Evidence map›Paper›PMID 30254433›Full record

ArticleInternational journal of chronic obstructive pulmonary disease2018

Health characteristics of patients with asthma, COPD and asthma-COPD overlap in the NHANES database.

Jean-Pierre Llanos, Hector Ortega, Guillaume Germain, Mei Sheng Duh, Marie-Helene Lafeuille, Sean Tiggelaar, Christopher F Bell, Beth Hahn

Open access · goldAbstract read
In one paragraph

Article in International journal of chronic obstructive pulmonary disease, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
2.6field-weighted citation impact, top 10% 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

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 40 citations in OpenAlex.

  1. Pooled it
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  7. Review
  8. Nonlinear Association Between Monocyte-to-HDL Ratio and Mortality in COPD: Evidence from NHANES.International journal of chronic obstructive pulmonary disease · 2025
    Article
  9. Article
  10. Article
  11. Glucocorticoid Use in Patients Hospitalized with Chronic Obstructive Pulmonary Disease Exacerbations.International journal of chronic obstructive pulmonary disease · 2024
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  12. Article
  13. Review
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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

8 authors at 4 institutions in 2 countries.

Jean-Pierre LlanosUS Medical Affairs, GSK, Research Triangle Park, NC, USA, beth.a.hahn@gsk.com.
Hector OrtegaUS Medical Affairs, GSK, La Jolla, CA, USA.
Guillaume GermainGroupe d'Analyse, Ltée, Montréal, QC, Canada.
Mei Sheng DuhAnalysis Group, Inc., Boston, MA, USA.
Marie-Helene LafeuilleGroupe d'Analyse, Ltée, Montréal, QC, Canada.
Sean TiggelaarGroupe d'Analyse, Ltée, Montréal, QC, Canada.
Christopher F BellUS Medical Affairs, GSK, Research Triangle Park, NC, USA, beth.a.hahn@gsk.com.
Beth HahnUS Medical Affairs, GSK, Research Triangle Park, NC, USA, beth.a.hahn@gsk.com.
Group for Research in Decision Analysis · CAResearch Triangle Park Foundation · USAnalysis Group (United States) · USLa Jolla Alcohol Research · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Asthma and COPD have overlapping characteristics. As there are limited data on whether asthma-COPD overlap (ACO) represents a distinct condition, this study aimed to determine the similarities and differences of ACO with asthma and COPD. Methods: US population-based, cross-sectional study using National Health and Nutrition Examination Survey data (2009-2012) compared participants with ACO vs those with asthma or COPD, each as mutually exclusive disease states. Demographics, health status, disability/limitations, health care resource utilization, clinical characteristics, and peripheral blood eosinophil counts were analyzed. Results: A total of 1,609, 479, and 299 participants with asthma, COPD, and ACO, respectively, were included. An age-matched asthma subgroup included 299 participants from the asthma group. Compared with asthma and COPD, participants with ACO had worse health status, increased disease burden, and more comorbid conditions. The ACO, vs age-matched asthma subgroup, had lower percent predicted prebronchodilator forced expiratory volume in 1 second (82.1% vs 88.0%; Conclusion: The ACO group represents an important subset of patients with chronic respiratory disease with an increased burden of disease over asthma and COPD individually. Early identification of this population will enable appropriate therapeutic interventions in a timely manner.

Indexed as

AdultAgedAsthmaChildComorbidityCoronary DiseaseCross-Sectional StudiesDiabetes MellitusForced Expiratory VolumeHealth StatusHumansKidney NeoplasmsMaleMiddle AgedNutrition SurveysPulmonary Disease, Chronic Obstructiveasthma attackeosinophilshealth statuslung functionrespiratory disease

Identifiers

PMID30254433
PMCPMC6143639
OpenAlexW2889981377

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.