Evidence map›Paper›PMID 25018070›Full record

Trial reportAcademic radiology2014

Longitudinal changes in airway remodeling and air trapping in severe asthma.

Chad A Witt, Ajay Sheshadri, Luke Carlstrom, Jaime Tarsi, James Kozlowski, Brad Wilson, David S Gierada, Eric Hoffman, Sean B Fain, Janice Cook-Granroth and 11 more

Open access · greenAbstract readClinical Trial
In one paragraph

Trial report in Academic radiology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
2.8field-weighted citation impact, top 9% 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.

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

22 citing papers in PubMed, 44 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Observational
  9. The emerging role of quantitative imaging in asthma.The British journal of radiology · 2022
    Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Phenotype-Driven Therapeutics in Severe Asthma.Current allergy and asthma reports · 2017
    Review
  17. Article
  18. Article
  19. Article
  20. Decreased FEV1 % in asthmatic adults in Scottish homes with high Environmental Relative Moldiness Index values.Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology · 2015
    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

21 authors at 3 institutions in 1 country.

Chad A WittDivision of Pulmonary and Critical Care Medicine, Department of Medicine, Washington University School of Medicine, Campus Box 8052, 660 S. Euclid Ave, St. Louis, MO 63110-1093.
Ajay SheshadriDivision of Pulmonary and Critical Care Medicine, Department of Medicine, Washington University School of Medicine, Campus Box 8052, 660 S. Euclid Ave, St. Louis, MO 63110-1093.
Luke CarlstromDivision of Pulmonary and Critical Care Medicine, Department of Medicine, Washington University School of Medicine, Campus Box 8052, 660 S. Euclid Ave, St. Louis, MO 63110-1093.
Jaime TarsiDivision of Pulmonary and Critical Care Medicine, Department of Medicine, Washington University School of Medicine, Campus Box 8052, 660 S. Euclid Ave, St. Louis, MO 63110-1093.
James KozlowskiDivision of Pulmonary and Critical Care Medicine, Department of Medicine, Washington University School of Medicine, Campus Box 8052, 660 S. Euclid Ave, St. Louis, MO 63110-1093.
Brad WilsonDivision of Biostatistics, Washington University School of Medicine, St. Louis, Missouri.
David S GieradaDepartment of Radiology, Washington University School of Medicine, St. Louis, Missouri.
Eric HoffmanDepartment of Radiology, University of Iowa College of Medicine, Iowa City, Iowa.
Sean B FainDepartment of Medical Physics, University of Wisconsin, Madison, Wisconsin.
Janice Cook-GranrothDepartment of Radiology, University of Iowa College of Medicine, Iowa City, Iowa.
Geneline SajolDivision of Pulmonary and Critical Care Medicine, Department of Medicine, Washington University School of Medicine, Campus Box 8052, 660 S. Euclid Ave, St. Louis, MO 63110-1093.
Oscar SierraDivision of Pulmonary and Critical Care Medicine, Department of Medicine, Washington University School of Medicine, Campus Box 8052, 660 S. Euclid Ave, St. Louis, MO 63110-1093.
Tusar GiriDivision of Pulmonary and Critical Care Medicine, Department of Medicine, Washington University School of Medicine, Campus Box 8052, 660 S. Euclid Ave, St. Louis, MO 63110-1093.
Michael O'NeillDivision of Pulmonary and Critical Care Medicine, Department of Medicine, Washington University School of Medicine, Campus Box 8052, 660 S. Euclid Ave, St. Louis, MO 63110-1093.
Jie ZhengDivision of Biostatistics, Washington University School of Medicine, St. Louis, Missouri.
Kenneth B SchechtmanDivision of Biostatistics, Washington University School of Medicine, St. Louis, Missouri.
Leonard B BacharierDivision of Pediatric Allergy, Immunology and Pulmonary Medicine, Department of Pediatrics, Washington University School of Medicine, St. Louis, Missouri.
Nizar JarjourDivision of Pulmonary and Critical Care, University of Wisconsin, Madison, Wisconsin.
William BusseDivision of Allergy and Immunology, University of Wisconsin, Madison, Wisconsin.
Mario CastroDivision of Pulmonary and Critical Care Medicine, Department of Medicine, Washington University School of Medicine, Campus Box 8052, 660 S. Euclid Ave, St. Louis, MO 63110-1093. Electronic address: castrom@wustl.edu.
NHLBI Severe Asthma Research Program (SARP)
Washington University in St. Louis · USUniversity of Wisconsin–Madison · USUniversity of Iowa · US

Funding

Washington University Institute of Clinical and Translational SciencesUL1TR000448 · NCATS · WASHINGTON UNIVERSITY · PI EVANOFF, BRADLEY A · 2012 to 2016
$41.4M
YOGA FOR THE MANAGEMENT OF HIV-METABOLIC SYNDROMESM01RR000036 · NCRR · WASHINGTON UNIVERSITY · PI NEWCOMER, JOHN W. · 1985 to 2007
$25.4M
PRINCIPLES IN PULMONARY RESEARCHT32HL007317 · NHLBI · WASHINGTON UNIVERSITY · PI Steven Brody, Michael J Holtzman · 1985 to 2026
$16.1M
Image and Model Based Analysis of Lung DiseasesR01HL064368 · NHLBI · UNIVERSITY OF IOWA · PI HOFFMAN, ERIC ALFRED · 1999 to 2009
$15.6M
Severe Asthma Research ProjectR01HL069174 · NHLBI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI WENZEL, SALLY E · 2001 to 2010
$9.2M
Severe Asthma From Respiratory InfectionsR01HL069116 · NHLBI · UNIVERSITY OF WISCONSIN-MADISON · PI BUSSE, WILLIAM W. · 2001 to 2010
$7.6M
Genotype-Phenotype Interactions in Severe AsthmaR01HL069167 · NHLBI · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI BLEECKER, EUGENE ROLAND · 2001 to 2010
$5.5M
Redox Determinants of Severe AsthmaR01HL069170 · NHLBI · UNIVERSITY OF VIRGINIA CHARLOTTESVILLE · PI ERZURUM, SERPIL C. · 2001 to 2010
$5.1M
Airway redox biochemistry as a deteriminant of asthma phenotype during adolescen*U10HL109250 · NHLBI · UNIVERSITY OF VIRGINIA · PI ERZURUM, SERPIL C., GASTON, BENJAMIN · 2011 to 2016
$4.2M
Severe Asthma Research Program (SARP)-Washington UniversityU10HL109257 · NHLBI · WASHINGTON UNIVERSITY · PI CASTRO, MARIO · 2011 to 2016
$3.8M
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
COUNTER REGULATORY LIPID SIGNALS IN SEVERE ASTHMAR01HL069349 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI ISRAEL, ELLIOT · 2001 to 2005
$3.0M
NCATS NIH HHS UL1 TR000448NCRR NIH HHS M01 RR000036NCRR NIH HHS M01RR00036NHLBI NIH HHS HL64368NHLBI NIH HHS HL69116NHLBI NIH HHS HL69130NHLBI NIH HHS HL69149NHLBI NIH HHS HL-69155NHLBI NIH HHS HL69167NHLBI NIH HHS HL69170NHLBI NIH HHS HL69174NHLBI NIH HHS HL69349NHLBI NIH HHS R01 HL064368NHLBI NIH HHS R01 HL069116NHLBI NIH HHS R01 HL069130NHLBI NIH HHS R01 HL069149NHLBI NIH HHS R01 HL069155NHLBI NIH HHS R01 HL069167NHLBI NIH HHS R01 HL069170NHLBI NIH HHS R01 HL069174NHLBI NIH HHS R01 HL069349NHLBI NIH HHS R01 HL091762NHLBI NIH HHS T32 HL007317NHLBI NIH HHS U10 HL109164NHLBI NIH HHS U10 HL109250NHLBI NIH HHS U10 HL109257
6 · The paper itself

Abstract

RATIONALE AND

objectivesPrevious cross-sectional studies have demonstrated that airway wall thickness and air trapping are greater in subjects with severe asthma than in those with mild-to-moderate asthma. However, a better understanding of how airway remodeling and lung density change over time is needed. This study aimed to evaluate predictors of airway wall remodeling and change in lung function and lung density over time in severe asthma. MATERIALS AND

methodsPhenotypic characterization and quantitative multidetector-row computed tomography (MDCT) of the chest were performed at baseline and ∼2.6 years later in 38 participants with asthma (severe n = 24 and mild-to-moderate n = 14) and nine normal controls from the Severe Asthma Research Program.

resultsSubjects with severe asthma had a significant decline in postbronchodilator forced expiratory volume in 1 second percent (FEV1%) predicted over time (P < .001). Airway wall thickness measured by MDCT was increased at multiple airway generations in severe asthma compared to mild-to-moderate asthma (wall area percent [WA%]: P < .05) and normals (P < .05) at baseline and year 2. Over time, there was an increase in WA% and wall thickness percent (WT%) in all subjects (P = .030 and .009, respectively) with no change in emphysema-like lung or air trapping. Baseline prebronchodilator FEV1% inversely correlated with WA% and WT% (both P < .05). In a multivariable regression model, baseline WA%, race, and health care utilization were predictors of subsequent airway remodeling.

conclusionsSevere asthma subjects have a greater decline in lung function over time than normal subjects or those with mild-to-moderate asthma. MDCT provides a noninvasive measure of airway wall thickness that may predict subsequent airway remodeling.

Indexed as

Airway RemodelingAdultAsthmaBronchial DiseasesFemaleHumansLongitudinal StudiesLungMaleMultidetector Computed TomographyReproducibility of ResultsSensitivity and Specificityairway remodelingcomputed tomographySevere asthma

Identifiers

PMID25018070
PMCPMC4100072
OpenAlexW2150878160

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Registered trials

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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.