Pub Date : 2025-09-08DOI: 10.36416/1806-3756/e20250201
Leonardo A Pinto, Antonio Fernando Ribeiro, Edna Lúcia D' Souza, Luciana F V Monte, Vinicius Gomes, Sergio San Juan Dertkigil, Isabela Silva Müller
{"title":"Best clinical practice for imaging in cystic fibrosis referral centers in Brazil: a Delphi consensus panel approach.","authors":"Leonardo A Pinto, Antonio Fernando Ribeiro, Edna Lúcia D' Souza, Luciana F V Monte, Vinicius Gomes, Sergio San Juan Dertkigil, Isabela Silva Müller","doi":"10.36416/1806-3756/e20250201","DOIUrl":"10.36416/1806-3756/e20250201","url":null,"abstract":"","PeriodicalId":14845,"journal":{"name":"Jornal Brasileiro De Pneumologia","volume":"51 3","pages":"e20250201"},"PeriodicalIF":3.0,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12401158/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145032686","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-09-08DOI: 10.36416/1806-3756/e20250160
Edson Marchiori, Bruno Hochhegger, Gláucia Zanetti
{"title":"Lymph node with central hypodensity.","authors":"Edson Marchiori, Bruno Hochhegger, Gláucia Zanetti","doi":"10.36416/1806-3756/e20250160","DOIUrl":"10.36416/1806-3756/e20250160","url":null,"abstract":"","PeriodicalId":14845,"journal":{"name":"Jornal Brasileiro De Pneumologia","volume":"51 3","pages":"e20250160"},"PeriodicalIF":3.0,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12401143/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145033187","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-09-08DOI: 10.36416/1806-3756/e20250213
Juliana Carvalho Ferreira, Cecilia M Patino
{"title":"Looking back to move forward: insights from retrospective cohort studies.","authors":"Juliana Carvalho Ferreira, Cecilia M Patino","doi":"10.36416/1806-3756/e20250213","DOIUrl":"10.36416/1806-3756/e20250213","url":null,"abstract":"","PeriodicalId":14845,"journal":{"name":"Jornal Brasileiro De Pneumologia","volume":"51 3","pages":"e20250213"},"PeriodicalIF":3.0,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12401085/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145033133","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-09-08DOI: 10.36416/1806-3756/e20250235
Frederico Leon Arrabal Fernandes
{"title":"COPD in Brazil: where there's smoke….","authors":"Frederico Leon Arrabal Fernandes","doi":"10.36416/1806-3756/e20250235","DOIUrl":"10.36416/1806-3756/e20250235","url":null,"abstract":"","PeriodicalId":14845,"journal":{"name":"Jornal Brasileiro De Pneumologia","volume":"51 3","pages":"e20250235"},"PeriodicalIF":3.0,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12401142/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145033008","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-09-08DOI: 10.36416/1806-3756/e20240382
Edson Marchiori, Bruno Hochhegger, Gláucia Zanetti
{"title":"Pulmonary hyalinizing granulomas.","authors":"Edson Marchiori, Bruno Hochhegger, Gláucia Zanetti","doi":"10.36416/1806-3756/e20240382","DOIUrl":"10.36416/1806-3756/e20240382","url":null,"abstract":"","PeriodicalId":14845,"journal":{"name":"Jornal Brasileiro De Pneumologia","volume":"51 3","pages":"e20240382"},"PeriodicalIF":3.0,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12401086/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145033129","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-09-08DOI: 10.36416/1806-3756/e20250154
Anete Trajman, Ezio Távora Dos Santos Filho, Ricardo Arcêncio
{"title":"Scaling up tuberculosis preventive treatment in Brazil: the ExpandTPT way forward.","authors":"Anete Trajman, Ezio Távora Dos Santos Filho, Ricardo Arcêncio","doi":"10.36416/1806-3756/e20250154","DOIUrl":"10.36416/1806-3756/e20250154","url":null,"abstract":"","PeriodicalId":14845,"journal":{"name":"Jornal Brasileiro De Pneumologia","volume":"51 3","pages":"e20250154"},"PeriodicalIF":3.0,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12401115/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145033152","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-09-08DOI: 10.36416/1806-3756/e20250165
Mario Arturo Flores-Valadez, Irlanda Alvarado-Amador, Laura Gochicoa-Rangel
{"title":"Peculiarities of spirometry in pediatrics.","authors":"Mario Arturo Flores-Valadez, Irlanda Alvarado-Amador, Laura Gochicoa-Rangel","doi":"10.36416/1806-3756/e20250165","DOIUrl":"10.36416/1806-3756/e20250165","url":null,"abstract":"","PeriodicalId":14845,"journal":{"name":"Jornal Brasileiro De Pneumologia","volume":"51 3","pages":"e20250165"},"PeriodicalIF":3.0,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12401093/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145033195","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-09-08eCollection Date: 2025-01-01DOI: 10.36416/1806-3756/e20240388
Bruno Pellozo Cerqueira, Vinicius Cappellette da Silva Leite, Carla Gonzaga França, Fernando Sergio Leitão Filho, Sonia Maria Faresin, Ricardo Gassmann Figueiredo, Andrea Antunes Cetlin, Lilian Serrasqueiro Ballini Caetano, José Baddini-Martinez
Objective: To evaluate the quality of ChatGPT answers to asthma-related questions, as assessed from the perspectives of asthma specialists and laypersons.
Methods: Seven asthma-related questions were asked to ChatGPT (version 4) between May 3, 2024 and May 4, 2024. The questions were standardized with no memory of previous conversations to avoid bias. Six pulmonologists with extensive expertise in asthma acted as judges, independently assessing the quality and reproducibility of the answers from the perspectives of asthma specialists and laypersons. A Likert scale ranging from 1 to 4 was used, and the content validity coefficient was calculated to assess the level of agreement among the judges.
Results: The evaluations showed variability in the quality of the answers provided by ChatGPT. From the perspective of asthma specialists, the scores ranged from 2 to 3, with greater divergence in questions 2, 3, and 5. From the perspective of laypersons, the content validity coefficient exceeded 0.80 for four of the seven questions, with most answers being correct despite a lack of significant depth.
Conclusions: Although ChatGPT performed well in providing answers to laypersons, the answers that it provided to specialists were less accurate and superficial. Although AI has the potential to provide useful information to the public, it should not replace medical guidance. Critical analysis of AI-generated information remains essential for health care professionals and laypersons alike, especially for complex conditions such as asthma.
{"title":"Evaluation of the accuracy of ChatGPT in answering asthma-related questions.","authors":"Bruno Pellozo Cerqueira, Vinicius Cappellette da Silva Leite, Carla Gonzaga França, Fernando Sergio Leitão Filho, Sonia Maria Faresin, Ricardo Gassmann Figueiredo, Andrea Antunes Cetlin, Lilian Serrasqueiro Ballini Caetano, José Baddini-Martinez","doi":"10.36416/1806-3756/e20240388","DOIUrl":"10.36416/1806-3756/e20240388","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the quality of ChatGPT answers to asthma-related questions, as assessed from the perspectives of asthma specialists and laypersons.</p><p><strong>Methods: </strong>Seven asthma-related questions were asked to ChatGPT (version 4) between May 3, 2024 and May 4, 2024. The questions were standardized with no memory of previous conversations to avoid bias. Six pulmonologists with extensive expertise in asthma acted as judges, independently assessing the quality and reproducibility of the answers from the perspectives of asthma specialists and laypersons. A Likert scale ranging from 1 to 4 was used, and the content validity coefficient was calculated to assess the level of agreement among the judges.</p><p><strong>Results: </strong>The evaluations showed variability in the quality of the answers provided by ChatGPT. From the perspective of asthma specialists, the scores ranged from 2 to 3, with greater divergence in questions 2, 3, and 5. From the perspective of laypersons, the content validity coefficient exceeded 0.80 for four of the seven questions, with most answers being correct despite a lack of significant depth.</p><p><strong>Conclusions: </strong>Although ChatGPT performed well in providing answers to laypersons, the answers that it provided to specialists were less accurate and superficial. Although AI has the potential to provide useful information to the public, it should not replace medical guidance. Critical analysis of AI-generated information remains essential for health care professionals and laypersons alike, especially for complex conditions such as asthma.</p>","PeriodicalId":14845,"journal":{"name":"Jornal Brasileiro De Pneumologia","volume":"51 3","pages":"e20240388"},"PeriodicalIF":3.0,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12401147/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145033128","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-09-08DOI: 10.36416/1806-3756/e20240361
Danielle C C Bedin, Roberta P Ramos, Elaine Brito Vieira, Ivan Ivanaga, Sonia M Faresin
{"title":"Aerobic capacity after lung resection in patients with COPD.","authors":"Danielle C C Bedin, Roberta P Ramos, Elaine Brito Vieira, Ivan Ivanaga, Sonia M Faresin","doi":"10.36416/1806-3756/e20240361","DOIUrl":"10.36416/1806-3756/e20240361","url":null,"abstract":"","PeriodicalId":14845,"journal":{"name":"Jornal Brasileiro De Pneumologia","volume":"51 3","pages":"e20240361"},"PeriodicalIF":3.0,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12401116/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145033332","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-09-08eCollection Date: 2025-01-01DOI: 10.36416/1806-3756/e20240331
Jordana de Paula Soares, Gabriel Faria Najas, Geovanne Pedro Mauro, Kennya Medeiros Lopes de Barros Lima, Clarissa Cerchi Angotti Ramos, Pedro Henrique Xavier Nabuco de Araujo, Heloisa de Andrade Carvalho
Objective: Thymic tumors are a rare group of anterior mediastinal tumors. Surgery is the primary treatment. Adjuvant treatment is used in select cases. The purpose of this study was to evaluate the outcomes of patients with thymic tumors, submitted or not to radiotherapy, and identify risk factors that could impact the outcomes to better support patient selection for RT.
Methods: This is a single institution retrospective cohort study. Patients with histologically proven thymoma or thymic carcinoma treated from July of 2009 to November of 2020 were included. Analysis was based on the use of radiation therapy (RT). Overall survival and disease-free survival were assessed from the date of diagnosis. To minimize selection bias, propensity score matching (PSM) regression using Kernel matching was used, estimated on the population for average treatment effect.
Results: Overall, 101 patients were analyzed, with mean age at diagnosis of 54.6 years (range 25-84 years). Unfavorable histology and more advanced stages predominated in the cohort. Nevertheless, most (69.3%) were treated with radical intent. RT was delivered in 52.9% of these patients. Five-year OS, local progression and distant progression free survivals were 81.0%, 95.0% and 88.1%, respectively for the radical intent cohort. PSM showed that RT reduced the chances of death by 6.3% (matched sample size was 60, p = 0.02).
Conclusions: In this retrospective cohort, RT had a positive impact in OS after PSM analysis. Prospective data regarding the role of RT in this disease is needed to validate these findings.
{"title":"Results of radiotherapy for thymoma: retrospective cohort and propensity score matching analysis.","authors":"Jordana de Paula Soares, Gabriel Faria Najas, Geovanne Pedro Mauro, Kennya Medeiros Lopes de Barros Lima, Clarissa Cerchi Angotti Ramos, Pedro Henrique Xavier Nabuco de Araujo, Heloisa de Andrade Carvalho","doi":"10.36416/1806-3756/e20240331","DOIUrl":"10.36416/1806-3756/e20240331","url":null,"abstract":"<p><strong>Objective: </strong>Thymic tumors are a rare group of anterior mediastinal tumors. Surgery is the primary treatment. Adjuvant treatment is used in select cases. The purpose of this study was to evaluate the outcomes of patients with thymic tumors, submitted or not to radiotherapy, and identify risk factors that could impact the outcomes to better support patient selection for RT.</p><p><strong>Methods: </strong>This is a single institution retrospective cohort study. Patients with histologically proven thymoma or thymic carcinoma treated from July of 2009 to November of 2020 were included. Analysis was based on the use of radiation therapy (RT). Overall survival and disease-free survival were assessed from the date of diagnosis. To minimize selection bias, propensity score matching (PSM) regression using Kernel matching was used, estimated on the population for average treatment effect.</p><p><strong>Results: </strong>Overall, 101 patients were analyzed, with mean age at diagnosis of 54.6 years (range 25-84 years). Unfavorable histology and more advanced stages predominated in the cohort. Nevertheless, most (69.3%) were treated with radical intent. RT was delivered in 52.9% of these patients. Five-year OS, local progression and distant progression free survivals were 81.0%, 95.0% and 88.1%, respectively for the radical intent cohort. PSM showed that RT reduced the chances of death by 6.3% (matched sample size was 60, p = 0.02).</p><p><strong>Conclusions: </strong>In this retrospective cohort, RT had a positive impact in OS after PSM analysis. Prospective data regarding the role of RT in this disease is needed to validate these findings.</p>","PeriodicalId":14845,"journal":{"name":"Jornal Brasileiro De Pneumologia","volume":"51 3","pages":"e20240331"},"PeriodicalIF":3.0,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12401149/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145033146","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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