepartmental Unit of Neurophysiopathology, Regional Centre for Diagnosis and Treatment of Rare Neurological Diseases, AOUP Policlinico, University of Palermo, Palermo, Italy.
Marta LazzeriIRCCS Fondazione Don Gnocchi, Milano, Italy.
Paolo Innocente BanfiIRCCS Fondazione Don Gnocchi, Milano, Italy.
Agata LaxIRCCS Fondazione Don Gnocchi, Milano, Italy.
Elena CompalatiIRCCS Fondazione Don Gnocchi, Milano, Italy.
Rosario Di MarcoFunctional Recovery and Rehabilitation, Ospedali Riuniti Villa Sofia- Cervello, Palermo, Italy.
Sabrina PlaniscigDepartment of Pulmonology, University Hospital of Cattinara, Trieste, Italy.
Paola ConfalonieriDepartment of Pulmonology, University Hospital of Cattinara, Trieste, Italy.
Fabrizio SeiditaAIGlico (Italian Glycogenosis Association), Assago, Italy.
Filippo BrighinaDepartmental Unit of Neurophysiopathology, Regional Centre for Diagnosis and Treatment of Rare Neurological Diseases, AOUP Policlinico, University of Palermo, Palermo, Italy.
Marco ConfalonieriDepartment of Pulmonology, University Hospital of Cattinara, Trieste, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionIn late-onset Pompe disease (LOPD), muscle weakness causes restrictive lung impairment. In murine models, glycogen deposition in lung parenchyma suggests additional causes for restriction that remain poorly understood. We investigated whether oscillometry detects respiratory abnormalities not identified by spirometry and evaluated changes after air-stacking manoeuvres.

methodsWe prospectively evaluated 16 adults with LOPD from three Italian centres. Alongside spirometry, oscillometry (at 5, 11, and 19 Hz) was performed to assess resistance (R) and reactance (X) across the breathing cycle and by respiratory phase. Measurements were repeated 5 min after an air-stacking manoeuvre.

resultsParticipants (7 men, 9 women; 51.6 ± 12.5 years) had moderate-to-severe restriction (FVC 53.3 ± 19.6% predicted) with preserved FEV1/FVC. Two oscillometric patterns emerged. The first one (seven patients) was characterised by an abnormal increase in expiratory resistance within breaths ([R5exp - R5insp] > 0.70 cmH

conclusionIn LOPD, oscillometry detects distinct mechanical patterns not identified by spirometry. Air-stacking increases lung volumes without improving respiratory mechanics.

Indexed as

Glycogen Storage Disease Type IILungOscillometryRespiratory MechanicsAdultFemaleHumansMaleMiddle AgedProspective StudiesRespiratory Function TestsSpirometryAir-stackingIntrabreath analysisLate-onset Pompe diseaseRespiratory impedanceRespiratory oscillometry

Identifiers

PMID42568093
PMCPMC13452130

What Socratic holds

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LicenceCC BY
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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.