Evidence map›Paper›PMID 35790997›Full record

ArticleItalian journal of pediatrics2022

From the Global Initiative for Asthma report and asthma guidelines to real-life asthma control: is there room for improvement?

Elio Novembre, Mattia Giovannini, Simona Barni, Francesca Mori

Abstract readLetter
In one paragraph

Article in Italian journal of pediatrics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. 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

4 authors.

Elio NovembreMeyer Children's University Hospital, Viale Pieraccini 24, 50139, Florence, Italy.
Mattia GiovanniniMeyer Children's University Hospital, Viale Pieraccini 24, 50139, Florence, Italy. mattiag88@hotmail.it.ORCID http://orcid.org/0000-0001-9568-6882
Simona BarniMeyer Children's University Hospital, Viale Pieraccini 24, 50139, Florence, Italy.ORCID http://orcid.org/0000-0001-5598-2740
Francesca MoriMeyer Children's University Hospital, Viale Pieraccini 24, 50139, Florence, Italy.ORCID http://orcid.org/0000-0001-7483-0128

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Available guidelines for asthma management represent an important and suitable tool to make the entire medical process evidence-based, effective, and safe for patients. Their purpose is to help doctors and patients formulate the best decisions in regard to asthma management by choosing the most appropriate strategies in each specific clinical situation.The Global Initiative for Asthma (GINA) document, together with other national and international recommendations, is one of the main documents used for asthma prevention and management in Italy, but several studies reported that these recommendations are often not applied in real-life clinical practice, which consequently results in inadequate asthma control.In this context, a substantial simplification of the GINA document and asthma guidelines may represent a feasible strategy to be pursued to ameliorate the knowledge among GPs, primary care pediatricians, and specialists taking care of children and adults with asthma.On the other hand, another critical factor that may explain unsatisfactory control of asthma is the limited importance that all recommendations place on asthma heterogeneity. In the era of personalized medicine and target therapies, phenotype-driven asthma management may become a desirable approach for optimizing the management of asthmatic patients. In addition, digital health strategies have been investigated in the literature to improve asthma monitoring and may represent a promising tool in the future from this point of view.Relevant stakeholders should continue to investigate how to optimize real-life asthma control to propose novel solutions to translate into clinical practice.

Indexed as

AsthmaHumansItalyPrecision MedicineAsthmaGlobal Initiative for AsthmaImprovementPediatricsReal-life

Identifiers

PMID35790997
PMCPMC9258205

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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.