Evidence map›Paper›PMID 34215609›Full record

ArticleBMJ open2021

Management of asthma in childhood: study protocol of a systematic evidence update by the Paediatric Asthma in Real Life (PeARL) Think Tank.

Alexander G Mathioudakis, Michael Miligkos, Cristina Boccabella, Gioulinta S Alimani, Adnan Custovic, A Deschildre, Francine Monique Ducharme, Omer Kalayci, Clare Murray, Antonio Nieto Garcia and 42 more

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.0field-weighted citation impact, top 22% 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

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Review
  2. 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

52 authors at 20 institutions in 24 countries.

Alexander G Mathioudakis *Division of Infection, Immunity and Respiratory Medicine, The University of Manchester, Manchester, UK.ORCID 0000-0002-4675-9616
Michael Miligkos *First Department of Pediatrics, "Aghia Sofia" Children's Hospital, University of Athens, Athens, Attica, Greece.
Cristina BoccabellaDepartment of Cardiovascular and Thoracic Sciences, Catholic University of the Sacred Heart, Milano, Lombardia, Italy.
Gioulinta S AlimaniAthens Breath Centre, Athens, Greece.
Adnan CustovicDepartment of Paediatrics, Imperial College London, London, UK.
A DeschildreUnité de Pneumologie et Allergologie Pédiatriques, Hôpital Jeanne de Flandre, CHU Lille, Lille, Hauts-de-France, France.
Francine Monique DucharmePediatrics, University of Montreal, Montreal, Quebec, Canada.
Omer KalayciPediatric Allergy and Asthma Unit, Hacettepe Universitesi, Ankara, Turkey.
Clare MurrayDivision of Infection, Immunity and Respiratory Medicine, The University of Manchester, Manchester, UK.
Antonio Nieto GarciaPulmonology and Allergy Unity, La Fe University and Polytechnic Hospital, Valencia, Comunidad Valenciana, Spain.
Wanda PhipatanakulPediatric Allergy and Immunology, Children's Hospital Boston, Boston, Massachusetts, USA.
David PriceCentre of Academic Primary Care, University of Aberdeen, Aberdeen, UK.
Aziz SheikhAsthma UK Centre for Applied Research, Usher Institute of Population Health Sciences and Informatics, The University of Edinburgh, Edinburgh, UK.
Ioana Octavia AgacheAllergy and Clinical Immunology, Transylvania University, Brasov, Romania.
Leonard BacharierDepartment of Allergy, Immunology, and Pulmonary Medicine, University of Washington, Seattle, Washington, USA.
Apostolos BeloukasDepartment of Biomedical Sciences, University of West Attica, Egaleo, Attica, Greece.ORCID 0000-0001-5639-0528
Andrew BentleyNorth West Lung Centre, Manchester University NHS Foundation Trust, Manchester, UK.
Matteo BoniniDepartment of Cardiovascular and Thoracic Sciences, Catholic University of the Sacred Heart, Milano, Lombardia, Italy.
Jose A Castro-RodriguezDepartment of Pediatrics, Pontifical Universidad Catolica de Chile, Santiago, Chile.
Giuseppe De CarloAllergy and Airway Diseases Patient's Associations, European Federation of Pharmaceutical Industries and Associations, Brussels, Belgium.
Timothy CraigAllergy, Asthma and Immunology, Penn State University, Hershey, Pennsylvania, USA.
Zuzana DiamantDepartment of Respiratory Medicine and Allergology, Institute for Clinical Science, Skane University Hospital Lund Hematological Clinic, Lund, Skåne, Sweden.
Wojciech FeleszkoDepartment of Pediatric Pulmonology and Allergy, Medical University of Warsaw, Warszawa, Poland.
Tim FeltonDivision of Infection, Immunity and Respiratory Medicine, The University of Manchester, Manchester, UK.
James E GernDepartment of Pediatrics and Medicine, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, USA.
Jonathan GriggCentre for Genomics and Child Health, Blizard Institute, Queen Mary University of London, London, UK.
Gunilla HedlinDepartment of Women's and Children's Health, Karolinska Institute, Stockholm, Stockholm, Sweden.
Elham M HossnyPediatric Allergy and Immunology Unit, Ain Shams University, Cairo, Egypt.
Despo IerodiakonouDepartment of Social Medicine, Faculty of Medicine, University of Crete, Rethimno, Greece.
Tuomas JarttiDepartment of Paediatrics, University of Turku, Turku, Finland.
Alan KaplanFamily Physician, Airways Group of Canada, University of Toronto, Toronto, Ontario, Canada.
Robert F LemanskeDepartment of Pediatrics and Medicine, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, USA.
Peter N Le SouëfSchool of Paediatrics and Child Health, University of Western Australia, Perth, Western Australia, Australia.
Mika J MäkeläDepartment of Allergy, University of Helsinki, Helsinki, Uusimaa, Finland.
Georgios A MathioudakisAthens Breath Centre, Athens, Greece.
Paolo MatricardiDepartment of Pediatric Pulmonology, Immunology and Intensive Care Medicine, Charité - University Medicine, Berlin, Germany.
Marina MitrogiorgouThird Department of Paediatrics, National and Kapodistrian University of Athens School of Health Sciences, Athens, Greece.
Mario Morais-AlmeidaAllergy Center, Hospital CUF Descobertas, Lisboa, Portugal.
Karthik NagarajuAllergy & Asthma, VN, Chennai, India.
Effie PapageorgiouDepartment of Biomedical Sciences, University of West Attica, Egaleo, Attica, Greece.
Helena PitéAllergy Center, Hospital CUF Descobertas, Lisboa, Portugal.
Paulo M C PitrezLaboratory of Respiratory Physiology, Infant Center, School of Medicine, Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS), Porto Alegre, Brazil.
Petr PohunekPaediatric Department, Motol University Hospital, Praha, Czech Republic.
Graham RobertsThe David Hide Asthma and Allergy Research Centre, St Mary's Hospital, Newport Isle of Wight, UK.
Ioanna TsiligianniDepartment of Social Medicine, Faculty of Medicine, University of Crete, Rethimno, Greece.
Stephen TurnerDepartment of Child Health, University of Aberdeen, Aberdeen, Aberdeen, UK.
Susanne VijverbergDepartment of Respiratory Medicine and Department of Pediatric Pulmonology, University of Amsterdam, Amsterdam, Netherlands.
Tonya A WindersAllergy & Asthma, Global Patient Platform, Virginia, Virginia, USA.
Gary Wk WongDepartment of Paediatrics, Faculty of Medicine, The Chinese University of Hong Kong, Sha Tin, Hong Kong.ORCID 0000-0001-5939-812X
Paraskevi XepapadakiAllergy Department, 2nd Paediatric Clinic, National and Kapodistrian University of Athens, Athens, Attica, Greece.
Heather J ZarDepartment of Paediatrics and Child Health, Red Cross War Memorial Children's Hospital, University of Cape Town, Rondebosch, Western Cape, South Africa.
Nikolaos G PapadopoulosDivision of Infection, Immunity and Respiratory Medicine, The University of Manchester, Manchester, UK ngpallergy@gmail.com.ORCID 0000-0002-4448-3468
National and Kapodistrian University of Athens · GRUniversity of Manchester · GBUniversità Cattolica del Sacro Cuore · ITUniversity of Aberdeen · GBUniversity of Crete · GRUniversity of West Attica · GRUniversity of Wisconsin–Madison · USAin Shams University · EGAsthma UK · GBBoston Children's Hospital · USCentre Hospitalier Universitaire de Lille · FRCharité - Universitätsmedizin Berlin · DEChinese University of Hong Kong · HKCUF Porto Hospital · PTEuropean Federation of Pharmaceutical Industries and Associations · BEHacettepe University · TRHospital CUF DescobertasHospital Universitari i Politècnic La Fe · ESImperial College London · GBKarolinska Institutet · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionClinical recommendations for childhood asthma are often based on data extrapolated from studies conducted in adults, despite significant differences in mechanisms and response to treatments. The Paediatric Asthma in Real Life (PeARL) Think Tank aspires to develop recommendations based on the best available evidence from studies in children. An overview of systematic reviews (SRs) on paediatric asthma maintenance management and an SR of treatments for acute asthma attacks in children, requiring an emergency presentation with/without hospital admission will be conducted. METHODS AND ANALYSIS: Standard methodology recommended by Cochrane will be followed. Maintenance pharmacotherapy of childhood asthma will be evaluated in an overview of SRs published after 2005 and including clinical trials or real-life studies. For evaluating pharmacotherapy of acute asthma attacks leading to an emergency presentation with/without hospital admission, we opted to conduct de novo synthesis in the absence of adequate up-to-date published SRs. For the SR of acute asthma pharmacotherapy, we will consider eligible SRs, clinical trials or real-life studies without time restrictions. Our evidence updates will be based on broad searches of Pubmed/Medline and the Cochrane Library. We will use A MeaSurement Tool to Assess systematic Reviews, V.2, Cochrane risk of bias 2 and REal Life EVidence AssessmeNt Tool to evaluate the methodological quality of SRs, controlled clinical trials and real-life studies, respectively.Next, we will further assess interventions for acute severe asthma attacks with positive clinical results in meta-analyses. We will include both controlled clinical trials and observational studies and will assess their quality using the previously mentioned tools. We will employ random effect models for conducting meta-analyses, and Grading of Recommendations Assessment, Development and Evaluation methodology to assess certainty in the body of evidence. ETHICS AND DISSEMINATION: Ethics approval is not required for SRs. Our findings will be published in peer reviewed journals and will inform clinical recommendations being developed by the PeARL Think Tank. PROSPERO REGISTRATION NUMBERS: CRD42020132990, CRD42020171624.

Indexed as

AsthmaBiasChildHospitalizationHumansResearch DesignSystematic Reviews as Topicasthmapaediatricspaediatric thoracic medicinethoracic medicine

Identifiers

PMID34215609
PMCPMC8256789
OpenAlexW3174752970

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.