Evidence map›Paper›PMID 34285512›Full record

ArticleJournal of asthma and allergy2021

High Use of SABAs is Associated with Higher Exacerbation Rate in Dutch Patients with Asthma.

Anna Jetske Baron, Bertine M J Flokstra-de Blok, Huib A M Kerstjens, Gineke Koopmans-Klein, David B Price, Andrea A Sellink, Ioanna Tsiligianni, Janwillem W H Kocks

Open access · goldAbstract read
In one paragraph

Article in Journal of asthma and allergy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 19% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Pooled it
  2. Observational
  3. Article
  4. Article
  5. Review
  6. Article
  7. 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

8 authors at 5 institutions in 4 countries.

Anna Jetske BaronGeneral Practitioners Research Institute, Groningen, the Netherlands.ORCID 0000-0001-9654-7809
Bertine M J Flokstra-de BlokGeneral Practitioners Research Institute, Groningen, the Netherlands.ORCID 0000-0001-5356-764X
Huib A M KerstjensUniversity of Groningen, University Medical Center Groningen, GRIAC Research Institute, Groningen, the Netherlands.ORCID 0000-0001-7705-7927
Gineke Koopmans-KleinMundipharma Pharmaceuticals, Leusden, the Netherlands.
David B PriceObservational and Pragmatic Research Institute, Singapore.ORCID 0000-0002-9728-9992
Andrea A SellinkAstraZeneca, Den Haag, the Netherlands.
Ioanna TsiligianniHealth Planning Unit, Department of Social Medicine, University of Crete, Crete, Greece.
Janwillem W H KocksGeneral Practitioners Research Institute, Groningen, the Netherlands.ORCID 0000-0002-2760-0693
University Medical Center Groningen · NLAstraZeneca (Netherlands) · NLMundipharma (Netherlands) · NLUniversity of Aberdeen · GBUniversity of Crete · GR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeMany patients with asthma still have insufficient disease control, despite the availability of effective treatment options. A substantial proportion of patients appear to rely more on short-acting beta PATIENTS AND

methodsData from Dutch respondents in the European REcognise Asthma and LInk to Symptoms and Experience (REALISE) survey were used in this post hoc analysis. The survey included asthma patients aged 18-50 years with at least two prescriptions for their asthma in the past two years. SABA use was categorized into two groups: <3 (low-SABA users) or ≥3 (high-SABA users) times in the last week.

resultsOf the 736 asthma patients, 21% did not use SABA and 19% used SABA 1 to 2 times (all low SABA users) and 60% used SABA ≥3 times (high SABA users) in the last week. The majority of high and low SABA users also reported using an ICS-containing treatment. Significant differences were found for all indicators related to exacerbations (p<0.001): high SABA users more frequently used antibiotics and oral steroids, more frequently visited the emergency departments or needed an overnight hospital stay. Indicators of asthma symptoms were not significantly different between both groups.

conclusionThe majority of a Dutch asthmatic population reported high SABA use and had frequent moderate/severe exacerbations. More effective interventions are needed to change healthcare providers' and patients' behaviours to improve care and reduce SABA (over)use.

Indexed as

adverse effectsasthmaguidelinesprimary health careSABAshort acting beta2-agonist

Identifiers

PMID34285512
PMCPMC8285233
OpenAlexW3179707114

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.