Evidence map›Paper›PMID 33585657›Full record

ArticleERJ open research2021

Long-term adherence to inhaled corticosteroids and asthma control in adult-onset asthma.

Iida Vähätalo, Hannu Kankaanranta, Leena E Tuomisto, Onni Niemelä, Lauri Lehtimäki, Pinja Ilmarinen

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in ERJ open research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06068309 (Perception, Adherence, Clinical, Economical and Health-Related Quality of Life Outcomes of CareAide® App Usage in Chronic Diseases), which is not on this 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
1.7field-weighted citation impact, top 17% 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.

NCT06068309 nacompletednot on this mapstarted 2022, after this paper: background citation

Perception, Adherence, Clinical, Economical and Health-Related Quality of Life Outcomes of CareAide® App Usage in Chronic Diseases

TypeinterventionalSponsorUniversity of MalayaRan2022 to 2024Enrolled900ConditionsAdherence, Medication, Chronic Disease, Quality of Life, Economic BurdenArmsCareAide App Usage
3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. An Analysis of Medication Adherence in a Large Outpatient Population During the COVID-19 Pandemic Using a Novel Value-Based Pharmacy System.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2024
    Article
  10. Review
  11. Skeletal Muscle Adiposity and Lung Function Trajectory in the Severe Asthma Research Program.American journal of respiratory and critical care medicine · 2023
    Article
  12. Article
  13. Article
  14. Article
4 · The record

Corrections and comments

  • Commented on by
    2021
5 · Who and what money

Authors and funding

6 authors at 1 institution in 2 countries.

Iida VähätaloDept of Respiratory Medicine, Seinäjoki Central Hospital, Seinäjoki, Finland.ORCID https://orcid.org/0000-0003-0962-8446
Hannu KankaanrantaDept of Respiratory Medicine, Seinäjoki Central Hospital, Seinäjoki, Finland.
Leena E TuomistoDept of Respiratory Medicine, Seinäjoki Central Hospital, Seinäjoki, Finland.ORCID https://orcid.org/0000-0001-6990-4508
Onni NiemeläTampere University Respiratory Research Group, Faculty of Medicine and Health Technology, Tampere University, Tampere, Finland.
Lauri LehtimäkiTampere University Respiratory Research Group, Faculty of Medicine and Health Technology, Tampere University, Tampere, Finland.
Pinja IlmarinenDept of Respiratory Medicine, Seinäjoki Central Hospital, Seinäjoki, Finland.ORCID https://orcid.org/0000-0002-0553-8067
Tampere University · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn short-term studies, poor adherence to inhaled corticosteroids (ICS) has been associated with worse asthma control, but the association of long-term adherence and disease control remains unclear.

objectiveTo assess the relationship between 12-year adherence to ICS and asthma control in patients with adult-onset asthma.

methodsAs part of the Seinäjoki Adult Asthma Study, 181 patients with clinically confirmed new-onset adult asthma and regular ICS medication were followed-up for 12 years. Adherence (%) to ICS was assessed individually ((µg dispensed/µg prescribed)×100) during the follow-up. Asthma control was evaluated after 12 years of treatment according to the Global Initiative for Asthma 2010 guideline.

resultsAsthma was controlled in 31% and not controlled (partly controlled or uncontrolled) in 69% of the patients. Patients with not-controlled asthma were more often male, older, nonatopic and used higher doses of ICS than those with controlled disease. The mean±sd 12-year adherence to ICS was 63±38% in patients with controlled asthma and 76±40% in patients with not-controlled disease (p=0.042). Among patients with not-controlled asthma, those with lower 12-year adherence (<80%) had more rapid decline in forced expiratory volume in 1 s (-47 mL·year

conclusionsIn adult-onset asthma, patients with not-controlled disease showed better 12-year adherence to ICS treatment than those with controlled asthma. In not-controlled disease, adherence <80% was associated with more rapid lung function decline, underscoring the importance of early recognition of such patients in routine clinical practice.

Identifiers

PMID33585657
PMCPMC7869602
OpenAlexW3120803664

What OpenQuestion holds

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Registered trials

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.