Evidence map›Paper›PMID 24346826›Full record

ArticlePrimary care respiratory journal : journal of the General Practice Airways Group2014

Chronic disease co-morbidity of asthma and unscheduled asthma care among adults: results of the national telephone health interview survey German Health Update (GEDA) 2009 and 2010.

Henriette Steppuhn, Ute Langen, Thomas Keil, Christa Scheidt-Nave

Abstract read
In one paragraph

Article in Primary care respiratory journal : journal of the General Practice Airways Group, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing 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

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

  1. Strength of association between comorbidities and asthma: a meta-analysis.European respiratory review : an official journal of the European Respiratory Society · 2023
    Pooled it
  2. Review
  3. Article
  4. Article
  5. Article
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  9. The safety of cardioselective βERJ open research · 2021
    Review
  10. Article
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  14. High probability of comorbidities in bronchial asthma in Germany.NPJ primary care respiratory medicine · 2017
    Article
  15. Article
  16. Article
  17. Review
  18. Challenges in the Management of Asthma in the Elderly.Allergy, asthma & immunology research · 2015
    Review
  19. Article
  20. Comorbidity in asthma is important and requires a generalist approach.Primary care respiratory journal : journal of the General Practice Airways Group · 2014
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors.

Henriette SteppuhnDepartment of Epidemiology and Health Monitoring, Robert Koch Institute Berlin, Berlin, Germany • Institute for Social Medicine, Epidemiology, and Health Economics, Charité - Universitätmedizin Berlin, Berlin, Germany.
Ute Langen
Thomas Keil
Christa Scheidt-Nave

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCo-morbidities may complicate the clinical management of chronic conditions such as asthma.

aimsTo quantify the strength of the relationship between asthma and other chronic diseases and to analyse whether co-morbidities contribute to unscheduled asthma care.

methodsData from two consecutive national telephone health interview surveys (GEDA 2009 and 2010) including a total of 43,312 adults (>18 years of age) were analysed. Persons with and without a current diagnosis of asthma were compared with respect to concurrent diagnoses (diabetes mellitus, hypertension, chronic heart failure, depression, osteoarthritis, stroke, coronary heart disease, and cancer). Logistic regression models were applied to assess the strength of the association between asthma and co-morbidities in the total study population and, among persons with asthma, between the number of co-morbidities and unscheduled inpatient (hospital admissions and/or emergency department admissions) or outpatient asthma care in the past 12 months.

resultsOverall, 5.3% (95% CI 5.0% to 5.6%) of adults reported current physician-diagnosed asthma. Asthma was significantly associated with most of the conditions considered and 18% of persons with asthma had three or more co-morbidities. Adjusted odds ratios (AOR) of unscheduled asthma care increased with numbers of conditions, with AOR 3.40 (95% CI 1.39 to 8.31) for unscheduled inpatient care and AOR 2.32 (95% CI 1.30 to 4.14) for unscheduled outpatient care comparing those with three or more co-morbidities versus those with none.

conclusionsThe magnitude of chronic disease co-morbidity is substantial in asthma, is related to unscheduled asthma care, and implies a significant number of adults with asthma facing complex healthcare needs.

Indexed as

AdolescentAdultAgedAged, 80 and overAmbulatory CareAsthmaChronic DiseaseCross-Sectional StudiesFemaleGermanyHospitalizationHumansInterviews as TopicMaleMiddle AgedTelephone

Identifiers

PMID24346826
PMCPMC6442275

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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.