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Top Pulmonology/Respirology Research Papers

Live ranking — trailing 6 months, each paper's latest score Scores fold Pulmonology / Respirology Relevance & Applicability into the quality dimensions; papers scored before the dynamic-specialty rubric keep their original score Showing the top 10 of 450 ranked articles — sign in free for the full ranking and per-criterion score breakdowns
1. 8.3
Safety of Age-Adjusted and Clinical Probability-Adjusted D-dimer Cut-offs in Suspected Pulmonary Embolism: A Systematic Review and Meta-Analysis.
Overall: A large synthesis of prospective management studies supports adaptive D-dimer thresholds as a practical way to reduce chest imaging while maintaining very low rates of missed clinically important thromboembolism.
2. 7.9
Retatrutide, a Triple Hormone Receptor Agonist, for Treatment of Obesity.
Overall: A strong phase 3 trial shows exceptionally large weight loss with meaningful improvements in knee pain and sleep-apnea severity, but incomplete safety reporting and real-world access burdens temper its immediate impact.
3. 7.9
Tozorakimab to Prevent COPD Exacerbations.
Overall: Two large replicate randomized trials found a substantial and consistent reduction in clinically important COPD exacerbations without an apparent adverse-event penalty, although monthly biologic administration may limit routine uptake.
4. 7.8
Tambotatug Pelitecan in Small-Cell Lung Cancer after Platinum-Based Therapy.
Overall: A strong randomized phase 3 trial reports a large and precise survival benefit with fewer severe adverse events, supporting meaningful practice change despite open-label conduct and unresolved access and implementation details.
5. 7.8
Efficacy and safety of gabapentin for treatment of cough in idiopathic pulmonary fibrosis: a randomized, double-blinded, placebo-controlled clinical trial.
Overall: This small but rigorous randomized trial found a large, patient-important improvement in IPF-related cough with an accessible treatment, offset by increased adverse effects and a need for broader confirmation.
6. 7.5
Catheter-Directed Thrombolysis in Intermediate-High-Risk Pulmonary Embolism.
Overall: This multicenter randomized trial found a clinically substantial reduction in short-term death, recurrent embolism, or decompensation without higher aggregate bleeding, but open-label assessment, few events, two intracranial hemorrhages, and the need for specialized catheter-based care temper the result.
7. 7.5
Efficacy of Antiinflammatory Therapies for Adults With Non-Cystic Fibrosis Bronchiectasis: A Systematic Review and Network Meta-Analysis.
Overall: A strong synthesis of randomized evidence demonstrates clinically meaningful exacerbation reductions with limited reported harms, but direct impact on routine US primary care is moderated by the specialist-oriented population and treatment context.
8. 7.4
Multicomponent Pulmonary Rehabilitation for Prolonged Mechanical Ventilation in Patients Aged 80 Years or Older: A Randomized Controlled Trial.
Overall: Multicomponent rehabilitation produced a large improvement in ventilator weaning with no detected DVT excess, but the small single-center Chinese trial and insufficient implementation detail limit immediate practice change.
9. 7.2
Azithromycin for Preschoolers with Wheezing in the Emergency Department.
Overall: A strong multicenter randomized trial found no symptomatic or utilization benefit from azithromycin, offering clear evidence to reduce unnecessary antibiotic treatment for acute preschool wheezing.
10. 7.2
Discriminative performance and clinical utility of chronic obstructive pulmonary disease exacerbation categories for predicting future exacerbations.
Overall: Large, consistent cohorts support a simple two-year risk category, but its ability to improve patient outcomes remains untested.
Score Guide: 9-10 Exceptional 7-8 Strong 5-6 Moderate 3-4 Weak 1-2 Poor

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