Evidence map›Paper›PMID 33474857›Full record

ArticleAllergy, asthma & immunology research2021

Sex Differences in Severe Asthma: Results From Severe Asthma Network in Italy-SANI.

Gianenrico Senna, Manuela Latorre, Massimo Bugiani, Marco Caminati, Enrico Heffler, Daniela Morrone, Giovanni Paoletti, Paola Parronchi, Francesca Puggioni, Francesco Blasi and 3 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 32 papers.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed
5.3field-weighted citation impact, top 3% 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

32 citing papers in PubMed, 60 citations in OpenAlex.

  1. Article
  2. Article
  3. Sexual Dimorphism in Allergic and Mast Cell-Associated Diseases.Clinical reviews in allergy & immunology · 2026
    Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Sex, hormones, and lung health.Physiological reviews · 2026
    Review
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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

13 authors at 6 institutions in 2 countries.

Gianenrico SennaAsthma Center and Allergy Unit, Verona University Hospital, Verona, Italy.ORCID https://orcid.org/0000-0003-4172-3216
Manuela LatorreDepartment of Surgery, Medicine and Molecular Biology and Critical Care, Nuovo Ospedale Apuano, University of Pisa, Pisa, Italy.ORCID https://orcid.org/0000-0002-0158-2722
Massimo BugianiPneumology and Tisiology Unit, National Health Service (ASL TO2), Turin, Italy.ORCID https://orcid.org/0000-0001-8286-0028
Marco CaminatiAsthma Center and Allergy Unit, Verona University Hospital, Verona, Italy.ORCID https://orcid.org/0000-0002-8015-8689
Enrico HefflerPersonalized Medicine, Asthma and Allergy, Humanitas Clinical and Research Center, IRCCS, Rozzano, Italy.ORCID https://orcid.org/0000-0002-0492-5663
Daniela MorronePersonalized Medicine, Asthma and Allergy, Humanitas Clinical and Research Center, IRCCS, Rozzano, Italy.
Giovanni PaolettiPersonalized Medicine, Asthma and Allergy, Humanitas Clinical and Research Center, IRCCS, Rozzano, Italy.ORCID https://orcid.org/0000-0002-6767-2528
Paola ParronchiDepartment of Clinical and Experimental Medicine,University of Florence, Florence, Italy.ORCID https://orcid.org/0000-0002-9184-5089
Francesca PuggioniPersonalized Medicine, Asthma and Allergy, Humanitas Clinical and Research Center, IRCCS, Rozzano, Italy.ORCID https://orcid.org/0000-0001-6638-5626
Francesco BlasiDepartment of Internal Medicine, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Respiratory Unit and Cystic Fibrosis Adult Center, Milan, Italy.ORCID https://orcid.org/0000-0001-9406-1784
Giorgio Walter CanonicaPersonalized Medicine, Asthma and Allergy, Humanitas Clinical and Research Center, IRCCS, Rozzano, Italy.ORCID https://orcid.org/0000-0001-8467-2557
Pierluigi PaggiaroDepartment of Surgery, Medicine and Molecular Biology and Critical Care, Nuovo Ospedale Apuano, University of Pisa, Pisa, Italy. pierluigi.paggiaro@unipi.it.ORCID https://orcid.org/0000-0002-1213-2989
SANI Network
Humanitas University · ITUniversity of Pisa · ITUniversity of Verona · ITNational Institute of Health · AMUniversity of Florence · ITUniversity of Milan · IT

Funding

AstraZenecaGlaxoSmithKlineNovartis and Sanofi
6 · The paper itself

Abstract

purposeAfter adolescence, asthma is more frequent in females than in males due to different hormonal, immunologic, and occupational/environmental factors. The higher prevalence and severity of the disease in females have already been reported in international registries. The aim of this study was to explore the difference in terms of clinical, functional, and biological characteristics between male and female patients with severe asthma in a real-life, registry-based setting.

methodsBaseline data from the Severe Asthma Network in Italy registry were analyzed in 1,123 patients with severe asthma, according to sex.

resultsAlmost 2/3 of severe asthmatics were female. Late-onset asthma, obesity and gastro-esophageal reflux were more frequent in females than in males, while previous smoking habits and nasal polyposis were more frequent in males. Females had poor asthma control and a higher number of severe exacerbations leading to hospitalization, in comparison to males. Biomarkers of type 2 inflammation (blood eosinophil, exhaled nitric oxide, and serum immunoglobulin E levels) were significantly higher in males than in females. The type 2 profile (defined by a combination of these 3 biomarkers) was significantly more frequent in males than in females. In multivariate analysis, late-onset asthma and a normal body mass index were only independent variables associated with the type 2 profile, while male sex and age showed only a trend toward the association with the type 2 profile.

conclusionsSignificant differences may be observed between male and female patients with severe asthma, influencing the asthma pheno-endotyping in both sexes.

Indexed as

biomarkersfemalemaleobesitySevere asthmasexsmokingtype 2

Identifiers

PMID33474857
PMCPMC7840868
OpenAlexW3094986660

What OpenQuestion holds

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LicenceCC BY-NC
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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.