Evidence map›Paper›PMID 31472294›Full record

ArticleThe journal of allergy and clinical immunology. In practice2020

Trends and Disparities in Asthma Biologic Use in the United States.

Jonathan W Inselman, Molly M Jeffery, Jacob T Maddux, Nilay D Shah, Matthew A Rank

Registry-linked trialAbstract read
In one paragraph

Article in The journal of allergy and clinical immunology. In practice, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07396987 (Boosting Referrals to Asthma Specialists for Patients Seen at the Emergency Room for an Asthma Exacerbation), which is not on this map. Cited by 49 papers.

0numbers the graph read from it
0cells of the map it votes in
49citing 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.

NCT07396987 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

Boosting Referrals to Asthma Specialists for Patients Seen at the Emergency Room for an Asthma Exacerbation

TypeinterventionalSponsorJuan Carlos CardetRan2026 to 2027Enrolled40ConditionsAsthma Attack, Asthma Control, Asthma Exacerbations, AsthmaArmsER-Initiated Telehealth Referral
3 · Its place in the literature

Who cites it

49 citing papers in PubMed.

  1. Article
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  3. Observational
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  9. Racial and Ethnic Disparities in the Use of Expensive Medications: A Focus on Sugammadex in the Pediatric Perioperative Setting.The journal of pediatric pharmacology and therapeutics : JPPT : the official journal of PPAG · 2026
    Article
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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

5 authors.

Jonathan W InselmanRobert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Mayo Clinic, Rochester, Minn.
Molly M JefferyDivision of Health Care Policy and Research, Department of Health Sciences Research, Mayo Clinic, Rochester, Minn.
Jacob T MadduxDepartment of Medicine, Mayo Clinic, Phoenix, Ariz.
Nilay D ShahRobert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Mayo Clinic, Rochester, Minn; Division of Health Care Policy and Research, Department of Health Sciences Research, Mayo Clinic, Rochester, Minn; OptumLabs, Cambridge, Mass.
Matthew A RankRobert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Mayo Clinic, Rochester, Minn; Division of Allergy, Asthma, and Clinical Immunology, Mayo Clinic, Scottsdale, Ariz; Division of Pulmonology, Phoenix Children's Hospital, Phoenix, Ariz. Electronic address: Rank.matthew@mayo.edu.

Funding

Step down of asthma biologics in real-world practice settingsR21HL140287 · NHLBI · MAYO CLINIC ARIZONA · PI RANK, MATTHEW A · 2018 to 2020
$266k
NHLBI NIH HHS R21 HL140287
6 · The paper itself

Abstract

backgroundFrom 2003 to 2015, only 1 biologic was approved for the treatment of moderate to severe asthma in the United States. Since 2015, 4 new asthma biologics were approved by the US Food and Drug Administration.

objectiveTo describe trends and disparities of asthma biologic use in the United States from 2003 to 2018.

methodsWe conducted a retrospective analysis using a cohort developed from the OptumLabs Data Warehouse. Prevalent and incident asthma biologic users were identified, and characteristics of users and nonusers were analyzed using regression analysis. Clinician prescribing behavior was described.

resultsUse of biologic medications remains uncommon among individuals with asthma, with prevalence peaking in 2006 at 3 in 1000 individuals with asthma. Several factors are associated with a higher likelihood of asthma biologic use: middle age, higher income, commercial insurance, and access to a specialist. Most clinicians (65%) in the cohort prescribed only 1 biologic.

conclusionsWe report low overall use of asthma biologics and evidence of disparities in access to asthma biologics.

Indexed as

AsthmaBiological ProductsAgedCohort StudiesFemaleHumansMaleMedicareMiddle AgedRetrospective StudiesUnited StatesBiological ProductsAdherenceAsthmaAsthma biologicsDisparitiesTrendsUtilization

Identifiers

PMID31472294
PMCPMC7012665

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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.