Evidence map›Paper›PMID 36000018›Full record

ArticleClinical and translational allergy2022

How reliably can algorithms identify eosinophilic asthma phenotypes using non-invasive biomarkers?

Diana Betancor, José María Olaguibel, José Manuel Rodrigo-Muñoz, Ebymar Arismendi, Pilar Barranco, Blanca Barroso, Irina Bobolea, Blanca Cárdaba, María Jesús Cruz, Elena Curto and 13 more

Registry-linked trialAbstract read
In one paragraph

Article in Clinical and translational allergy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06163807 (Follow-up of Spanish Prospective Asthma and Nasal Polyposis Registry), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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.

NCT06163807 recruitingnot on this mapstarted 2025, after this paper: background citation

Follow-up of Spanish Prospective Asthma and Nasal Polyposis Registry

Typeobservational_patient_registrySponsorInstituto de Investigación Sanitaria de la Fundación Jiménez DíazRan2025 to 2026Enrolled1,200ConditionsChronic AsthmaArmsAntiasthmatic
3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Observational
  2. Article
  3. Article
  4. 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

23 authors.

Diana BetancorServicio de Alergología Hospital Universitario Fundación Jiménez Díaz Madrid Spain.ORCID https://orcid.org/0000-0003-2765-3581
José María OlaguibelServicio de Alergología Hospital Universitario de Navarra Pamplona Navarra Spain.
José Manuel Rodrigo-MuñozCIBER de Enfermedades Respiratorias (CIBERES) Madrid Spain.
Ebymar ArismendiCIBER de Enfermedades Respiratorias (CIBERES) Madrid Spain.
Pilar BarrancoCIBER de Enfermedades Respiratorias (CIBERES) Madrid Spain.
Blanca BarrosoServicio de Alergología Hospital Universitario Fundación Jiménez Díaz Madrid Spain.
Irina BoboleaCIBER de Enfermedades Respiratorias (CIBERES) Madrid Spain.
Blanca CárdabaCIBER de Enfermedades Respiratorias (CIBERES) Madrid Spain.
María Jesús CruzCIBER de Enfermedades Respiratorias (CIBERES) Madrid Spain.
Elena CurtoCIBER de Enfermedades Respiratorias (CIBERES) Madrid Spain.
Victoria Del PozoCIBER de Enfermedades Respiratorias (CIBERES) Madrid Spain.
Francisco-Javier González-BarcalaServicio de Neumología Complejo Hospitalario Universitario de Santiago Santiago de Compostela La Coruña Spain.ORCID https://orcid.org/0000-0001-5847-4784
Carlos Martínez-RiveraCIBER de Enfermedades Respiratorias (CIBERES) Madrid Spain.
Joaquim MullolCIBER de Enfermedades Respiratorias (CIBERES) Madrid Spain.ORCID https://orcid.org/0000-0003-3463-5007
Xavier MuñozCIBER de Enfermedades Respiratorias (CIBERES) Madrid Spain.
Cesar PicadoAllergy Unit & Severe Asthma Unit, Pneumonology and Allergy Department Hospital Clínic IDIBAPS Universitat de Barcelona Barcelona Spain.
Vicente PlazaCIBER de Enfermedades Respiratorias (CIBERES) Madrid Spain.
Santiago QuirceCIBER de Enfermedades Respiratorias (CIBERES) Madrid Spain.
Manuel Jorge RialCIBER de Enfermedades Respiratorias (CIBERES) Madrid Spain.
Lorena SotoCIBER de Enfermedades Respiratorias (CIBERES) Madrid Spain.ORCID https://orcid.org/0000-0001-6046-9204
Antonio ValeroCIBER de Enfermedades Respiratorias (CIBERES) Madrid Spain.
Marcela Valverde-MongeServicio de Alergología Hospital Universitario Fundación Jiménez Díaz Madrid Spain.
Joaquin SastreServicio de Alergología Hospital Universitario Fundación Jiménez Díaz Madrid Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and Aims: Asthma is a heterogeneous respiratory disease that encompasses different inflammatory and functional endophenotypes. Many non-invasive biomarkers has been investigated to its pathobiology. Heany et al proposed a clinical algorithm that classifies severe asthmatic patients into likely-eosinophilic phenotypes, based on accessible biomarkers: PBE, current treatment, FeNO, presence of nasal polyps (NP) and age of onset. Materials and Methods: We assessed the concordance between the algorithm proposed by Heany et al. with sputum examination, the gold standard, in 145 asthmatic patients of the MEGA cohort with varying grades of severity. Results: No correlation was found between both classifications 0.025 (CI = 0.013-0.037). Moreover, no relationship was found between sputum eosinophilia and peripheral blood eosinophilia count in the total studied population. Discussion and Conclusion: In conclusion, our results suggest that grouping the biomarkers proposed by Heany et al. are insufficient to diagnose eosinophilic phenotypes in asthmatic patients. Sputum analysis remains the gold standard to assess airway inflammation.

Indexed as

asthmabiomarkerseosinophilsexhaled nitric oxidenon‐eosinophilicphenotypessputum

Identifiers

PMID36000018
PMCPMC9391921

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Registered trials

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.