Evidence map›Paper›PMID 28583260›Full record

ReviewAnnals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology2017

The case for impulse oscillometry in the management of asthma in children and adults.

Stanley P Galant, Hirsh D Komarow, Hye-Won Shin, Salman Siddiqui, Brian J Lipworth

2 registry-linked trialsOpen access · bronzeAbstract readReview
In one paragraph

Review in Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 51 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
51citing papers in PubMed, 2 pooled it
9.5field-weighted citation impact, top 1% 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.

NCT04612556 unknown statusnot on this mapstarted 2021, after this paper: background citation

Efficacy of Mepolizumab in Patients With Late-onset Severe Eosinophilic Asthma and Fixed Obstruction

TypeobservationalSponsorAristotle University Of ThessalonikiRan2021 to 2025Enrolled45ConditionsAsthma, Eosinophilic, Severe Asthma, Late-Onset AsthmaArmsMepolizumab 100 MG [Nucala]
NCT07271381 narecruitingnot on this mapstarted 2026, after this paper: background citation

THREAT: Testing Harms Related to Exposure to Allergenic and Epithelial Toxins

TypeinterventionalSponsorNational Institute of Allergy and Infectious Diseases (NIAID)Ran2026 to 2031Enrolled120ConditionsAllergic, InflammatoryArmsEnvironmental Exposures, Control Exposures
3 · Its place in the literature

Who cites it

51 citing papers in PubMed, 2 syntheses or guidelines pooled it, 165 citations in OpenAlex.

  1. Pooled it
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  5. Comparing Changes in FEVJournal of clinical medicine · 2026
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  9. Assessment of ventilation heterogeneity and particle deposition in asthmatics using combined SPECT/CT imaging and computational modeling approaches.European journal of pharmaceutical sciences : official journal of the European Federation for Pharmaceutical Sciences · 2025
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  14. Observational
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  19. Bronchodilator response assessment through impulse oscillometry system and spirometry in children and adolescents with cystic fibrosis.Revista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao Paulo · 2024
    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

5 authors at 5 institutions in 2 countries.

Stanley P GalantChildren's Hospital of Orange County, Orange, California. Electronic address: sgalant@choc.org.
Hirsh D KomarowLaboratory of Allergic Diseases, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, Maryland.
Hye-Won ShinPediatrics and Pediatrics Exercise and Genomics Research Center, University of California, Irvine, Irvine, California.
Salman SiddiquiDepartment of Infection, Immunity and Inflammation, Respiratory Biomedical Research Unit, Glenfield Hospital, Leicester, England.
Brian J LipworthScottish Centre for Respiratory Research Ninewells Hospital, Dundee, Scotland.
Children's Hospital of Orange County · USGlenfield Hospital · GBNational Institute of Allergy and Infectious Diseases · USNinewells Hospital · GBUniversity of California, Irvine · US

Funding

Peripheral Blood Mononuclear Cells, Exercise, and Children: Initial MechanismsP01HD048721 · NICHD · UNIVERSITY OF CALIFORNIA-IRVINE · PI COOPER, DAN M, RADOM-AIZIK, SHLOMIT · 2006 to 2016
$13.6M
NICHD NIH HHS P01 HD048721
6 · The paper itself

Abstract

objectiveTo provide a clinical rationale for including impulse oscillometry (IOS) as a part of standard office-based asthma assessment. DATA SOURCES: PubMed and Google search, limited to English language and human disease, with the keywords IOS and asthma. STUDY SELECTIONS: Articles included in this review were based on the expert opinion and previous publications by the authors.

resultsIn children, IOS was more useful than spirometry in identifying asthma and uncontrolled asthma and predicting loss of control and exacerbations. IOS predicts young children at risk for loss of lung function with age and the potential for early intervention to prevent further sequelae. In adults, peripheral airway impairment detected by IOS or spirometry (ie, forced expiratory flow between 25% and 75%) commonly occurs across severity, and each measure may be complementary in predicting loss of control even with normal forced expiratory volume in 1 second. Extrafine inhaled corticosteroids with or without long-acting β-agonists proved superior to standard particle aerosols in improving IOS-detected peripheral airway obstruction. Our data also suggest that currently available commercial reference values for lung resistance at 5 Hz and lung reactance at 5 Hz are applicable across diverse populations, but further studies are needed.

conclusionThe findings of this review suggest that IOS can add value to traditional clinical and spirometric assessment and thus improve management of asthma in children and adults, as well as have the potential to detect early dysfunction of the peripheral airways, which may result in better outcomes.

Indexed as

Adrenal Cortex HormonesAdultAsthmaBronchial Provocation TestsChildHumansOscillometryReference ValuesSpirometryAdrenal Cortex Hormones

Identifiers

PMID28583260
PMCPMC5486406
OpenAlexW2621308914

What OpenQuestion holds

Textmetadata
LicenceTDM
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.