Evidence map›Paper›PMID 23972381›Full record

SynthesisRespiratory medicine2013

Sex differences in asthma symptom profiles and control in the American Lung Association Asthma Clinical Research Centers.

Jennifer W McCallister, Janet T Holbrook, Christine Y Wei, Jonathan P Parsons, Cathy G Benninger, Anne E Dixon, Lynn B Gerald, John G Mastronarde, American Lung Association Asthma Clinical Research Centers

Abstract readMeta-Analysis
In one paragraph

Synthesis in Respiratory medicine, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
–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

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

  1. Pooled it
  2. Sex assigned at birth may modify health-related quality of life in children treated with peanut oral immunotherapy.Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology · 2025
    Trial
  3. Article
  4. Article
  5. Article
  6. Sex and Treatable Traits in Severe Asthma.Allergy, asthma & immunology research · 2021
    Article
  7. Minimal clinically important difference for asthma endpoints: an expert consensus report.European respiratory review : an official journal of the European Respiratory Society · 2020
    Review
  8. Article
  9. Gender differences in asthma perception and its impact on quality of life: a post hoc analysis of the PROXIMA (Patient Reported Outcomes and XolairAllergy, asthma, and clinical immunology : official journal of the Canadian Society of Allergy and Clinical Immunology · 2019
    Article
  10. Article
  11. Article
  12. Review
  13. Post-menopausal Women Exhibit Greater Interleukin-6 Responses to Mental Stress Than Older Men.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2016
    Article
  14. Significant predictors of poor quality of life in older asthmatics.Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology · 2015
    Article
  15. Asthma is Different in Women.Current allergy and asthma reports · 2015
    Review
  16. Article
  17. Gender differences in work-related asthma: surveillance data from California, Massachusetts, Michigan, and New Jersey, 1993-2008.The Journal of asthma : official journal of the Association for the Care of Asthma · 2014
    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

9 authors.

Jennifer W McCallisterWexner Medical Center at The Ohio State University, Division of Pulmonary, Allergy, Critical Care, and Sleep Medicine, 201 Davis Heart & Lung Research Institute, 473 W. 12th Avenue, Columbus, OH 43210, USA. Electronic address: Jennifer.McCallister@osumc.edu.
Janet T Holbrook
Christine Y Wei
Jonathan P Parsons
Cathy G Benninger
Anne E Dixon
Lynn B Gerald
John G Mastronarde
American Lung Association Asthma Clinical Research Centers

Funding

Clinical Trial of Acid Reflux Therapy in AsthmaU01HL072968 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI WISE, ROBERT A. · 2003 to 2007
$3.7M
The Placebo Effect in AsthmaR01HL073494 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI WISE, ROBERT A. · 2002 to 2005
$2.4M
NHLBI NIH HHS 5U01HL072968NHLBI NIH HHS R01 HL073494NHLBI NIH HHS R01HL073494NHLBI NIH HHS U01 HL072968
6 · The paper itself

Abstract

objectiveImportant differences between men and women with asthma have been demonstrated, with women describing more symptoms and worse asthma-related quality of life (QOL) despite having similar or better pulmonary function. While current guidelines focus heavily on assessing asthma control, they lack information about whether sex-specific approaches to asthma assessment should be considered. We sought to determine if sex differences in asthma control or symptom profiles exist in the well-characterized population of participants in the American Lung Association Asthma Clinical Research Centers (ALA-ACRC) trials.

methodsWe reviewed baseline data from four trials published by the ALA-ACRC to evaluate individual item responses to three standardized asthma questionnaires: the Juniper Asthma Control Questionnaire (ACQ), the multi-attribute Asthma Symptom Utility Index (ASUI), and Juniper Mini Asthma Quality of Life Questionnaire (mini-AQLQ).

resultsIn the poorly-controlled population, women reported similar overall asthma control (mean ACQ 1.9 vs. 1.8; p = 0.54), but were more likely to report specific symptoms such as nocturnal awakenings, activity limitations, and shortness of breath on individual item responses. Women reported worse asthma-related QOL on the mini-AQLQ (mean 4.5 vs. 4.9; p < 0.001) and more asthma-related symptoms with a lower mean score on the ASUI (0.73 vs. 0.77; p ≤ 0.0001) and were more likely to report feeling bothered by particular symptoms such as coughing, or environmental triggers.

conclusionsIn participants with poorly-controlled asthma, women had outwardly similar asthma control, but had unique symptom profiles on detailed item analyses which were evident on evaluation of three standardized asthma questionnaires.

Indexed as

Sex CharacteristicsActivities of Daily LivingAdultAnti-Asthmatic AgentsAsthmaAttitude to HealthCoughCross-Sectional StudiesFemaleForced Expiratory VolumeHumansMaleMiddle AgedPsychometricsRespiratory InsufficiencySleep Wake DisordersAnti-Asthmatic AgentsACQALA-ACRCAmerican Lung Association Asthma Clinical Research CentersAsthmaAsthma Control QuestionnaireAsthma Symptom Utility IndexAsthma Therapy Assessment QuestionnaireASUIATAQBMIbody mass indexControlEffectiveness of Low Dose Theophylline as Add-On Therapy In Treatment of AsthmaFEV(1)forced expiratory volume in one secondgastroesophageal reflux diseaseGERDleukotriene or corticosteroid or corticosteroid–salmeterol trialLOCCSLODOMIDmini-AQLQmini asthma quality of life questionnaireminimal clinically important differencePC(20)provocative concentration of methacholineQOLquality of lifeSABASARASex differencesshort-acting beta-agonistStudy of Acid Reflux and AsthmaSymptom profilesTAPETrial of Asthma Patient Education

Identifiers

PMID23972381
PMCPMC3816372

What OpenQuestion holds

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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.