Evidence map›Paper›PMID 27871876›Full record

ArticleThe Journal of allergy and clinical immunology2017

Disaggregating asthma: Big investigation versus big data.

Danielle Belgrave, John Henderson, Angela Simpson, Iain Buchan, Christopher Bishop, Adnan Custovic

Abstract read
In one paragraph

Article in The Journal of allergy and clinical immunology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

25 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Differential associations of allergic disease genetic variants with developmental profiles of eczema, wheeze and rhinitis.Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology · 2019
    Trial
  3. Features of asthma which provide meaningful insights for understanding the disease heterogeneity.Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology · 2018
    Trial
  4. Review
  5. Review
  6. Article
  7. Article
  8. Genetics of Asthma and Allergic Diseases.Handbook of experimental pharmacology · 2022
    Article
  9. Article
  10. Article
  11. Influential Usage of Big Data and Artificial Intelligence in Healthcare.Computational and mathematical methods in medicine · 2021
    Review
  12. Article
  13. Review
  14. Data Science for Child Health.The Journal of pediatrics · 2019
    Review
  15. Causes of variability in latent phenotypes of childhood wheeze.The Journal of allergy and clinical immunology · 2019
    Article
  16. Blood Biomarkers of Sensitization and Asthma.Frontiers in pediatrics · 2019
    Review
  17. Epidemiology of Asthma in Children and Adults.Frontiers in pediatrics · 2019
    Review
  18. Evolution of IgE responses to multiple allergen components throughout childhood.The Journal of allergy and clinical immunology · 2018
    Article
  19. Article
  20. 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

6 authors.

Danielle BelgraveDepartment of Paediatrics, Imperial College, London, United Kingdom.
John HendersonSchool of Social and Community Medicine, Faculty of Health Sciences, University of Bristol, Bristol, United Kingdom.
Angela SimpsonDivision of Infection, Immunity and Respiratory Medicine, Faculty of Biology, Medicine and Health, University of Manchester, Manchester, United Kingdom.
Iain BuchanHealth Informatics, Faculty of Biology, Medicine and Health, University of Manchester, Manchester, United Kingdom.
Christopher BishopMicrosoft Research, Cambridge, United Kingdom.
Adnan CustovicDepartment of Paediatrics, Imperial College, London, United Kingdom. Electronic address: a.custovic@imperial.ac.uk.

Funding

Medical Research Council G0601361Medical Research Council G1000758Medical Research Council MC_PC_13042Medical Research Council MR/K002449/1Medical Research Council MR/K002449/2Medical Research Council MR/K006665/1Medical Research Council MR/M015181/1
6 · The paper itself

Abstract

We are facing a major challenge in bridging the gap between identifying subtypes of asthma to understand causal mechanisms and translating this knowledge into personalized prevention and management strategies. In recent years, "big data" has been sold as a panacea for generating hypotheses and driving new frontiers of health care; the idea that the data must and will speak for themselves is fast becoming a new dogma. One of the dangers of ready accessibility of health care data and computational tools for data analysis is that the process of data mining can become uncoupled from the scientific process of clinical interpretation, understanding the provenance of the data, and external validation. Although advances in computational methods can be valuable for using unexpected structure in data to generate hypotheses, there remains a need for testing hypotheses and interpreting results with scientific rigor. We argue for combining data- and hypothesis-driven methods in a careful synergy, and the importance of carefully characterized birth and patient cohorts with genetic, phenotypic, biological, and molecular data in this process cannot be overemphasized. The main challenge on the road ahead is to harness bigger health care data in ways that produce meaningful clinical interpretation and to translate this into better diagnoses and properly personalized prevention and treatment plans. There is a pressing need for cross-disciplinary research with an integrative approach to data science, whereby basic scientists, clinicians, data analysts, and epidemiologists work together to understand the heterogeneity of asthma.

Indexed as

Electronic Data ProcessingTranslational Research, BiomedicalAsthmaComputational BiologyDelivery of Health CareHumansInterdisciplinary CommunicationPhenotypePrecision MedicineSoftwareUnited KingdomAsthmabig databirth cohortsendotypesmachine learning

Identifiers

PMID27871876
PMCPMC5292995

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.