Evidence map›Paper›PMID 26772922›Full record

ReviewThe journal of allergy and clinical immunology. In practice

Management of Preschool Children with Recurrent Wheezing: Lessons from the NHLBI's Asthma Research Networks.

Avraham Beigelman, Leonard B Bacharier

Abstract readReview
In one paragraph

Review in The journal of allergy and clinical immunology. In practice. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
2.9field-weighted citation impact, top 10% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Article
  6. Innate Immune Training for Prevention of Recurrent Wheeze in Early Childhood.American journal of respiratory and critical care medicine · 2021
    Article
  7. Review
  8. Review
  9. Review
  10. Article
  11. Article
  12. Review
  13. Asthma in Childhood: Expression, Exacerbation, and Progression.The journal of allergy and clinical immunology. In practice
    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

2 authors at 1 institution in 1 country.

Avraham BeigelmanDivision of Allergy, Immunology and Pulmonary Medicine, Department of Pediatrics, Washington University School of Medicine and St Louis Children's Hospital, St Louis, Mo. Electronic address: beigelman_a@kids.wustl.edu.
Leonard B BacharierDivision of Allergy, Immunology and Pulmonary Medicine, Department of Pediatrics, Washington University School of Medicine and St Louis Children's Hospital, St Louis, Mo.
St. Louis Children's Hospital · US

Funding

PEDIATRIC ASTHMA NETWORK DATA COORDINATING CENTERU10HL064313 · NHLBI · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI MAUGER, DAVID T. · 1999 to 2008
$18.3M
CHILDHOOD ASTHMA: EARLY PREVENTION AND PHARMACOGENETICSU10HL064307 · NHLBI · UNIVERSITY OF ARIZONA · PI MARTINEZ, FERNANDO D · 1999 to 2008
$9.0M
EARLY INTERVENTION IN CHILDHOOD ASTHMAU10HL064288 · NHLBI · NATIONAL JEWISH HEALTH · PI SZEFLER, STANLEY J. · 1999 to 2008
$6.7M
CHILDHOOD ASTHMA: INITIATION AND INTERVENTIONU10HL064305 · NHLBI · UNIVERSITY OF WISCONSIN-MADISON · PI LEMANSKE, ROBERT F · 1999 to 2008
$5.8M
PEDIATRIC ASTHMA CLINICAL RESEARCH NETWORK-CLINICAL CTRU10HL064287 · NHLBI · WASHINGTON UNIVERSITY · PI STRUNK, ROBERT · 1999 to 2008
$5.6M
CHILDHOOD ASTHMA PREVENTION STUDY (CAPS) FOR PACRNU10HL064295 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI ZEIGER, ROBERT S · 1999 to 2008
$4.4M
NHLBI NIH HHS 5U10HL064287NHLBI NIH HHS 5U10HL064288NHLBI NIH HHS 5U10HL064295NHLBI NIH HHS 5U10HL064305NHLBI NIH HHS 5U10HL064307NHLBI NIH HHS 5U10HL064313NHLBI NIH HHS U10 HL064287
6 · The paper itself

Abstract

Recurrent wheezing in the preschool children is a common clinical problem, often associated with significant morbidity related to acute episodes. The management of these children has been complicated by a paucity of high-quality clinical trials in this age group. To fill this knowledge gap, National Heart, Lung, and Blood Institute's asthma research networks have performed a series of clinical trials in an effort to provide practitioners with guidance on appropriate management strategies. These studies establish daily inhaled corticosteroid (ICS) therapy in toddlers at high risk for subsequent asthma as an effective approach for the prevention of exacerbations and symptom reduction, but without evidence of disease-modifying properties. Additional studies have confirmed substantial heterogeneity in ICS response, in terms of both efficacy and effect on linear growth. Treatment with intermittent high-dose ICS was demonstrated to be an alternative approach to daily low-dose ICS for preventing severe exacerbations in toddlers with intermittent but significant wheeze and a positive modified asthma predictive index. This review details the findings and clinical implications derived from these studies, discuss the utility of biomarkers and the role of oral corticosteroids during acute exacerbations, and summarizes ongoing clinical trials in this age group.

Indexed as

Administration, InhalationAdrenal Cortex HormonesAnimalsAsthmaBiomedical ResearchChild, PreschoolClinical Trials as TopicDisease ProgressionDrug Dosage CalculationsHumansNational Heart, Lung, and Blood Institute (U.S.)RecurrenceRespiratory SoundsUnited StatesAdrenal Cortex HormonesAsthmaInhaled corticosteroidsOral corticosteroidsPreschool childrenWheezing

Identifiers

PMID26772922
PMCPMC4715860
OpenAlexW2224604150

What OpenQuestion holds

Textmetadata
LicenceTDM
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.