Evidence map›Paper›PMID 33191676›Full record

ArticleAllergy, asthma & immunology research2021

Heterogeneity of Childhood Asthma in Korea: Cluster Analysis of the Korean Childhood Asthma Study Cohort.

Jisun Yoon, Eun Jin Eom, Jin Tack Kim, Dae Hyun Lim, Woo Kyung Kim, Dae Jin Song, Young Yoo, Dong In Suh, Hey Sung Baek, Meeyong Shin and 13 more

Open access · diamondAbstract read
In one paragraph

Article in Allergy, asthma & immunology research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.2field-weighted citation impact, top 21% 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

11 citing papers in PubMed, 16 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Artificial intelligence in pediatric allergy research.European journal of pediatrics · 2024
    Review
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  7. Review
  8. Review
  9. Article
  10. Article
  11. Implication of Cluster Analysis in Childhood Asthma.Allergy, asthma & immunology research · 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

23 authors at 19 institutions in 1 country.

Jisun YoonDepartment of Pediatrics, Mediplex Sejong Hospital, Incheon, Korea.ORCID https://orcid.org/0000-0002-4904-9118
Eun Jin EomAsan Institute for Life Sciences, University of Ulsan College of Medicine, Seoul, Korea.
Jin Tack KimDepartment of Pediatrics, School of Medicine, The Catholic University of Korea, Uijeongbu St. Mary's hospital, Uijeongbu, Korea.
Dae Hyun LimDepartment of Pediatrics, College of Medicine, Inha University, Incheon, Korea.ORCID https://orcid.org/0000-0002-4558-3284
Woo Kyung KimDepartment of Pediatrics, Inje University Seoul Paik Hospital, Seoul, Korea.ORCID https://orcid.org/0000-0001-8730-010X
Dae Jin SongDepartment of Pediatrics, Korea University Guro Hospital, Seoul, Korea.ORCID https://orcid.org/0000-0003-0647-3186
Young YooDepartment of Pediatrics, Korea University Anam Hospital, Seoul, Korea.ORCID https://orcid.org/0000-0003-3354-6969
Dong In SuhDepartment of Pediatrics, Seoul National University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0002-7817-8728
Hey Sung BaekDepartment of Pediatrics, Hallym University Kangdong Sacred Heart Hospital, Seoul, Korea.
Meeyong ShinDepartment of Pediatrics, Soonchunhyang University School of Medicine, Bucheon, Korea.ORCID https://orcid.org/0000-0003-3699-8741
Ji Won KwonDepartment of Pediatrics, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea.ORCID https://orcid.org/0000-0002-5129-928X
Gwang Cheon JangDepartment of Pediatrics, National Health Insurance Service Ilsan Hospital, Ilsan, Korea.ORCID https://orcid.org/0000-0002-2423-9951
Hyeon Jong YangDepartment of Pediatrics, Pediatric Allergy and Respiratory Center, Soonchunhyang University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0002-7287-4300
Eun LeeDepartment of Pediatrics, Chonnam National University Hospital, Chonnam National University Medical School, Gwangju, Korea.ORCID https://orcid.org/0000-0002-7462-0144
Hwan Soo KimDepartment of Pediatrics, School of Medicine, The Catholic University of Korea, Bucheon St. Mary's Hospital, Bucheon, Korea.
Ju Hee SeoDepartment of Pediatrics, Dankook University Hospital, Cheonan, Korea.ORCID https://orcid.org/0000-0001-6783-2942
Sung Il WooDepartment of Pediatrics, College of Medicine, Chungbuk National University, Cheongju, Korea.ORCID https://orcid.org/0000-0003-1896-6279
Hyung Young KimDepartment of Pediatrics, Pusan National University Yangsan Hospital, Yangsan, Korea.ORCID https://orcid.org/0000-0001-8591-1783
Youn Ho ShinDepartment of Pediatrics, Gangnam CHA Medical Center, CHA University School of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0003-3227-5511
Ju Suk LeeDepartment of Pediatrics, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine, Changwon, Korea.
Sungsu JungDepartment of Pediatrics, Pusan National University Yangsan Hospital, Yangsan, Korea.ORCID https://orcid.org/0000-0002-0559-4982
Minkyu HanDepartment of Clinical Epidemiology and Biostatistics, Asan Medical Center, Seoul, Korea.
Jinho YuDepartment of Pediatrics, Childhood Asthma Atopy Center, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. jyu3922@gmail.com.ORCID https://orcid.org/0000-0002-1226-8077
Korea University Medical Center · KRSoonchunhyang University · KRThe Catholic University of Korea Bucheon St. Mary's Hospital · KRUlsan College · KRAsan Medical Center · KRCHA University Gangnam Medical Center · KRChonnam National University Hospital · KRChungbuk National University · KRDankook University Hospital · KRHallym University · KRInha University · KRInje University Seoul Paik Hospital · KRNational Health Insurance Service Ilsan Hospital · KRPusan National University Yangsan Hospital · KRSamsung (South Korea) · KRSejong General Hospital · KRSeoul National University · KRSeoul National University Bundang Hospital · KRThe Catholic University of Korea Uijeongbu St. Mary's Hospital · KR

Funding

Korea Centers for Disease Control and Prevention 2016-ER6703-00Korea Centers for Disease Control and Prevention 2019-ER6701-00
6 · The paper itself

Abstract

purposeAsthma is a heterogeneous airway disease occurring in children, and it has various clinical phenotypes. A clear differentiation of the clinical phenotypes can provide better asthma management and prediction of asthma prognosis. Little is currently known about asthma phenotypes in Korean children. This study was designed to identify asthma phenotypes in school-aged Korean children.

methodsThis study enrolled 674 children with physician-diagnosed asthma from the Korean childhood Asthma Study (KAS) cohort. The physicians verified the relevant histories of asthma and comorbid diseases, as well as airway lability and hyper-responsiveness from the results of pulmonary function tests and bronchial provocation tests. Questionnaires regarding the participants' baseline characteristics, their environment and self-rating of asthma control were collected at the time of enrollment. Laboratory tests were performed to assess allergy and airway inflammation. Children with asthma were classified by hierarchical cluster analysis.

resultsOf the 674 patients enrolled from the KAS cohort, 447 were included in the cluster analysis. Cluster analysis of these 447 children revealed 4 asthma phenotypes: cluster 1 (n = 216, 48.3%) which was characterized by male-dominant atopic asthma; cluster 2 (n = 79, 17.7%) which was characterized by early-onset atopic asthma with atopic dermatitis; cluster 3 (n = 47, 10.5%) which was characterized by puberty-onset, female-dominant atopic asthma with the low lung function; and cluster 4 (n = 105, 23.5%) which was characterized by early-onset, non-atopic dominant asthma.

conclusionsThe asthma phenotypes among Korean children can be classified into 4 distinct clusters. Long-term follow-up with these phenotypes will be needed to define their prognosis and response to treatment.

Indexed as

Asthmachildhoodcluster analysisphenotype

Identifiers

PMID33191676
PMCPMC7680825
OpenAlexW3090777794

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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.