Evidence map›Paper›PMID 32811470›Full record

ArticleBMC pediatrics2020

The economic burden of medical treatment of children with asthma in China.

Ping Wu, Baoping Xu, Adong Shen, Zonglin He, Casper J P Zhang, Wai-Kit Ming, Kunling Shen

Abstract read
In one paragraph

Article in BMC pediatrics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
–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

14 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Health loss and economic burden of asthma in China: a qualitative review based on existing literature.Archives of public health = Archives belges de sante publique · 2025
    Pooled it
  2. Early-life internalizing behavioral trajectories and childhood-onset asthma: An epigenetic link.Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology · 2026
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  14. Economic Burden of Major Diseases in China in 2013.Frontiers in public health · 2021
    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

7 authors.

Ping WuChina National Clinical Research Center of Respiratory Diseases; Respiratory Department of Beijing Children's Hospital, Capital Medical University; National Center for Children's Health, Beijing, China.
Baoping XuChina National Clinical Research Center of Respiratory Diseases; Respiratory Department of Beijing Children's Hospital, Capital Medical University; National Center for Children's Health, Beijing, China.
Adong ShenChina National Clinical Research Center of Respiratory Diseases; Respiratory Department of Beijing Children's Hospital, Capital Medical University; National Center for Children's Health, Beijing, China.
Zonglin HeInternational School, Jinan University, Guangzhou, China.
Casper J P ZhangSchool of Public Health, The University of Hong Kong, Pokfulam, Hong Kong, China.
Wai-Kit MingInternational School, Jinan University, Guangzhou, China. wkming@connect.hku.hk.ORCID 0000-0002-8846-7515
Kunling ShenChina National Clinical Research Center of Respiratory Diseases; Respiratory Department of Beijing Children's Hospital, Capital Medical University; National Center for Children's Health, Beijing, China. kunlingshen1717@163.com.ORCID 0000-0002-1673-715X

Funding

National Key Research and Development Plan 2016YFC0901103
6 · The paper itself

Abstract

backgroundAt present, there are few studies on the economic burden and medical treatment of children with asthma in China. Thus this study aimed to investigate the economic burden of medical treatment of children with asthma in China.

methodThe 2015 China Medical Insurance Research Association (CHIRA) database was searched for patients with asthma from 0 to 14 years old. A cross-sectional study with cost analysis was conducted.

resultsThe annual per capita direct medical cost was RMB 525 (US$75) related to asthma. Totaling 58% of the medical expenditure for asthma was covered by insurance in China, the majority of which were direct medical costs. Those that have the highest rates of using antibiotics were central China (100.0%), children aged 3 years and under (63.6%), as well as fourth-tier and fifth-tier cities (77.1%). Outpatient clinics (98.58% vs 1.42%, P < 0.01), tertiary hospitals (62.08% vs 37.92%, P < 0.01), and general hospitals (72.27% vs 27.73%, P < 0.01) were more often visited than the inpatient clinics, secondary and primary as well as the specialized clinics, respectively.

conclusionThe economic burden of childhood asthma in China is relatively low, and the national medical insurance reduces their economic burden to a large extent. Abuse of antibiotics in treating asthma was found in China. There remain opportunities to strengthen the hierarchical medical system, reducing hospitalization and emergency visits, and ultimately reducing the economic burden of children with asthma.

Indexed as

AsthmaCost of IllnessAdolescentChildChild, PreschoolChinaCitiesCross-Sectional StudiesHumansInfantInfant, NewbornChildhood asthmaChina medical insurance research association (CHIRA) databaseEconomic burden

Identifiers

PMID32811470
PMCPMC7433054

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.