Evidence map›Paper›PMID 28866107›Full record

ArticleThe journal of allergy and clinical immunology. In practice

Baseline Features of the Severe Asthma Research Program (SARP III) Cohort: Differences with Age.

W Gerald Teague, Brenda R Phillips, John V Fahy, Sally E Wenzel, Anne M Fitzpatrick, Wendy C Moore, Annette T Hastie, Eugene R Bleecker, Deborah A Meyers, Stephen P Peters and 25 more

Open access · greenAbstract read
In one paragraph

Article 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 150 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
150citing papers in PubMed, 1 pooled it
18.4field-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.

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

150 citing papers in PubMed, 1 synthesis or guideline pooled it, 272 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Proceedings of the National Academy of Sciences of the United States of America · 2020
    Trial
  5. Trial
  6. Observational
  7. Article
  8. Article
  9. Article
  10. Observational
  11. Article
  12. Article
  13. Sex, hormones, and lung health.Physiological reviews · 2026
    Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. Clinical and Biological Features of a Thickened Basement Membrane Zone in Asthma.American journal of respiratory and critical care medicine · 2025
    Article
  19. Article
  20. Article

90 more citing papers are in PubMed but not listed here.

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

35 authors at 12 institutions in 1 country.

W Gerald TeagueUniversity of Virginia School of Medicine, Charlottesville, Va. Electronic address: wgt2p@virginia.edu.
Brenda R PhillipsPennsylvania State University School of Medicine, Hershey, Pa.
John V FahyUniversity of California, San Francisco School of Medicine, San Francisco, Calif.
Sally E WenzelUniversity of Pittsburgh School of Medicine, Pittsburgh, Pa.
Anne M FitzpatrickEmory University School of Medicine, Atlanta, Ga.
Wendy C MooreWake Forest University School of Medicine, Winston-Salem, NC.
Annette T HastieWake Forest University School of Medicine, Winston-Salem, NC.
Eugene R BleeckerWake Forest University School of Medicine, Winston-Salem, NC.
Deborah A MeyersWake Forest University School of Medicine, Winston-Salem, NC.
Stephen P PetersWake Forest University School of Medicine, Winston-Salem, NC.
Mario CastroWashington University School of Medicine, St. Louis, Mo.
Andrea M CoverstoneWashington University School of Medicine, St. Louis, Mo.
Leonard B BacharierWashington University School of Medicine, St. Louis, Mo.
Ngoc P LyUniversity of California, San Francisco School of Medicine, San Francisco, Calif.
Michael C PetersUniversity of California, San Francisco School of Medicine, San Francisco, Calif.
Loren C DenlingerUniversity of Wisconsin School of Medicine, Madison, Wis.
Sima RamratnamUniversity of Wisconsin School of Medicine, Madison, Wis.
Ronald L SorknessUniversity of Wisconsin School of Medicine, Madison, Wis.
Benjamin M GastonCase Western Reserve University School of Medicine, Cleveland, Ohio.
Serpil C ErzurumCleveland Clinic School of Medicine, Cleveland, Ohio.
Suzy A A ComhairCleveland Clinic School of Medicine, Cleveland, Ohio.
Ross E MyersCase Western Reserve University School of Medicine, Cleveland, Ohio.
Joe ZeinCleveland Clinic School of Medicine, Cleveland, Ohio.
Mark D DeBoerUniversity of Virginia School of Medicine, Charlottesville, Va.
Anne-Marie IraniVirginia Commonwealth University School of Medicine, Richmond, Va.
Elliot IsraelHarvard University School of Medicine, Boston, Mass.
Bruce LevyHarvard University School of Medicine, Boston, Mass.
Juan Carlos CardetHarvard University School of Medicine, Boston, Mass.
Wanda PhipatanakulHarvard University School of Medicine, Boston, Mass.
Jonathan M GaffinHarvard University School of Medicine, Boston, Mass.
Fernando HolguinUniversity of Pittsburgh School of Medicine, Pittsburgh, Pa.
Merritt L FajtUniversity of Pittsburgh School of Medicine, Pittsburgh, Pa.
Shean J AujlaUniversity of Pittsburgh School of Medicine, Pittsburgh, Pa.
David T MaugerPennsylvania State University School of Medicine, Hershey, Pa.
Nizar N JarjourUniversity of Wisconsin School of Medicine, Madison, Wis.
Harvard University · USWake Forest University · USUniversity of Pittsburgh · USUniversity of Wisconsin–Madison · USCleveland Clinic · USUniversity of California, San Francisco · USWashington University in St. Louis · USCase Western Reserve University · USPennsylvania State University · USUniversity of Virginia · USEmory University · USVirginia Commonwealth University · US

Funding

PEDIATRIC ASTHMA NETWORK DATA COORDINATING CENTERU10HL064313 · NHLBI · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI MAUGER, DAVID T. · 1999 to 2008
$18.3M
Clinical Coordinating Center for the Severe Asthma Research Program (SARP)U10HL109086 · NHLBI · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI MAUGER, DAVID T. · 2011 to 2017
$8.1M
Wisconsin Allergy Research Training (WISCART) ProgramT32AI007635 · NIAID · UNIVERSITY OF WISCONSIN-MADISON · PI James E. Gern, DANIEL J JACKSON · 2000 to 2026
$6.5M
AMSA: ALXR/FBR Mediated Signaling in Severe AsthmaU10HL109172 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI ISRAEL, ELLIOT, LEVY, BRUCE D · 2011 to 2016
$4.2M
Airway redox biochemistry as a deteriminant of asthma phenotype during adolescen*U10HL109250 · NHLBI · UNIVERSITY OF VIRGINIA · PI ERZURUM, SERPIL C., GASTON, BENJAMIN · 2011 to 2016
$4.2M
Clinical and Molecular Phenotypes of Severe AsthmaU10HL109146 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI FAHY, JOHN V · 2011 to 2016
$4.0M
Implications and Stability of Clinical and Molecular Phenotypes of Severe AsthmaU10HL109152 · NHLBI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI WENZEL, SALLY E · 2011 to 2016
$3.9M
Stability of Severe Asthma Phenotypes: Impact of ExacerbationsU10HL109168 · NHLBI · UNIVERSITY OF WISCONSIN-MADISON · PI JARJOUR, NIZAR N · 2011 to 2016
$3.9M
Severe Asthma Research Program (SARP)-Washington UniversityU10HL109257 · NHLBI · WASHINGTON UNIVERSITY · PI CASTRO, MARIO · 2011 to 2016
$3.8M
Longitudinal Phenomics and Genetics of Severe AsthmaU10HL109164 · NHLBI · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI BLEECKER, EUGENE ROLAND, MEYERS, DEBORAH A. · 2011 to 2016
$3.8M
Enterolactone and AsthmaK23AI125785 · NIAID · UNIVERSITY OF SOUTH FLORIDA · PI CARDET, JUAN CARLOS · 2017 to 2021
$970k
Gender-based precision care for asthmaK08HL133381 · NHLBI · CLEVELAND CLINIC LERNER COM-CWRU · PI ZEIN, JOE · 2017 to 2021
$836k
NHLBI NIH HHS K08 HL133381NHLBI NIH HHS K23 HL138303NHLBI NIH HHS U10 HL064313NHLBI NIH HHS U10 HL109086NHLBI NIH HHS U10 HL109146NHLBI NIH HHS U10 HL109152NHLBI NIH HHS U10 HL109164NHLBI NIH HHS U10 HL109168NHLBI NIH HHS U10 HL109172NHLBI NIH HHS U10 HL109250NHLBI NIH HHS U10 HL109257NIAID NIH HHS K23 AI106945NIAID NIH HHS K23 AI125785NIAID NIH HHS T32 AI007635
6 · The paper itself

Abstract

backgroundThe effect of age on asthma severity is poorly understood.

objectivesThe objective of this study was to compare the baseline features of severe and nonsevere asthma in the Severe Asthma Research Program (SARP) III cohort, and examine in cross section the effects of age on those features.

methodsSARP III is a National Institutes of Health/National Heart Lung Blood Institute multisite 3-year cohort study conducted to investigate mechanisms of severe asthma. The sample included 188 children (111 severe, 77 nonsevere) and 526 adults (313 severe, 213 nonsevere) characterized for demographic features, symptoms, health care utilization, lung function, and inflammatory markers compared by age and severity.

resultsCompared with children with nonsevere asthma, children with severe asthma had more symptoms and more historical exacerbations, but no difference in body weight, post-bronchodilator lung function, or inflammatory markers. After childhood, and increasing with age, the cohort had a higher proportion of women, less allergen sensitization, and overall fewer blood eosinophils. Enrollment of participants with severe asthma was highest in middle-aged adults, who were older, more obese, with greater airflow limitation and higher blood eosinophils, but less allergen sensitization than adults with nonsevere asthma.

conclusionsThe phenotypic features of asthma differ by severity and with advancing age. With advancing age, patients with severe asthma are more obese, have greater airflow limitation, less allergen sensitization, and variable type 2 inflammation. Novel mechanisms besides type 2 inflammatory pathways may inform the severe asthma phenotype with advancing age.

Indexed as

AsthmaAdolescentAdultAgedAge FactorsBronchodilator AgentsChildCohort StudiesFemaleHumansImmunoglobulin EMaleMiddle AgedObesityPatient Acceptance of Health CareSeverity of Illness IndexBronchodilator AgentsImmunoglobulin EAsthma phenotypesSevere asthma

Identifiers

PMID28866107
PMCPMC5832534
OpenAlexW2753802410

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.