Evidence map›Paper›PMID 22581823›Full record

ArticleThorax2012

Clinical management and outcome of refractory asthma in the UK from the British Thoracic Society Difficult Asthma Registry.

Joan Sweeney, Chris E Brightling, Andrew Menzies-Gow, Robert Niven, Chris C Patterson, Liam G Heaney, British Thoracic Society Difficult Asthma Network

Registry-linked trialOpen access · hybridAbstract readMulticenter Study
In one paragraph

Article in Thorax, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03324230 (Exacerbation Profile in Patients on Mepolizumab for Severe Refractory Eosinophilic Asthma- an Exploratory Study.), which is not on this map. Cited by 31 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 14% 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.

NCT03324230 completednot on this mapstarted 2017, after this paper: background citation

Exacerbation Profile in Patients on Mepolizumab for Severe Refractory Eosinophilic Asthma- an Exploratory Study.

TypeobservationalSponsorQueen's University, BelfastRan2017 to 2019Enrolled146ConditionsAsthma Brittle
3 · Its place in the literature

Who cites it

31 citing papers in PubMed, 1 synthesis or guideline pooled it, 80 citations in OpenAlex.

  1. Systematic Literature Review of Systemic Corticosteroid Use for Asthma Management.American journal of respiratory and critical care medicine · 2020
    Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Biologics in severe asthma: the role of real-world evidence from registries.European respiratory review : an official journal of the European Respiratory Society · 2022
    Review
  9. Review
  10. Review
  11. Article
  12. Article
  13. Treatment options in type-2 low asthma.The European respiratory journal · 2021
    Review
  14. Review
  15. Article
  16. Article
  17. Review
  18. Article
  19. Article
  20. Severe T2-high asthma in the biologics era: European experts' opinion.European respiratory review : an official journal of the European Respiratory Society · 2019
    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

7 authors at 5 institutions in 1 country.

Joan SweeneyCentre for Infection and Immunity, Queen's University of Belfast, Lisburn Road, Belfast, UK.
Chris E Brightling
Andrew Menzies-Gow
Robert Niven
Chris C Patterson
Liam G Heaney
British Thoracic Society Difficult Asthma Network
Queen's University Belfast · GBBelfast City Hospital · GBRoyal Brompton & Harefield NHS Foundation Trust · GBUniversity of Leicester · GBUniversity of Manchester · GB

Funding

Medical Research Council G1000758Wellcome Trust 082265
6 · The paper itself

Abstract

Refractory asthma represents a significant unmet clinical need. Data from a national online registry audited clinical outcome in 349 adults with refractory asthma from four UK specialist centres in the British Thoracic Society Difficult Asthma Network. At follow-up, lung function improved, with a reduction in important healthcare outcomes, specifically hospital admission, unscheduled healthcare visits and rescue courses of oral steroids. The most frequent therapeutic intervention was maintenance oral corticosteroids and most steroid sparing agents (apart from omalizumab) demonstrated minimal steroid sparing benefit. A significant unmet clinical need remains in this group, specifically a requirement for therapies which reduce systemic steroid exposure.

Indexed as

Administration, OralAdultAnti-Asthmatic AgentsAsthmaDelivery of Health CareDrug Administration ScheduleDrug Therapy, CombinationFemaleForced Expiratory VolumeGlucocorticoidsHospitalizationHumansMaleMedical AuditMiddle AgedRegistriesAnti-Asthmatic AgentsGlucocorticoids

Identifiers

PMID22581823
PMCPMC3402747
OpenAlexW2105239752

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

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.