Evidence map›Paper›PMID 27398992›Full record

Trial reportAnnals of the American Thoracic Society2016

Effect of Continuous Positive Airway Pressure on Airway Reactivity in Asthma. A Randomized, Sham-controlled Clinical Trial.

Janet T Holbrook, Elizabeth A Sugar, Robert H Brown, Lea T Drye, Charles G Irvin, Alan R Schwartz, Robert S Tepper, Robert A Wise, Razan Z Yasin, Michael F Busk and 1 more

Registry-linked trialOpen access · greenAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Annals of the American Thoracic Society, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01629823 (Effect of Positive Airway Pressure on Reducing Airway Reactivity in Patients With Asthma), which is not on this map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
3.5field-weighted citation impact, top 7% 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.

NCT01629823 nacompletednot on this map

Effect of Positive Airway Pressure on Reducing Airway Reactivity in Patients With Asthma

TypeinterventionalSponsorAmerican Lung Association Asthma Clinical Research CentersRan2012 to 2014Enrolled209ConditionsAsthmaArmsContinuous Positive Airway Pressure device (Resmed, Swift, Mirage)
3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.

  1. Non-invasive positive pressure ventilation for acute asthma in children.The Cochrane database of systematic reviews · 2024
    Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Trial
  6. Reproducibility of airway luminal size in asthma measured by HRCT.Journal of applied physiology (Bethesda, Md. : 1985) · 2017
    Trial
  7. Article
  8. Asthma and Obstructive Sleep Apnea Overlap: What Has the Evidence Taught Us?American journal of respiratory and critical care medicine · 2020
    Review
  9. Perioperative Implications of Vaping.Journal of medical cases · 2020
    Article
  10. The Effects of Obesity in Asthma.Current allergy and asthma reports · 2019
    Review
  11. Article
  12. Article
  13. Current opinions for the management of asthma associated with ear, nose and throat comorbidities.European respiratory review : an official journal of the European Respiratory Society · 2018
    Review
  14. Non-invasive positive pressure ventilation for acute asthma in children.The Cochrane database of systematic reviews · 2016
    Review
  15. Management of Severe Asthma before Referral to the Severe Asthma Specialist.The journal of allergy and clinical immunology. In practice
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 4 institutions in 1 country.

Janet T Holbrook1 Department of Epidemiology and.
Elizabeth A Sugar2 Department of Biostatistics, Bloomberg School of Public Health, The Johns Hopkins University, Baltimore, Maryland.
Robert H Brown3 Anesthesiology and Critical Care Medicine and.
Lea T Drye1 Department of Epidemiology and.
Charles G Irvin4 Department of Medicine, University of Vermont, Burlington, Vermont.
Alan R Schwartz5 Pulmonary and Critical Care Medicine, School of Medicine, The Johns Hopkins University, Baltimore, Maryland.
Robert S Tepper6 Department of Pediatrics, Indiana University, Indianapolis, Indiana; and.
Robert A Wise5 Pulmonary and Critical Care Medicine, School of Medicine, The Johns Hopkins University, Baltimore, Maryland.
Razan Z Yasin1 Department of Epidemiology and.
Michael F Busk7 St. Vincent Health, Wellness and Preventive Care Institute, Indianapolis, Indiana.
American Lung Association Airways Clinical Research Centers
Johns Hopkins University · USIndiana University – Purdue University Indianapolis · USSaint Vincent Health System · USUniversity of Vermont · US

Funding

Effect of Positive Airway Pressure on Reducing Airway Reactivity in Patients wit*U01HL108730 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI BUSK, MICHAEL FRANK, HOLBROOK, JANET T. · 2011 to 2013
$5.0M
NHLBI NIH HHS U01 HL108730
6 · The paper itself

Abstract

rationaleStudies have demonstrated that application of stress suppresses airway smooth muscle contractility. In animal models of asthma, continuous positive airway pressure (CPAP) reduced airway reactivity. Short-term studies of CPAP in patients with asthma showed reductions in airway reactivity.

objectivesTo evaluate whether nocturnal CPAP decreased the provocative concentration of methacholine to reduce FEV

methodsOne hundred ninety-four individuals with asthma were randomized (1:1:1) to use CPAP with warmed, filtered, humidified air at night at pressures either less than 1 cm H MEASUREMENTS AND MAIN

resultsAdherence to CPAP was low in all groups. Regardless, all groups had a significant improvement in PC

conclusionsAdherence to nocturnal CPAP was low. There was no evidence to support positive pressure as being effective for reducing airway reactivity in people with well-controlled asthma. Regardless, airway reactivity was improved in all groups, which may represent an effect of participating in a study and/or an effect of warm, humid, filtered air on airway reactivity. Clinical trial registered with www.clinicaltrials.gov (NCT01629823).

Indexed as

AdolescentAdultAnimalsAsthmaBronchial Provocation TestsBronchoconstrictor AgentsContinuous Positive Airway PressureFemaleForced Expiratory VolumeHumansMaleMethacholine ChlorideMiddle AgedPatient ComplianceQuality of LifeTreatment OutcomeBronchoconstrictor AgentsMethacholine Chlorideairway reactivityasthmaCPAPmethacholinePC20

Identifiers

PMID27398992
PMCPMC5122477
OpenAlexW2475087164

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.