Evidence map›Paper›PMID 32920094›Full record

ArticleThe Journal of allergy and clinical immunology2021

New clinical diagnostic criteria for allergic bronchopulmonary aspergillosis/mycosis and its validation.

Koichiro Asano, Akira Hebisawa, Takashi Ishiguro, Noboru Takayanagi, Yasuhiko Nakamura, Junko Suzuki, Naoki Okada, Jun Tanaka, Yuma Fukutomi, Shigeharu Ueki and 8 more

Open access · hybridAbstract readValidation Study
PubMed Publisher
In one paragraph

Article in The Journal of allergy and clinical immunology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 118 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
118citing papers in PubMed, 3 pooled it
14.7field-weighted citation impact, top 1% 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

118 citing papers in PubMed, 3 syntheses or guidelines pooled it, 220 citations in OpenAlex.

  1. Guideline
  2. Pooled it
  3. Guideline
  4. Article
  5. Systemic azoles for asthma with fungal sensitisation.The Cochrane database of systematic reviews · 2026
    Article
  6. Article
  7. Review
  8. InhaledRespirology case reports · 2026
    Article
  9. Article
  10. International journal of molecular sciences · 2026
    Review
  11. Review
  12. Non-Journal of clinical microbiology · 2026
    Observational
  13. Article
  14. High total serum IgE level at diagnosis was associated with a progressive decline in lung function in asthmatic patients with allergic bronchopulmonary mycosis.Allergy, asthma, and clinical immunology : official journal of the Canadian Society of Allergy and Clinical Immunology · 2026
    Article
  15. Review
  16. Article
  17. Review
  18. Article
  19. Article
  20. Eosinophilic pediatric ABPM lacking fungal sensitization responsive to anti-IL-5.The journal of allergy and clinical immunology. Global · 2026
    Article

58 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

18 authors at 10 institutions in 1 country.

Koichiro AsanoDivision of Pulmonary Medicine, Department of Medicine, Tokai University School of Medicine, Kanagawa, Japan. Electronic address: ko-asano@tokai-u.jp.
Akira HebisawaClinical Laboratory Center, National Hospital Organization Tokyo National Hospital, Tokyo, Japan.
Takashi IshiguroDepartment of Respiratory Medicine, Saitama Cardiovascular and Respiratory Center, Saitama, Japan.
Noboru TakayanagiDepartment of Respiratory Medicine, Saitama Cardiovascular and Respiratory Center, Saitama, Japan.
Yasuhiko NakamuraClinical Laboratory Center, National Hospital Organization Tokyo National Hospital, Tokyo, Japan.
Junko SuzukiDepartment of Respiratory Medicine, National Hospital Organization Tokyo National Hospital, Tokyo, Japan.
Naoki OkadaDivision of Pulmonary Medicine, Department of Medicine, Tokai University School of Medicine, Kanagawa, Japan.
Jun TanakaDivision of Pulmonary Medicine, Department of Medicine, Tokai University School of Medicine, Kanagawa, Japan.
Yuma FukutomiClinical Research Center, National Hospital Organization Sagamihara National Hospital, Kanagawa, Japan.
Shigeharu UekiDepartment of General Internal Medicine and Clinical Laboratory Medicine, Akita University Graduate School of Medicine, Akita, Japan.
Koichi FukunagaDivision of Pulmonary Medicine, Department of Medicine, Keio University School of Medicine, Tokyo, Japan.
Satoshi KonnoDepartment of Respiratory Medicine, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Sapporo, Japan.
Hiroto MatsuseDivision of Clinical Research, Medical Mycology Research Center, Chiba University, Chiba, Japan.
Katsuhiko KameiDivision of Respirology, Department of Internal Medicine, Toho University Ohashi Medical Center, Tokyo, Japan.
Masami TaniguchiClinical Research Center, National Hospital Organization Sagamihara National Hospital, Kanagawa, Japan.
Terufumi ShimodaDepartment of Allergy, Clinical Research Center, National Hospital Organization Fukuoka Hospital, Fukuoka, Japan.
Tsuyoshi OgumaDivision of Pulmonary Medicine, Department of Medicine, Tokai University School of Medicine, Kanagawa, Japan.
Japan ABPM Research Program
Tokai University · JPTokyo National Hospital · JPNational Sagamihara Hospital · JPSaitama Prefecture · JPAkita University · JPChiba University Hospital · JPFukuoka Hospital · JPHokkaido University · JPKeio University · JPToho University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere are several clinical diagnostic criteria for allergic bronchopulmonary aspergillosis (ABPA). However, these criteria have not been validated in detail, and no criteria for allergic bronchopulmonary mycosis (ABPM) are currently available.

objectiveThis study proposes new diagnostic criteria for ABPA/ABPM, consisting of 10 components, and compares its sensitivity and specificity to existing methods.

methodsRosenberg-Patterson criteria proposed in 1977, the International Society for Human and Animal Mycology (ISHAM) criteria proposed in 2013, and this new criteria were applied to 79 cases with pathological ABPM and the control population with allergic mucin in the absence of fungal hyphae (n = 37), chronic eosinophilic pneumonia (n = 64), Aspergillus-sensitized severe asthma (n = 26), or chronic pulmonary aspergillosis (n = 24). These criteria were also applied to the 179 cases with physician-diagnosed ABPA/ABPM in a nationwide Japanese survey.

resultsThe sensitivity for pathological ABPM with Rosenberg-Patterson criteria, ISHAM criteria, and this new criteria were 25.3%, 77.2%, and 96.2%, respectively. The sensitivity for physician-diagnosed ABPA/ABPM were 49.2%, 82.7%, and 94.4%, respectively. The areas under the curve for the receiver-operating characteristic curves were 0.85, 0.90, and 0.98, respectively. The sensitivity for ABPM cases that were culture-positive for non-Aspergillus fungi were 13.0%, 47.8%, and 91.3%, respectively.

conclusionsThe new diagnostic criteria, compared with existing criteria, showed better sensitivity and specificity for diagnosing ABPA/ABPM.

Indexed as

AdultAgedAspergillosis, Allergic BronchopulmonaryAsthmaChronic DiseaseCross-Sectional StudiesFemaleHumansJapanMaleMiddle AgedPulmonary EosinophiliaRetrospective StudiesSensitivity and SpecificitySeverity of Illness IndexAllergic bronchopulmonary aspergillosisallergic bronchopulmonary mycosisAspergillusdiagnosiseosinophilsfungusIgEmucus plugssevere asthma with fungal sensitization

Identifiers

PMID32920094
OpenAlexW3085814731

What OpenQuestion holds

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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.