Evidence map›Paper›PMID 27366057›Full record

ReviewInternational journal of chronic obstructive pulmonary disease2016

The asthma-COPD overlap syndrome: do we really need another syndrome in the already complex matrix of airway disease?

Konstantinos Kostikas, Andreas Clemens, Francesco Patalano

Open access · goldAbstract readReview
In one paragraph

Review in International journal of chronic obstructive pulmonary disease, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
5.1field-weighted citation impact, top 4% 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

18 citing papers in PubMed, 30 citations in OpenAlex.

  1. Asthma and Tobacco Smoking.Journal of personalized medicine · 2022
    Review
  2. Review
  3. Asthma-COPD overlap: current understanding and the utility of experimental models.European respiratory review : an official journal of the European Respiratory Society · 2021
    Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Impact of COPD diagnosis timing on clinical and economic outcomes: the ARCTIC observational cohort study.International journal of chronic obstructive pulmonary disease · 2019
    Observational
  9. Article
  10. Observational
  11. Use of clinical characteristics to predict spirometric classification of obstructive lung disease.International journal of chronic obstructive pulmonary disease · 2018
    Article
  12. Article
  13. When is dual bronchodilation indicated in COPD?International journal of chronic obstructive pulmonary disease · 2017
    Review
  14. Prevalence and characteristics of asthma-COPD overlap syndrome identified by a stepwise approach.International journal of chronic obstructive pulmonary disease · 2017
    Observational
  15. Article
  16. Article
  17. Airflow obstruction: is it asthma or is it COPD?International journal of chronic obstructive pulmonary disease · 2016
    Review
  18. 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

3 authors at 1 institution in 1 country.

Konstantinos KostikasNovartis Pharma AG, Basel, Switzerland.
Andreas ClemensNovartis Pharma AG, Basel, Switzerland.
Francesco PatalanoNovartis Pharma AG, Basel, Switzerland.
Novartis (Switzerland) · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The term asthma-COPD overlap syndrome (ACOS) is one of multiple terms used to describe patients with characteristics of both COPD and asthma, representing ~20% of patients with obstructive airway diseases. The recognition of both sets of morbidities in patients is important to guide practical treatment decisions. It is widely recognized that patients with COPD and coexisting asthma present with a higher disease burden, despite the conceptual expectation that the "reversible" or "treatable" component of asthma would allow for more effective management and better outcomes. However, subcategorization into terms such as ACOS is complicated by the vast spectrum of heterogeneity that is encapsulated by asthma and COPD, resulting in different clinical clusters. In this review, we discuss the possibility that these different clusters are suboptimally described by the umbrella term "ACOS", as this additional categorization may lead to clinical confusion and potential inappropriate use of resources. We suggest that a more clinically relevant approach would be to recognize the extreme variability and the numerous phenotypes encompassed within obstructive airway diseases, with various degrees of overlapping in individual patients. In addition, we discuss some of the evidence to be considered when making practical decisions on the treatment of patients with overlapping characteristics between COPD and asthma, as well as the potential options for phenotype and biomarker-driven management of airway disease with the aim of providing more personalized treatment for patients. Finally, we highlight the need for more evidence in patients with overlapping disease characteristics and to facilitate better characterization of potential treatment responders.

Indexed as

Terminology as TopicAirway ObstructionAsthmaHumansLungPhenotypePredictive Value of TestsPrognosisPulmonary Disease, Chronic ObstructiveSyndromeACOSasthmachronic bronchitisCOPDemphysemaoverlap syndrome

Identifiers

PMID27366057
PMCPMC4914074
OpenAlexW2419851433

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.