Evidence map›Paper›PMID 28918400›Full record

ArticleThorax2018

Healthcare resource use and costs of severe, uncontrolled eosinophilic asthma in the UK general population.

Marjan Kerkhof, Trung N Tran, Joan B Soriano, Sarowar Golam, Danny Gibson, Elizabeth V Hillyer, David B Price

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in Thorax, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04714567 (Multidimensional Phenotyping of Severe Asthma Patients and Its Impact on Disease Control and Therapeutic Response - Analysis From the Portuguese Severe Asthma Registry), which is not on this map. Cited by 69 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
69citing papers in PubMed, 8 pooled it
8.1field-weighted citation impact, top 2% 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.

NCT04714567 unknown statusnot on this mapstarted 2021, after this paper: background citation

Multidimensional Phenotyping of Severe Asthma Patients and Its Impact on Disease Control and Therapeutic Response - Analysis From the Portuguese Severe Asthma Registry

Typeobservational_patient_registrySponsorSociedade Portuguesa de PneumologiaRan2021 to 2022Enrolled150ConditionsSevere Asthma
3 · Its place in the literature

Who cites it

69 citing papers in PubMed, 8 syntheses or guidelines pooled it, 159 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Epidemiology of severe asthma in children: a systematic review and meta-analysis.European respiratory review : an official journal of the European Respiratory Society · 2024
    Pooled it
  5. Real-world efficacy of treatment with benralizumab, dupilumab, mepolizumab and reslizumab for severe asthma: A systematic review and meta-analysis.Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology · 2022
    Pooled it
  6. Pooled it
  7. Pooled it
  8. Matching-adjusted indirect comparison of benralizumabThe European respiratory journal · 2018
    Pooled it
  9. Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. Persistent airway obstruction in severe eosinophilic asthma: targeting interleukin-5 and eosinophils.European respiratory review : an official journal of the European Respiratory Society · 2025
    Review
  16. Article
  17. Article
  18. Blood eosinophil reference values and determinants in a representative adult population.The journal of allergy and clinical immunology. Global · 2025
    Article
  19. Review
  20. Asthma and stem cell therapy.World journal of stem cells · 2025
    Review

9 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

7 authors at 5 institutions in 7 countries.

Marjan KerkhofObservational and Pragmatic Research Institute Pte Ltd, Singapore, Singapore.
Trung N TranMedical Evidence and Observational Research, AstraZeneca, Gaithersburg, Maryland, USA.
Joan B SorianoInstituto de Investigación Hospital Universitario de la Princesa (IISP), Universidad Autónoma de Madrid, Madrid, Spain.
Sarowar GolamGlobal Payer Evidence and Pricing, AstraZeneca, Gothenburg, Sweden.
Danny GibsonAstraZeneca UK Ltd, Luton, UK.
Elizabeth V HillyerObservational and Pragmatic Research Institute Pte Ltd, Singapore, Singapore.
David B PriceObservational and Pragmatic Research Institute Pte Ltd, Singapore, Singapore.ORCID 0000-0002-9728-9992
AstraZeneca (Brazil) · BRObservational & Pragmatic Research Institute · SGAstraZeneca (United Kingdom) · GBHospital Universitario de La Princesa · ESUniversity of Aberdeen · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLittle is known about the prevalence of severe, uncontrolled eosinophilic asthma (SUEA) and associated costs.

aimsWe sought to determine the prevalence of SUEA and compare asthma-related healthcare resource use (HCRU) and associated costs with overall means for a general asthma population.

methodsThis cohort study evaluated anonymised medical record data (December 1989 through June 2015) from the Clinical Practice Research Datalink and the Optimum Patient Care Research Database to study UK patients with active asthma (diagnostic code and one or more drug prescriptions in the baseline year), aged 5 years and older, without concomitant COPD, and with recorded eosinophil count. SUEA was defined as two or more asthma attacks during 1 baseline year preceding a high blood eosinophil count (≥0.3×10

resultsOf 363 558 patients with active asthma and recorded eosinophil count, 64% were women, mean (SD) age was 49 (21) years; 43% had high eosinophil counts, 7% had two or more attacks in the baseline year and 10% were prescribed high-dosage ICS/LABA for 2 study years. Overall, 2940 (0.81%; 95% CI 0.78% to 0.84%) patients had SUEA. Total mean per-patient HCRU and associated costs were four times greater for SUEA versus all patients (HCRU and cost ratios 3.9; 95% CI 3.7 to 4.1).

conclusionsLess than 1% of patients in a general asthma population had SUEA. These patients accounted for substantially greater asthma-related HCRU and costs than average patients with asthma.

Indexed as

Health Care CostsAdultAgedAnti-Asthmatic AgentsAsthmaCohort StudiesFemaleHealth ResourcesHumansMaleMiddle AgedPulmonary EosinophiliaUnited KingdomAnti-Asthmatic Agentsasthmaattackscostseosinophilsexacerbationsobservational studysevere uncontrolled asthma

Identifiers

PMID28918400
PMCPMC5801646
OpenAlexW2756181502

What OpenQuestion holds

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LicenceCC BY-NC
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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.