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Survival with sildenafil and inhaled iloprost in a cohort with pulmonary hypertension: an observational study

Overview of attention for article published in BMC Pulmonary Medicine, January 2016
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Title
Survival with sildenafil and inhaled iloprost in a cohort with pulmonary hypertension: an observational study
Published in
BMC Pulmonary Medicine, January 2016
DOI 10.1186/s12890-015-0164-2
Pubmed ID
Authors

Henning Gall, Natascha Sommer, Katrin Milger, Manuel J. Richter, Robert Voswinckel, Dirk Bandorski, Werner Seeger, Friedrich Grimminger, Hossein-Ardeschir Ghofrani

Abstract

Combination therapy is frequently used to treat patients with pulmonary hypertension but few studies have compared treatment regimens. This study examined the long-term effect of different combination regimens of inhaled iloprost and oral sildenafil on survival and disease progression. This was a retrospective study of patients in the Giessen Pulmonary Hypertension Registry who received iloprost monotherapy followed by addition of sildenafil (iloprost/sildenafil), sildenafil monotherapy followed by addition of iloprost (sildenafil/iloprost), or upfront combination therapy (iloprost + sildenafil). The primary outcome was transplant-free survival (Kaplan-Meier analysis). When available, haemodynamic parameters and 6-minute-walk distance were evaluated. Overall, 148 patients were included. Baseline characteristics were similar across treatment groups; however, the iloprost + sildenafil cohort had higher mean pulmonary vascular resistance and pulmonary arterial pressure than the others. Transplant-free survival differed significantly between groups (P = 0.007, log-rank test). Cumulative transplant-free survival was highest for patients who received iloprost/sildenafil (1 year survival: iloprost/sildenafil, 95.1 %; sildenafil/iloprost, 91.8 %; iloprost + sildenafil, 62.9 %); this group also remained on monotherapy significantly longer than the sildenafil/iloprost group (median 17.0 months vs 7.0 months, respectively; P = 0.004). Compared with pre-treatment values, mean 6-minute-walk distance increased significantly for all groups 3 months after beginning combination therapy. In this observational study of patients with pulmonary hypertension receiving combination therapy with iloprost and sildenafil, cumulative transplant-free survival was highest in those who received iloprost monotherapy initially. However, owing to the size and retrospective design of this study, further research is needed before making firm treatment recommendations.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 48 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 48 100%

Demographic breakdown

Readers by professional status Count As %
Researcher 8 17%
Student > Master 7 15%
Student > Bachelor 5 10%
Other 4 8%
Student > Doctoral Student 3 6%
Other 8 17%
Unknown 13 27%
Readers by discipline Count As %
Medicine and Dentistry 15 31%
Pharmacology, Toxicology and Pharmaceutical Science 6 13%
Biochemistry, Genetics and Molecular Biology 3 6%
Psychology 3 6%
Nursing and Health Professions 2 4%
Other 5 10%
Unknown 14 29%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 13 January 2016.
All research outputs
#15,686,478
of 23,310,485 outputs
Outputs from BMC Pulmonary Medicine
#1,126
of 1,973 outputs
Outputs of similar age
#234,466
of 397,577 outputs
Outputs of similar age from BMC Pulmonary Medicine
#26
of 41 outputs
Altmetric has tracked 23,310,485 research outputs across all sources so far. This one is in the 22nd percentile – i.e., 22% of other outputs scored the same or lower than it.
So far Altmetric has tracked 1,973 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 5.6. This one is in the 33rd percentile – i.e., 33% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 397,577 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 31st percentile – i.e., 31% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 41 others from the same source and published within six weeks on either side of this one. This one is in the 36th percentile – i.e., 36% of its contemporaries scored the same or lower than it.