Evidence map›Paper›PMID 26101468›Full record

ArticleClinical and molecular allergy : CMA2015

Choosing wisely: practical considerations on treatment efficacy and safety of asthma in the elderly.

Nicola Scichilone, Maria T Ventura, Matteo Bonini, Fulvio Braido, Caterina Bucca, Marco Caminati, Stefano Del Giacco, Enrico Heffler, Carlo Lombardi, Andrea Matucci and 12 more

Open access · goldAbstract read
In one paragraph

Article in Clinical and molecular allergy : CMA, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
4.3field-weighted citation impact, top 6% 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

16 citing papers in PubMed, 41 citations in OpenAlex.

  1. Review
  2. Review
  3. Article
  4. Review
  5. Article
  6. Article
  7. GPs should not try to detect mild COPD.NPJ primary care respiratory medicine · 2020
    Article
  8. Article
  9. Review
  10. How to fit allergen immunotherapy in the elderly.Clinical and molecular allergy : CMA · 2017
    Review
  11. Asthma in the elderly: a different disease?Breathe (Sheffield, England) · 2016
    Review
  12. Article
  13. Review
  14. Review
  15. Use of ICS/LABA (extra-fine and non-extra-fine) in elderly asthmatics.Therapeutics and clinical risk management · 2016
    Review
  16. 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

22 authors at 17 institutions in 1 country.

Nicola Scichilone *Department of Medicine, University of Palermo, via Trabucco 180, 90146 Palermo, Italy.
Maria T Ventura *Interdisciplinary Department of Medicine, Unit of Geriatric Immunoallergology, University of Bari, Bari, Italy.
Matteo BoniniLung Function Unit, Department of Public Health and Infectious Diseases "Sapienza", University of Rome, Rome, Italy.
Fulvio BraidoRespiratory Diseases & Allergy Clinic, University of Genoa, IRCCS AOU San Martino-IST, Genoa, Italy.
Caterina BuccaPneumology Unit, Department of Medical Sciences, University of Turin, AOU San Giovanni Battista, Torino, Italy.
Marco CaminatiAllergy Unit, Verona University and General Hospital, Verona, Italy.
Stefano Del GiaccoDepartment of Medical Sciences "M. Aresu", University of Cagliari, Cagliari, Italy.
Enrico HefflerDepartment of Clinical and Experimental Medicine - Respiratory Medicine & Allergy, University of Catania, Catania, Italy.
Carlo LombardiDepartmental Unit of Allergology-Clinical Immunology & Pneumology, Fondazione Poliambulanza, Brescia, Italy.
Andrea MatucciCentre of Excellence DENOTHE, Dept. of Experimental and Clinical Medicine, Units of Immunoallergology Azienda Ospedaliero-Universitaria Careggi, Florence, Italy.
Manlio MilaneseStruttura Complessa di Pneumologia, ASL2 Savonese, Savona, Italy.
Roberto PaganelliLaboratory of Immunology and Allergy, Department of Medicine and Sciences of Aging, University of G. d'Annunzio, Chieti Scalo, Italy.
Giovanni PassalacquaRespiratory Diseases & Allergy Clinic, University of Genoa, IRCCS AOU San Martino-IST, Genoa, Italy.
Vincenzo PatellaDivision of Allergy and Clinical Immunology, ASL SALERNO, Hospital of Battipaglia, 84100 Salerno, Italy.
Erminia RidoloDepartment of Clinical and Experimental Medicine, University of Parma, Parma, Italy.
Giovanni RollaAllergologia e Immunologia Clinica, AO Ordine Mauriziano & University of Torino, Torino, Italy.
Oliviero RossiUnits of Immunoallergology Azienda Ospedaliero-Universitaria Careggi, Florence, Italy.
Domenico SchiavinoUniversità Cattolica del Sacro Cuore, Policlinico A.Gemelli, Rome, Italy.
Gianenrico SennaAllergy Unit, Verona University and General Hospital, Verona, Italy.
Gundi SteinhilberDivision of Pneumology, Spedali Civili di Brescia, Brescia, Italy.
Alessandra VultaggioCentre of Excellence DENOTHE, Dept. of Experimental and Clinical Medicine, Units of Immunoallergology Azienda Ospedaliero-Universitaria Careggi, Florence, Italy.
Giorgio CanonicaRespiratory Diseases & Allergy Clinic, University of Genoa, IRCCS AOU San Martino-IST, Genoa, Italy.
Azienda Ospedaliero-Universitaria Careggi · ITUniversity of Genoa · ITUniversity of Verona · ITA. O. Ordine Mauriziano di Torino · ITAzienda Sanitaria Locale N. 2 Savonese · ITAzienda Socio Sanitaria Territoriale degli Spedali Civili di Brescia · ITFondazione Poliambulanza Istituto Ospedaliero · ITOspedale Policlinico San Martino · ITUniversità Cattolica del Sacro Cuore · ITUniversity of Bari Aldo Moro · ITUniversity of Cagliari · ITUniversity of Catania · ITUniversity of Chieti-Pescara · ITUniversity of Palermo · ITUniversity of Parma · ITUniversity of Salerno · ITUniversity of Turin · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The prevalence of asthma in the most advanced ages is similar to that of younger ages. However, the concept that older individuals may suffer from allergic asthma has been largely denied in the past, and a common belief attributes to asthma the definition of "rare" disease. Indeed, asthma in the elderly is often underdiagnosed or diagnosed as COPD, thus leading to undertreatment of improper treatment. This is also due to the heterogeneity of clinical and functional presentations of geriatric asthma, including the partial loss of reversibility and the lower occurrence of the allergic component in this age range. The older asthmatic patients are also characterized the coexistence of comorbid conditions that, in conjunction with age-associated structural and functional changes of the lung, may contribute to complicate the management of asthma. The current review addresses the main issues related to the management of allergic asthma in the geriatric age. In particular, the paper aims at revising current pharmacological and non pharmacological treatments for allergic asthmatics of advanced ages, primarily focusing on their safety and efficacy, although most behaviors are an arbitrary extrapolation of what has been tested in young ages. In fact, age has always represented an exclusion criterion for eligibility to clinical trials. Experimental studies and real life observations specifically testing the efficacy and safety of therapeutic approaches in allergic asthma in the elderly are urgently needed.

Indexed as

AgingAllergyAsthmaTherapy

Identifiers

PMID26101468
PMCPMC4476207
OpenAlexW1975463863

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.