Evidence map›Paper›PMID 23370915›Full record

ArticleAmerican journal of respiratory and critical care medicine2013

Inhaled corticosteroids in lung diseases.

Hengameh H Raissy, H William Kelly, Michelle Harkins, Stanley J Szefler

Registry-linked trialAbstract read
In one paragraph

Article in American journal of respiratory and critical care medicine, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06958666 (Effectiveness of DITM Versus IMT in COPD Patients With High Symptom Burden and High Risk of Acute Exacerbation), which is not on this map. Cited by 56 papers.

0numbers the graph read from it
0cells of the map it votes in
56citing papers in PubMed
6.3field-weighted citation impact, top 3% 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.

NCT06958666 narecruitingnot on this mapstarted 2025, after this paper: background citation

Effectiveness of DITM Versus IMT in COPD Patients With High Symptom Burden and High Risk of Acute Exacerbation: A Randomized Controlled Study

TypeinterventionalSponsorSir Run Run Shaw HospitalRan2025 to 2028Enrolled410ConditionsCOPD (Chronic Obstructive Pulmonary Disease)ArmsDigital Inhaled Therapy Management, Inspiratory Muscle Training
3 · Its place in the literature

Who cites it

56 citing papers in PubMed, 125 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Review
  4. Article
  5. Article
  6. Review
  7. Use of hydrocortisone in extremely preterm infants: emphasis on those born least mature.Journal of perinatology : official journal of the California Perinatal Association · 2025
    Review
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. Asthma and COPD: A Focus on β-Agonists - Past, Present and Future.Handbook of experimental pharmacology · 2024
    Review
  16. Article
  17. Article
  18. Article
  19. Article
  20. 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

4 authors at 2 institutions in 1 country.

Hengameh H RaissyDepartment of Pediatrics, School of Medicine, University of New Mexico, Albuquerque, NM, USA.
H William Kelly
Michelle Harkins
Stanley J Szefler
University of New Mexico · USNational Jewish Health · US

Funding

CTSA INFRASTRUCTURE FOR PEDIATRIC RESEARCHUL1RR025780 · NCRR · UNIVERSITY OF COLORADO DENVER · PI SOKOL, RONALD J. · 2008 to 2011
$61.3M
UNM HSC Clinical and Translational Science CenterUL1TR001449 · NCATS · UNIVERSITY OF NEW MEXICO HEALTH SCIS CTR · PI CAMPEN, MATTHEW J, PANDHI, NANCY · 2015 to 2024
$36.9M
University of New Mexico Clinical and Translational Science CenterUL1TR000041 · NCATS · UNIVERSITY OF NEW MEXICO HEALTH SCIS CTR · PI LARSON, RICHARD S · 2012 to 2014
$9.8M
EARLY INTERVENTION IN CHILDHOOD ASTHMAU10HL064288 · NHLBI · NATIONAL JEWISH HEALTH · PI SZEFLER, STANLEY J. · 1999 to 2008
$6.7M
Project 3: Environmental Determinants of Host DefenseP01ES018181 · NIEHS · NATIONAL JEWISH HEALTH · PI SCHWARTZ, DAVID ALBERT · 2009 to 2013
$5.7M
Clinical Centers for the NHLBI Asthma Network (AsthmaNet)U10HL098075 · NHLBI · NATIONAL JEWISH HEALTH · PI SZEFLER, STANLEY J., WECHSLER, MICHAEL E · 2009 to 2015
$5.1M
STEROID AND TARGET CELL FOCUS IN THE TREATMENT OF ASTHMAU10HL051834 · NHLBI · NATIONAL JEWISH HEALTH · PI MARTIN, RICHARD J · 1993 to 2002
$2.3M
CAMP Contiunation Study/Phase 3U01HL075416 · NHLBI · NATIONAL JEWISH HEALTH · PI SZEFLER, STANLEY J. · 2003 to 2010
$1.4M
Progression of Airway Obstruction in Childhood AsthmaR21HL087811 · NHLBI · NATIONAL JEWISH HEALTH · PI SZEFLER, STANLEY J. · 2008 to 2009
$429k
NCATS NIH HHS UL1 TR000041NCATS NIH HHS UL1 TR001449NCRR NIH HHS 1 UL1 RR025780NCRR NIH HHS UL1 RR025780NHLBI NIH HHS HL-51834NHLBI NIH HHS HL-64288NHLBI NIH HHS HL-75416NHLBI NIH HHS HL-87811NHLBI NIH HHS HL-98075NHLBI NIH HHS R21 HL087811NHLBI NIH HHS U01 HL075416NHLBI NIH HHS U10 HL051834NHLBI NIH HHS U10 HL064288NHLBI NIH HHS U10 HL098075NIAID NIH HHS AI-90052NIEHS NIH HHS ES-18181NIEHS NIH HHS P01 ES018181
6 · The paper itself

Abstract

Inhaled corticosteroids (ICSs) are used extensively in the treatment of asthma and chronic obstructive pulmonary disease (COPD) due to their broad antiinflammatory effects. They improve lung function, symptoms, and quality of life and reduce exacerbations in both conditions but do not alter the progression of disease. They decrease mortality in asthma but not COPD. The available ICSs vary in their therapeutic index and potency. Although ICSs are used in all age groups, younger and smaller children may be at a greater risk for adverse systemic effects because they can receive higher mg/kg doses of ICSs compared with older children. Most of the benefit from ICSs occurs in the low to medium dose range. Minimal additional improvement is seen with higher doses, although some patients may benefit from higher doses. Although ICSs are the preferred agents for managing persistent asthma in all ages, their benefit in COPD is more controversial. When used appropriately, ICSs have few adverse events at low to medium doses, but risk increases with high-dose ICSs. Although several new drugs are being developed and evaluated, it is unlikely that any of these new medications will replace ICSs as the preferred initial long-term controller therapy for asthma, but more effective initial controller therapy could be developed for COPD.

Indexed as

Administration, InhalationAdrenal Cortex HormonesAnti-Inflammatory AgentsAsthmaCost-Benefit AnalysisDisease ProgressionHumansImmunosuppressive AgentsPulmonary Disease, Chronic ObstructiveAdrenal Cortex HormonesAnti-Inflammatory AgentsImmunosuppressive Agents

Identifiers

PMID23370915
PMCPMC3707369
OpenAlexW2014309280

What OpenQuestion holds

Textmetadata
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.