Evidence map›Paper›PMID 34842585›Full record

ReviewActa bio-medica : Atenei Parmensis2021

Intermittent and mild persistent asthma: how therapy has changed.

Maria Elisa Di Cicco, Maddalena Leone, Maria Scavone, Michele Miraglia Del Giudice, Amelia Licari, Marzia Duse, Ilaria Brambilla, Giorgio Ciprandi, Carlo Caffarelli, Mariangela Tosca

Open access · greenAbstract readReview
In one paragraph

Review in Acta bio-medica : Atenei Parmensis, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.7field-weighted citation impact, top 30% 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

5 citing papers in PubMed, 8 citations in OpenAlex.

  1. Review
  2. Review
  3. Article
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  5. Review
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

10 authors at 9 institutions in 1 country.

Maria Elisa Di CiccoDepartment of Clinical and Experimental Medicine, Section of Pediatrics, University of Pisa, Pisa, Italy. maria.dicicco@unipi.it.
Maddalena LeoneDivision of Pediatrics, ASST Niguarda, Milano, Italy. maria.dicicco@unipi.it.
Maria ScavoneNeonatal Intensive Care Unit, San Carlo Hospital, Potenza, Italy. maria.dicicco@unipi.it.
Michele Miraglia Del GiudiceDepartment of Woman, Child and Specialized Surgery, University of Campania "Luigi Vanvitelli", Naples, Italy. michele.miragliadelgiudice@unicampania.it.
Amelia LicariPediatric Clinic, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy; Pediatric Unit, Department of Clinical, Surgical, Diagnostic, and Pediatric Sciences, University of Pavia, Pavia, Italy. a.licari@smatteo.pv.it.
Marzia DuseDepartment of Maternal and Child Health and Urological Sciences, Sapienza University of Rome, Rome, Italy. marzia.duse@uniroma1.it.
Ilaria BrambillaPediatric Clinic, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy; Pediatric Unit, Department of Clinical, Surgical, Diagnostic, and Pediatric Sciences, University of Pavia, Pavia, Italy. maria.dicicco@unipi.it.
Giorgio CiprandiAllergy Clinic, Casa di Cura Villa Montallegro, Genoa, Italy. gio.cip@libero.it.
Carlo CaffarelliPediatric Clinic, Department of Medicine and Surgery, Unversity of Parma, Parma, Italy. carlo.caffarelli@unipr.it.
Mariangela ToscaAllergy Centre, IRCCS G. Gaslini Pediatric Hospital, Genova, Italy. mariangelatosca@gaslini.org.
University of Pavia · ITAzienda Socio Sanitaria Territoriale Grande Ospedale Metropolitano Niguarda · ITCasa di Cura Villa Garda · ITIstituto Giannina Gaslini · ITOspedale San Carlo · ITSapienza University of Rome · ITUniversity of Campania "Luigi Vanvitelli" · ITUniversity of Parma · ITUniversity of Pisa · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In the last few years much attention has been focused on research on severe asthma and the role of biologicals in its treatment, also in children. However, mild asthma is way more common in childhood and still causes as many as 30-40% of asthma exacerbations requiring emergency consultation. The management of "intermittent" and "mild persistent" asthma phenotypes is still a matter of debate, even if the role of inhaled corticosteroids, both continuous and intermittent, is a cornerstone in this field. Nevertheless, updates on the strategies to manage these patients are coming, since evidence emerged on the role of inflammation also in these asthma phenotypes as well as on the potential side effect and risks of short-acting beta 2 agonists overuse, which is common in patients for which they have been prescribed as the only as-needed treatment. Unsurprisingly, international guidelines, including GINA, are starting to recommend associating a corticosteroid when using a reliver. In this paper we overview the (r)evolution regarding the management of intermittent and mild persistent asthma. We also focus on the importance of knowing the chemical and physical characteristics of drugs and inhaler devices in order to optimize the treatment and reach the distal airways, as well as of trying to achieve a good compliance to treatments, especially in adolescents, for which it is currently possible to rely also on new digital health technologies.

Indexed as

Anti-Asthmatic AgentsAsthmaAdministration, InhalationAdolescentAdrenal Cortex HormonesHumansAdrenal Cortex HormonesAnti-Asthmatic Agents

Identifiers

PMID34842585
PMCPMC9431889
OpenAlexW3216074686

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.