Evidence map›Paper›PMID 22149172›Full record

ArticleThe Journal of asthma : official journal of the Association for the Care of Asthma2012

Impact of delay in asthma diagnosis on chest X-ray and antibiotic utilization by clinicians.

Brian A Lynch, Yilma Fenta, Robert M Jacobson, Xujian Li, Young J Juhn

Abstract readComparative Study
In one paragraph

Article in The Journal of asthma : official journal of the Association for the Care of Asthma, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 25% of its field
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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. A systematic review of predictive models for asthma development in children.BMC medical informatics and decision making · 2015
    Pooled it
  2. Association of delayed asthma diagnosis with asthma exacerbations in children.The journal of allergy and clinical immunology. Global · 2025
    Article
  3. Effect of diagnosis delay on pulmonary function in children with asthma.Allergy, asthma, and clinical immunology : official journal of the Canadian Society of Allergy and Clinical Immunology · 2022
    Article
  4. Management of asthma exacerbation in the emergency departments.International journal of pediatrics & adolescent medicine · 2019
    Review
  5. Article
  6. Review
  7. Automated chart review for asthma cohort identification using natural language processing: an exploratory study.Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology · 2013
    Article
  8. Article
  9. Article
  10. Article
  11. Patient-level temporal aggregation for text-based asthma status ascertainment.Journal of the American Medical Informatics Association : JAMIA
    Article
  12. Awareness and Current Therapeutics of Asthma.Dose-response : a publication of International Hormesis Society
    Review
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

5 authors at 2 institutions in 1 country.

Brian A LynchDivision of Community Pediatric and Adolescent Medicine, Department of Pediatric and Adolescent Medicine, Mayo Clinic, Rochester, MN 55905, USA.
Yilma Fenta
Robert M Jacobson
Xujian Li
Young J Juhn
Mayo Clinic · USMayo Clinic in Florida · US

Funding

Rochester Epidemiology ProjectR01AG034676 · NIA · MAYO CLINIC ROCHESTER · PI ROCCA, WALTER A, ST SAUVER, JENNIFER LYNN · 2010 to 2019
$9.5M
ROCHESTER EPIDEMIOLOGY PROJECTR01AR030582 · NIAMS · MAYO CLINIC ROCHESTER · PI ROCCA, WALTER A · 1986 to 2009
$5.1M
NIAMS NIH HHS R01 AR030582NIAMS NIH HHS R01-AR30582NIA NIH HHS R01 AG034676
6 · The paper itself

Abstract

objectiveTo evaluate the effect of the timeliness of asthma diagnosis on chest X-ray (CXR) and antibiotic utilization in children. PATIENTS AND

methodsThis was a retrospective cohort study of 276 asthmatic children aged 5-12 years from Rochester, Minnesota. From the time when children met our predetermined asthma criteria, the frequency of CXR and antibiotic utilizations for respiratory illnesses were collected from medical records until age 18 years. Using a Poisson regression model, the frequency of CXR and antibiotic utilizations were compared in children with timely, delayed, or no clinician diagnosis of asthma.

resultsOf the 276 asthmatic patients, 97 (35%) had a timely diagnosis, 122 (44%) had a delayed diagnosis, while 57 patients (21%) had no clinician diagnosis of asthma. There was no significant difference in CXR or antibiotic utilization for respiratory illness between these groups. In addition, this was true for the comparison between the timely diagnosed group and the delayed diagnosed group combining both the group with a delay in asthma diagnosis and the group who never had asthma diagnosis.

conclusionsA delay in the diagnosis of asthma in children is common and overall it may not influence antibiotic and CXR utilization for respiratory symptoms by clinicians. However, its impact on access to asthma-related therapies and other healthcare utilizations could be possible and was not assessed in this study. Given the limitations of our study, a larger prospective study needs to be considered.

Indexed as

AdolescentAnti-Bacterial AgentsAsthmaChildChild, PreschoolCohort StudiesDelayed DiagnosisDisease ProgressionDrug UtilizationFemaleFollow-Up StudiesHumansMaleMinnesotaPoisson DistributionRadiography, ThoracicAnti-Bacterial Agents

Identifiers

PMID22149172
PMCPMC3433831
OpenAlexW1967317784

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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 OpenQuestion graph.