Evidence map›Paper›PMID 31982392›Full record

ArticleChest2020

Bronchodilator Response Assessed by the Forced Oscillation Technique Identifies Poor Asthma Control With Greater Sensitivity Than Spirometry.

Alice M Cottee, Leigh M Seccombe, Cindy Thamrin, Gregory G King, Matthew J Peters, Claude S Farah

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Chest, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07364188 (Bronchodilator Response in COPD and Asthma), which is not on this map. Cited by 30 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 1 pooled it
5.9field-weighted citation impact, top 3% 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.

NCT07364188 not yet recruitingnot on this mapstarted 2026, after this paper: background citation

Bronchodilator Response in COPD and Asthma: Correlation Between Spirometry, IOS Indices, and Dyspnea Relief

TypeobservationalSponsorAllergi- og Lungeklinikken, ElsinoreRan2026 to 2027Enrolled120ConditionsAsthma Bronchiale, COPD, Bronchodilation, SpirometryArmsBronchodilator
3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 1 synthesis or guideline pooled it, 69 citations in OpenAlex.

  1. Pooled it
  2. Trial
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  6. Article
  7. Article
  8. Review
  9. Article
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  12. The Impact of Age and Disease Entity on Small Airway Dysfunction in Obstructive Airway Diseases.International journal of chronic obstructive pulmonary disease · 2025
    Article
  13. Review
  14. Article
  15. Improving asthma outcomes: Clinicians' perspectives on peripheral airways.The journal of allergy and clinical immunology. Global · 2024
    Article
  16. Observational
  17. Article
  18. Article
  19. Article
  20. Oscillometry bronchodilator response in adult moderate to severe eosinophilic asthma patients: A prospective cohort study.Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology · 2022
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 1 country.

Alice M CotteeDepartment of Respiratory Medicine, Concord Repatriation General Hospital, Concord, NSW, Australia; Woolcock Emphysema Centre and Airway Physiology and Imaging Group, Woolcock Institute of Medical Research, Glebe, NSW, Australia; Faculty of Medicine and Health, University of Sydney, Sydney, NSW, Australia. Electronic address: alice.cottee@sydney.edu.au.
Leigh M SeccombeDepartment of Respiratory Medicine, Concord Repatriation General Hospital, Concord, NSW, Australia; Faculty of Medicine and Health, University of Sydney, Sydney, NSW, Australia.
Cindy ThamrinWoolcock Emphysema Centre and Airway Physiology and Imaging Group, Woolcock Institute of Medical Research, Glebe, NSW, Australia.
Gregory G KingWoolcock Emphysema Centre and Airway Physiology and Imaging Group, Woolcock Institute of Medical Research, Glebe, NSW, Australia; Faculty of Medicine and Health, University of Sydney, Sydney, NSW, Australia; Department of Respiratory Medicine, Royal North Shore Hospital, NSW, Australia.
Matthew J PetersDepartment of Respiratory Medicine, Concord Repatriation General Hospital, Concord, NSW, Australia; Faculty of Medicine and Health, University of Sydney, Sydney, NSW, Australia; Faculty of Medicine and Health Sciences, Macquarie University, North Ryde, NSW, Australia.
Claude S FarahDepartment of Respiratory Medicine, Concord Repatriation General Hospital, Concord, NSW, Australia; Woolcock Emphysema Centre and Airway Physiology and Imaging Group, Woolcock Institute of Medical Research, Glebe, NSW, Australia; Faculty of Medicine and Health, University of Sydney, Sydney, NSW, Australia; Faculty of Medicine and Health Sciences, Macquarie University, North Ryde, NSW, Australia.
Concord Repatriation General Hospital · AUUniversity of Sydney · AUMacquarie University · AUWoolcock Institute of Medical Research · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPersistent bronchodilator response (BDR) following diagnosis of asthma is an underrecognized treatable trait, associated with worse lung function and asthma control. The forced oscillation technique (FOT) measures respiratory system impedance, and BDR cutoffs have been proposed for healthy adults; however, the relevance in asthma is unknown. We compared BDR cutoffs, using FOT and spirometry, in asthma and the relationship with asthma control.

methodsData from patients with asthma who withheld bronchodilator medication for at least 8 h before a tertiary airway clinic visit were reviewed. All subjects performed FOT and spirometry before and after salbutamol administration, and completed the Asthma Control Test. FOT parameters examined included respiratory system resistance (R5) and reactance (X5) at 5 Hz, and area under the reactance curve (AX). BDR was defined by standard recommendations for spirometry and based on the 95th percentile of BDR in healthy adults for FOT.

resultsFifty-two subjects (18 men; mean age, 53 ± 18 years) were included. BDR was identified more frequently by FOT than spirometry (54% vs 27% of subjects). BDR assessed by X5 and AX, but not R5, was associated with spirometric BDR (χ

conclusionsBDR assessed by FOT can identify poor asthma control. Reactance parameters were more sensitive in identifying poor asthma control than spirometry, supporting the use of FOT to complement spirometry in the clinical management of asthma.

Indexed as

Airway ResistanceAsthmaBronchodilator AgentsFemaleFollow-Up StudiesForced Expiratory VolumeHumansLungMaleMiddle AgedOscillometryRetrospective StudiesSpirometryBronchodilator Agentsasthma controlbronchodilator responseforced oscillation techniquesymptoms

Identifiers

PMID31982392
PMCPMC7268434
OpenAlexW3001478987

What OpenQuestion holds

Textmetadata
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.