Evidence map›Paper›PMID 31441602›Full record

Trial reportImmunity, inflammation and disease2019

Evidence for similarity in symptoms and mechanism: The extra-pulmonary symptoms of severe asthma and the polysymptomatic presentation of fibromyalgia.

Michael E Hyland, Joseph W Lanario, Yinghui Wei, Rupert C Jones, Matthew Masoli

Open access · goldAbstract readClinical Trial
In one paragraph

Trial report in Immunity, inflammation and disease, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.2field-weighted citation impact, top 22% 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

8 citing papers in PubMed, 16 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Patient-centred outcomes in severe asthma: fatigue, sleep, physical activity and work.European respiratory review : an official journal of the European Respiratory Society · 2025
    Review
  5. Review
  6. Article
  7. Article
  8. 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

5 authors at 3 institutions in 1 country.

Michael E HylandSchool of Psychology, University of Plymouth of Plymouth, Plymouth, UK.ORCID 0000-0003-3879-0469
Joseph W LanarioSchool of Psychology, University of Plymouth of Plymouth, Plymouth, UK.
Yinghui WeiSchool of Computing, Electronics and Mathematics, University of Plymouth, Plymouth, UK.
Rupert C JonesDepartment of Respiratory Medicine, Peninsula School of Medicine and Dentistry, University of Plymouth, Plymouth, UK.
Matthew MasoliUniversity Hospitals Plymouth NHS Trust, Plymouth, UK.
University Hospitals Plymouth NHS Trust · GBPeninsula College of Medicine and Dentistry · GBUniversity of Plymouth · GB

Funding

Department of Health
6 · The paper itself

Abstract

backgroundAsthma is a disease of the lung and a systemic disease. Functional disorders are associated with multiple systemic abnormalities that have been explained by complexity models. The aim was to test the similarity in type and aetiology between the extra-pulmonary symptoms of severe asthma and the symptoms of fibromyalgia.

methodsOne Hundred patients recruited from a specialist severe asthma clinic and 1751 people reporting different functional disorder diagnoses recruited via the internet completed the same 60-item questionnaire. Symptom patterns were compared between groups using a new measure, the symptom pattern similarity index where 0 = no relationship, 1 = identical patterns between groups.

resultsSevere asthma patients report numerous extra-pulmonary symptoms. The similarity index between the symptom pattern of the asthma patients with other groups was irritable bowel syndrome = 0.54, chronic fatigue syndrome = 0.69, and fibromyalgia = 0.75. The index between fibromyalgia and asthma patients with the most and least frequent extra-pulmonary symptoms was 0.81 and 0.55 respectively.

conclusionsPatients with severe asthma have numerous extra-pulmonary symptoms similar in type and pattern to the symptoms of fibromyalgia. The similarity of the symptom pattern between asthma and fibromyalgia increases as the number of extra-pulmonary symptoms increases as predicted by network theory and previously shown to be the case with other functional disorders. These findings support the hypothesis that functional disorders and extra-pulmonary asthma symptoms have a common complexity or network aetiology. Evidence based behavioural interventions for fibromyalgia may be helpful for patients with severe asthma reporting extra-pulmonary symptoms.

Indexed as

AsthmaFatigue Syndrome, ChronicFibromyalgiaIrritable Bowel SyndromeSurveys and QuestionnairesAdolescentAdultAgedFemaleHumansMaleMiddle Agedbiopsychosocial interactioncomplexityfibromyalgiafunctional disordernetworkSevere asthma

Identifiers

PMID31441602
PMCPMC6842811
OpenAlexW2969427172

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.