Evidence map›Paper›PMID 34880630›Full record

ArticleJournal of asthma and allergy2021

Type 2-High Severe Asthma with and without Bronchiectasis: A Prospective Observational Multicentre Study.

Claudia Crimi, Raffaele Campisi, Santi Nolasco, Sebastian Ferri, Giulia Cacopardo, Pietro Impellizzeri, Maria Provvidenza Pistorio, Evelina Fagone, Corrado Pelaia, Enrico Heffler and 1 more

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 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
3.1field-weighted citation impact, top 7% 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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.

  1. Guideline
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Biological Therapy of Severe Asthma and Nasal Polyps.Journal of personalized medicine · 2022
    Review
  13. Review
  14. Article
  15. Worsening of asthma control after COVID-19.Frontiers in medicine · 2022
    Article
  16. 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

11 authors at 5 institutions in 1 country.

Claudia CrimiRespiratory Medicine Unit, A.O.U. Policlinico "G. Rodolico - San Marco", Catania, Italy.ORCID 0000-0002-9088-5214
Raffaele CampisiRespiratory Medicine Unit, A.O.U. Policlinico "G. Rodolico - San Marco", Catania, Italy.ORCID 0000-0001-9305-6748
Santi NolascoDepartment of Clinical and Experimental Medicine, University of Catania, Catania, Italy.ORCID 0000-0003-3995-7662
Sebastian FerriPersonalized Medicine, Asthma and Allergy - IRCCS Humanitas Research Hospital, Rozzano, Italy.ORCID 0000-0002-1831-9672
Giulia CacopardoRespiratory Intensive Care Unit, ARNAS Civico General Hospital, Palermo, Italy.
Pietro ImpellizzeriDepartment of Clinical and Experimental Medicine, University of Catania, Catania, Italy.
Maria Provvidenza PistorioDepartment of Clinical and Experimental Medicine, University of Catania, Catania, Italy.
Evelina FagoneDepartment of Clinical and Experimental Medicine, University of Catania, Catania, Italy.
Corrado PelaiaDepartment of Medical and Surgical Sciences, University "Magna Graecia", Catanzaro, Italy.ORCID 0000-0002-4236-7367
Enrico HefflerPersonalized Medicine, Asthma and Allergy - IRCCS Humanitas Research Hospital, Rozzano, Italy.
Nunzio CrimiRespiratory Medicine Unit, A.O.U. Policlinico "G. Rodolico - San Marco", Catania, Italy.ORCID 0000-0002-8591-4535
University of Catania · ITHumanitas University · ITPoliclinico Universitario di Catania · ITAzienda di Rilievo Nazionale ed Alta Specializzazione · ITMagna Graecia University · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionType 2-high severe asthma (T2-SA) is often associated with several comorbidities. To this extent, the coexistence of T2-SA and bronchiectasis (BE) is considered an emerging phenotype.

methodsWe performed a prospective observational multicentre study, including T2-SA patients. Chest HRCT confirmed the presence of BE. Data on exacerbations, pulmonary function, Asthma Control Test (ACT), chronic mucus hypersecretion (CMH), chronic rhinosinusitis (CRS), oral corticosteroid (OCS) dosage, eosinophils in peripheral blood and FeNO were recorded. The Bhalla score was used for radiological assessment of T2-SA+BE patients and the Bronchiectasis Severity Index (BSI) was calculated.

resultsA total of 113 patients (mean age 55 ± 11 years, 59.3% female) were enrolled. Co-presence of BE was confirmed in 50/113 (44.2%) patients who identified the T2-SA+BE group. CRS and CRSwNP were more prevalent in T2-SA+BE vs T2-SA [respectively, 42/50 (84%) vs 37/63 (58.7%), p = 0.004 and 27/50 (54%) vs 27/63 (42.9%), p = 0.0165]. Furthermore, T2-SA+BE patients reported more CMH compared to T2-SA [29/50 (58%) vs 15/63 (23.8%), p = 0.0004], were more frequently on chronic OCSs intake [28/50 (56%) vs 22/63 (34.9%), p = 0.0357] and experienced more exacerbations/year [10 (4-12) vs 6 (4-12), p = 0.0487]. In a multivariate logistic regression model, the presence of CRS, CMH and daily OCS intake were associated with BE presence with a 78% (95% CI: 69-88) accuracy. Median Bhalla score was 18.3 (16-20) (Mild radiological severity). Median BSI was 6 (4-8) and only 6/50 (12%) had a BSI score ≥9. Significant inverse linear relationship between BSI and ACT (r = -0.6095, p < 0.0001), FEV

conclusionType 2 inflammation could have a causative role in BE development. Chest HRCT is mandatory when a diagnosis of T2-SA is made, especially in presence of CRS, CMH and chronic OCS intake. Early BE detection may be crucial to improve T2-SA patients' outcomes.

Indexed as

bronchiectasischest-CT scanphenotypesevere asthmatype 2 inflammation

Identifiers

PMID34880630
PMCPMC8646229
OpenAlexW3215701518

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.