Evidence map›Paper›PMID 30368448›Full record

ArticleBMJ open2018

Real-world effectiveness evaluation of budesonide/formoterol Spiromax for the management of asthma and chronic obstructive pulmonary disease in the UK.

Jaco Voorham, Nicolas Roche, Hicham Benhaddi, Marianka van der Tol, Victoria Carter, Job F M van Boven, Leif Bjermer, Marc Miravitlles, David B Price

Erratum issuedAbstract readComparative Study
In one paragraph

Article in BMJ open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

Jaco VoorhamObservational and Pragmatic Research Institute Pte Ltd, Singapore, Singapore.
Nicolas RocheHôpitaux Universitaires Paris Centre, Cochin Hospital (APHP), University Paris Descartes (EA2511), Paris, France.
Hicham BenhaddiGlobal Health Economics & Outcomes Research, Teva Pharmaceuticals, Wilrijk, Belgium.
Marianka van der TolRespiratory Devices, Teva Pharmaceuticals Europe B.V, Amsterdam, The Netherlands.
Victoria CarterObservational and Pragmatic Research Institute Pte Ltd, Singapore, Singapore.
Job F M van BovenDepartment of General Practice & Elderly Care, Groningen Research Institute for Asthma and COPD (GRIAC), University Medical Centre Groningen, University of Groningen, Groningen, The Netherlands.
Leif BjermerRespiratory Medicine and Allergology, Skåne University Hospital, Lund, Sweden.
Marc MiravitllesDepartment of Pneumology, Hospital Universitari Vall d'Hebron, CIBER de Enfermedades Respiratorias (CIBERES), Barcelona, Spain.
David B PriceObservational and Pragmatic Research Institute Pte Ltd, Singapore, Singapore.ORCID 0000-0002-9728-9992

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesBudesonide/formoterol (BF) Spiromax

methodsPatients with asthma and/or COPD who switched to BF Spiromax were matched (1:3) with non-switchers. Data were obtained from the Optimum Patient Care Research Database and Clinical Practice Research Datalink in the UK. The primary end point was the proportion of patients achieving disease control (using the risk domain control (RDC) algorithm); secondary end points were: exacerbation rate, short-acting β

resultsComparing 385 matched patients (asthma 253; COPD 132) who switched to BF Spiromax with 1091 (asthma 743; COPD 348) non-switchers, non-inferiority of BF Spiromax in RDC was demonstrated (adjusted difference: +6.6%; 95% CI -0.3 to 13.5). Among patients with asthma, switchers to BF Spiromax versus BF Turbuhaler

conclusionsAmong UK patients with asthma and COPD, real-world use of BF Spiromax was non-inferior to BF Turbuhaler in terms of disease control. Among patients with asthma, switching to BF Spiromax was associated with reduced exacerbations, reduced SABA use and improved treatment stability versus continuing on BF Turbuhaler.

Indexed as

Administration, InhalationAdrenal Cortex HormonesAdultAgedAsthmaBronchodilator AgentsBudesonide, Formoterol Fumarate Drug CombinationDatabases, FactualDrug SubstitutionDry Powder InhalersFemaleHumansLogistic ModelsMaleMiddle AgedPulmonary Disease, Chronic ObstructiveAdrenal Cortex HormonesBronchodilator AgentsBudesonide, Formoterol Fumarate Drug Combinationasthmabudesonide/formoterolchronic obstructive pulmonary diseasecomparative effectiveness researchdisease controlinhalation devices

Identifiers

PMID30368448
PMCPMC6224753

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Registered trials

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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.