Evidence map›Paper›PMID 32435326›Full record

ArticleThe World Allergy Organization journal2020

Factors that affect blood eosinophil counts in a non-asthmatic population: Post hoc analysis of data from Brazil.

Namhee Kwon, Emilio Pizzichini, Aruna T Bansal, Frank C Albers, Neil Barnes, John H Rile, Aline Lima-Matos, Eduardo Viera Ponte, Alvaro A Cruz

Open access · goldAbstract read
In one paragraph

Article in The World Allergy Organization journal, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 20% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Genome-wide cross-trait analysis of heterogeneous outcomes in early life atopic dermatitis.Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology · 2025
    Article
  4. Article
  5. Normal Blood Eosinophil Counts in Humans.Respiration; international review of thoracic diseases · 2024
    Article
  6. Blood Eosinophil Count and Its Determinants in a Chinese Population-Based Cohort.Respiration; international review of thoracic diseases · 2024
    Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. 2021 Brazilian Thoracic Association recommendations for the management of severe asthma.Jornal brasileiro de pneumologia : publicacao oficial da Sociedade Brasileira de Pneumologia e Tisilogia · 2021
    Review
  13. 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

9 authors at 7 institutions in 3 countries.

Namhee KwonRespiratory Medical Franchise, GlaxoSmithKline, Brentford, Middlesex, UK.
Emilio PizzichiniUniversidade Federal de Santa Catarina, Florianopolis, Brazil.
Aruna T BansalAcclarogen Ltd, St John's Innovation Centre, Cambridge, UK.
Frank C AlbersGlobal Respiratory Medical Franchise, GlaxoSmithKline, Research Triangle Park, NC, USA.
Neil BarnesRespiratory Medical Franchise, GlaxoSmithKline, Brentford, Middlesex, UK.
John H RileGSK, Medicines Research Centre, Stevenage, Herts, UK.
Aline Lima-MatosProAR, Federal University of Bahia, Bahia, Brazil.
Eduardo Viera PonteInternal Medicine, Jundiaí Medical School, São Paulo, Brazil.
Alvaro A CruzProAR, Federal University of Bahia, Bahia, Brazil.
Universidade Federal da Bahia · BRAge UK · GBFaculdade de Medicina de Jundiaí · BRGlaxoSmithKline (United Kingdom) · GBGlaxoSmithKline (United States) · USUniversidade Federal de Santa Catarina · BRWilliam Harvey Research Institute · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundImproved understanding of the normal range of blood eosinophil counts (BEC) and conditions that influence them in non-asthmatic individuals should allow more accurate estimation of the threshold at which eosinophilic disease should be considered, diagnosed, and treated. This analysis investigated the impact of atopy, smoking, and parasitic infection on BEC.

methodsThis was a post hoc analysis of non-asthmatic subjects from a case-control study (CONEP 450/10) conducted at the Program for Control of Asthma in Bahia (ProAR). Participant BECs were measured at baseline; correlations between predefined risk factors and BEC were assessed via univariate and stratified analysis.

resultsOf the 454 participants included, 3% were helminth parasite-positive, 18% were non-helminth parasite-positive; and 450 had BEC data. The median (interquartile range [IQR]) BEC was 152 (96, 252) cells/μL. Any positive skin prick test, elevated total immunoglobulin E, allergic rhinitis, and being a current smoker were all individually associated with higher BEC (p < 0.05) compared with BEC in participants without these factors, but having a non-helminthic parasitic infection was not. Participants with all 4 risk factors that were associated with higher BEC had a median (IQR) BEC of 192 cells/μL (94, 416) versus 106 cells/μL (70, 164) for those with no risk factors.

conclusionsIn non-asthmatic subjects, atopy, allergic rhinitis, and current smoking status were associated with higher BEC compared with subjects without these factors, but BEC values were well below the threshold commonly accepted as normal. Therefore, BEC should be interpreted in the context of an individual's medical conditions and other BEC-influencing factors.

Indexed as

AR, allergic rhinitisAtopyBEC, blood eosinophil countsBiomarkerBMI, body mass indexCOPD, chronic obstructive pulmonary diseaseEGPA, eosinophilic granulomatosis with polyangiitisEosinophilFEV1, forced expiratory volume in 1sGINA, Global Initiative for AsthmaIgE, immunoglobulin EIL, interleukinIQR, interquartile rangeNormal rangeParasiteProAR, Program for Control of Asthma in BahiaSPT, skin prick test

Identifiers

PMID32435326
PMCPMC7232113
OpenAlexW3025682151

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.