Evidence map›Paper›PMID 29290515›Full record

Trial reportAnnals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology2018

Risk factors and clinical outcomes associated with fixed airflow obstruction in older adults with asthma.

Gregory H Bennett, Laurie Carpenter, Wei Hao, Peter Song, Joel Steinberg, Alan P Baptist

2 registry-linked trialsOpen access · greenAbstract readClinical Trial
In one paragraph

Trial report in Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology, 2018. 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 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
1.6field-weighted citation impact, top 17% 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.

NCT01979055 nacompletednot on this map

Use of a Self-regulation Intervention to Improve Control and Outcomes in Older Adults With Asthma

TypeinterventionalSponsorUniversity of MichiganRan2013 to 2017Enrolled189ConditionsAsthma, ElderlyArmsSelf-regulation intervention, Telephone follow-up
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]
3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 40 citations in OpenAlex.

  1. A behavioral intervention can decrease asthma exacerbations in older adults.Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology · 2020
    Trial
  2. Article
  3. Article
  4. Article
  5. 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
  6. Effect of PMScientific reports · 2025
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Phenotypes and Endotypes in Asthma.Advances in experimental medicine and biology · 2023
    Article
  13. Article
  14. Article
  15. Review
  16. Sex and gender in asthma.European respiratory review : an official journal of the European Respiratory Society · 2021
    Review
  17. Article
  18. 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 at 3 institutions in 1 country.

Gregory H BennettDivision of Allergy and Clinical Immunology, University of Michigan Health System, Ann Arbor, Michigan. Electronic address: grbennet@med.umich.edu.
Laurie CarpenterUniversity of Michigan School of Public Health, Ann Arbor, Michigan.
Wei HaoUniversity of Michigan School of Public Health, Ann Arbor, Michigan.
Peter SongUniversity of Michigan School of Public Health, Ann Arbor, Michigan.
Joel SteinbergDepartment of Internal Medicine, Wayne State University, Detroit, Michigan.
Alan P BaptistDivision of Allergy and Clinical Immunology, University of Michigan Health System, Ann Arbor, Michigan; University of Michigan School of Public Health, Ann Arbor, Michigan.
University of Michigan–Ann Arbor · USMichigan Medicine · USWayne State University · US

Funding

A Self-Regulation Intervention for Older Adults with AsthmaR01AG043401 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI BAPTIST, ALAN P. · 2013 to 2016
$1.3M
NIA NIH HHS R01 AG043401
6 · The paper itself

Abstract

backgroundAsthma in older adults is associated with increased morbidity and mortality compared with asthma in younger patients. Fixed airflow obstruction (FAO) is associated with decreased survival in younger patients, but its significance remains unclear in older adults with asthma.

objectiveTo identify risk factors and outcomes related to FAO in older adults with asthma.

methodsSubjects older than 55 years with a physician diagnosis of persistent asthma were evaluated. Collected data included participant demographic information, medications, asthma exacerbations, Asthma Control Test (ACT) score, Asthma Quality of Life (AQLQ) score, comorbidities, spirometry, atopic status, and fractional exhaled nitric oxide. Clinical characteristics and outcomes associated with FAO (defined as post-bronchodilator ratio of forced expiratory volume in 1 second to forced vital capacity ≤70%) were assessed.

resultsA total of 186 participants were analyzed (48 men and 138 women, mean age 66 years). FAO was demonstrated in 30% of participants. Using regression analysis, predictors of FAO included advanced age, African American race, male sex, and longer duration of asthma. In outcomes analysis, FAO was associated with worsened ACT and AQLQ scores; however, after controlling for confounding factors, logistic regression showed no association. No significant association was found between FAO and exacerbations, fractional exhaled nitric oxide, atopy, rhinitis, education level, depression, smoking, or body mass index.

conclusionRisk factors associated with FAO in older adults with asthma include advanced age, African American race, increased asthma duration, and male sex. Unlike younger patients, FAO is not independently associated with worsened asthma control, quality of life, or exacerbations in older patients with asthma.

trial registrationClinicalTrials.gov identifier: NCT01979055.

Indexed as

Age FactorsBlack or African AmericanSex FactorsAdultAgedAged, 80 and overAirway ObstructionAsthmaFemaleHumansMaleMiddle AgedQuality of LifeRisk FactorsSpirometryUnited States

Identifiers

PMID29290515
PMCPMC5803342
OpenAlexW2781157166

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.