To code or not to code chronic pulmonary aspergillosis associated malnutrition in PMSI database: that is the problem…

We read with interest the letter from Jouneau et al. untitled “ To be malnourished or not to be malnourished: that is the question! ”, referencing our study in which we overviewed the epidemiology and prognostic of chronic pulmonary aspergillosis (CPA) in France [1]. Based on the French nationwide administrative hospital database (PMSI), which is designed to include discharge abstracts for all inpatients admitted to public and private hospitals in France, we reported that malnutrition is one of the most frequent CPA underlying conditions concerning 38 to 44% of CPA patients from 2014 to 2018. Moreover, in CPA incident cases, malnutrition increased significantly in-hospital mortality at their first hospitalization but also at 1 and 5 years, in multivariate analyses. Footnotes This manuscript has recently been accepted for publication in the European Respiratory Journal . It is published here in its accepted form prior to copyediting and typesetting by our production team. After these production processes are complete and the authors have approved the resulting proofs, the article will move to the latest issue of the ERJ online. Please open or download the PDF to view this article. Conflict of interest: T. Maitre has nothing to disclose. Conflict of interest: J. Cottenet has nothing to disclose. Conflict of interest: C. Godet received consultancy or speaker fees and travel support from Pfizer, Astellas, Gilead, MSD, SOS Oxygene, Elivie, Pulmatrix and ISIS Medical. Conflict of interest: A. Roussot has nothing to disclose. Conflict of interest: N. Abdoul Carime has nothing to disclose. Conflict of interest: V. Ok has nothing to disclose. Conflict of interest: A. Parrot has nothing to disclose. Conflict of interest: P. Bonniaud has nothing to disclose. Conflict of interest: C. Quantin has nothing to disclose. Conflict of interest: J. Cadranel has nothing to disclose.