Evidence map›Paper›PMID 32787967›Full record

ArticleRespiratory research2020

Chronic oral corticosteroids use and persistent eosinophilia in severe asthmatics from the Belgian severe asthma registry.

S Graff, S Vanwynsberghe, G Brusselle, S Hanon, C Sohy, L J Dupont, R Peche, A Michils, C Pilette, G Joos and 2 more

Abstract read
In one paragraph

Article in Respiratory research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

9 citing papers in PubMed.

  1. Article
  2. Eosinophil count testing in patients with asthma varies by healthcare provider type in the US: a retrospective study.Allergy, asthma, and clinical immunology : official journal of the Canadian Society of Allergy and Clinical Immunology · 2024
    Article
  3. Article
  4. Article
  5. Article
  6. Biologics in severe asthma: the role of real-world evidence from registries.European respiratory review : an official journal of the European Respiratory Society · 2022
    Review
  7. Article
  8. Article
  9. Observational
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

12 authors.

S GraffDepartment of Respiratory Medicine, CHU Sart-Tilman, I3GIGA Research Group, University of Liege, Liege, Belgium. sgraff@uliege.be.ORCID http://orcid.org/0000-0002-2060-689X
S VanwynsbergheDepartment of Respiratory Medicine, Ghent University Hospital, Ghent, Belgium.
G BrusselleDepartment of Respiratory Medicine, Ghent University Hospital, Ghent, Belgium.
S HanonRespiratory Division, Universitair Ziekenhuis Brussel, Vrije Universiteit Brussel (VUB), Brussels, Belgium.
C SohyDepartment of Respiratory Medicine, Centre Hospitalier Universitaire UCL Namur, Université Catholique de Louvain, Yvoir, Belgium.
L J DupontDepartment of Respiratory Medicine, Katholieke Universiteit Leuven, Leuven, Belgium.
R PecheDepartment of Respiratory Medicine, CHU-Charleroi, A. Vésale Hospital, Charleroi, Belgium.
A MichilsChest Department, Erasme University Hospital, Université Libre de Bruxelles, Brussels, Belgium.
C PiletteCliniques Universitaires St-Luc and Institute of Experimental and Clinical Research, Université Catholique de Louvain, Brussels, Belgium.
G JoosDepartment of Respiratory Medicine, Ghent University Hospital, Ghent, Belgium.
R E LouisDepartment of Respiratory Medicine, CHU Sart-Tilman, I3GIGA Research Group, University of Liege, Liege, Belgium.
F N SchleichDepartment of Respiratory Medicine, CHU Sart-Tilman, I3GIGA Research Group, University of Liege, Liege, Belgium.

Funding

Interuniversity Attraction Poles Program (IUAP) Belgian Science Policy (P7/30)
6 · The paper itself

Abstract

backgroundSevere asthma (SA) may require frequent courses or chronic use of oral corticosteroids (OCS), inducing many known side effects and complications. Therefore, it is important to identify risk factors of chronic use of OCS in SA, considering the heterogeneity of clinical and inflammatory asthma phenotypes. Another aim of the present analysis is to characterize a subpopulation of severe asthmatics, in whom blood eosinophil counts (BEC) remain elevated despite chronic OCS treatment.

methodsIn a cross-sectional analysis of 982 SA patients enrolled in the Belgian Severe Asthma Registry (BSAR) between March 2009 and February 2019, we investigated the characteristics of the OCS treated patients with special attention to their inflammatory profile.

resultsAt enrollment, 211 (21%) SA patients were taking maintenance OCS (median dose: 8 [IQR: 5-10]) mg prednisone equivalent). BEC was high (> 400/mm

conclusionThese data showed a significant association between a persistently high BEC and late-onset asthma in OCS treated SA patients. Whether it is poor compliance to treatment or corticosteroid insensitivity the reasons for this association warrants further investigation.

Indexed as

RegistriesSeverity of Illness IndexAdministration, OralAdrenal Cortex HormonesAdultAgedAsthmaBelgiumCross-Sectional StudiesDrug Administration ScheduleEosinophiliaFemaleHumansMaleMiddle AgedAdrenal Cortex HormonesAsthmaBlood eosinophilsOral corticosteroids

Identifiers

PMID32787967
PMCPMC7424982

What OpenQuestion holds

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LicenceCC BY
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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.