Evidence map›Paper›PMID 22249197›Full record

ReviewCurrent opinion in allergy and clinical immunology2012

Severe asthma in childhood: recent advances in phenotyping and pathogenesis.

Anne M Fitzpatrick, Carlos E Baena-Cagnani, Leonard B Bacharier

Abstract readReview
In one paragraph

Review in Current opinion in allergy and clinical immunology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–field-weighted citation impact
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. Trial
  2. Observational
  3. Review
  4. Article
  5. Review
  6. EAACI Allergen Immunotherapy User's Guide.Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology · 2020
    Review
  7. Review
  8. Efficacy of add-on mepolizumab in adolescents with severe eosinophilic asthma.Allergy, asthma, and clinical immunology : official journal of the Canadian Society of Allergy and Clinical Immunology · 2019
    Article
  9. Current concepts of severe asthma.The Journal of clinical investigation · 2016
    Review
  10. High IFN-γ and low SLPI mark severe asthma in mice and humans.The Journal of clinical investigation · 2015
    Article
  11. Atopic phenotypes identified with latent class analyses at age 2 years.The Journal of allergy and clinical immunology · 2014
    Article
  12. Phenotypes and endotypes of severe asthma in children.Korean journal of pediatrics · 2013
    Article
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

3 authors.

Anne M FitzpatrickEmory University Department of Pediatrics, Atlanta, Georgia, USA. anne.fitzpatrick@emory.edu
Carlos E Baena-Cagnani
Leonard B Bacharier

Funding

Atlanta Clinical and Translational Science Institute (ACTSI) RenewalUL1TR000454 · NCATS · EMORY UNIVERSITY · PI STEPHENS, DAVID S · 2012 to 2016
$25.8M
Longitudinal Phenomics and Genetics of Severe AsthmaU10HL109164 · NHLBI · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI BLEECKER, EUGENE ROLAND, MEYERS, DEBORAH A. · 2011 to 2016
$3.8M
Redox disturbances and corticosteroid responses in children with severe asthmaR01NR012021 · NINR · EMORY UNIVERSITY · PI FITZPATRICK, ANNE MENTRO · 2010 to 2014
$1.9M
NCATS NIH HHS UL1 TR000454NHLBI NIH HHS U10 HL109164NINR NIH HHS R01 NR012021
6 · The paper itself

Abstract

purpose of reviewChildren with severe asthma have a high degree of respiratory morbidity despite treatment with high doses of inhaled corticosteroids and are therefore very difficult to treat. This review will discuss phenotypic and pathogenic aspects of severe asthma in childhood, as well as remaining knowledge gaps. RECENT

findingsAs a group, children with severe asthma have a number of distinct phenotypic features compared with children with mild-to-moderate asthma. Clinically, children with severe asthma are differentiated by greater allergic sensitization, increased exhaled nitric oxide, and significant airflow limitation and air trapping that worsens as a function of age. These findings are accompanied by structural airway changes and increased and dysregulated airway inflammation and oxidant stress which may explain the differential nature of corticosteroid responsiveness in this population. Because children with severe asthma themselves are a heterogeneous group, current efforts are focused on improved definition and sub-phenotyping of the disorder. Whereas the clinical relevance of phenotyping approaches in severe asthma is not yet clear, they may provide important insight into the mechanisms underlying the disorder. SUMMARY: Improved classification of severe asthma through unified definitions, careful phenotypic analyses, and mechanism-focused endotyping approaches may ultimately advance knowledge and personalized treatment.

Indexed as

Adrenal Cortex HormonesAnti-Asthmatic AgentsAsthmaBreath TestsChildChild, PreschoolFemaleHumansHypersensitivityMaleNitric OxideOxidative StressSeverity of Illness IndexAdrenal Cortex HormonesAnti-Asthmatic AgentsNitric Oxide

Identifiers

PMID22249197
PMCPMC3310912

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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.