Evidence map›Paper›PMID 36096782›Full record

ArticleRespiratory research2022

Characteristics of different asthma phenotypes associated with cough: a prospective, multicenter survey in China.

Jianmeng Zhou, Fang Yi, Feng Wu, Pusheng Xu, Meihua Chen, Huahao Shen, Lin Lin, Yunhui Zhang, Suyun Li, Changgui Wu and 17 more

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in Respiratory research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
3.6field-weighted citation impact, top 6% 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

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.

  1. Extreme weather and asthma: a systematic review and meta-analysis.European respiratory review : an official journal of the European Respiratory Society · 2023
    Pooled it
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  3. Article
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  8. Article
  9. Article
  10. Article
  11. Article
  12. Cough-Variant Asthma: A Review of Clinical Characteristics, Diagnosis, and Pathophysiology.The journal of allergy and clinical immunology. In practice · 2025
    Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Phenotypes and endotypes of cough in asthma.Therapeutic advances in respiratory disease
    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

27 authors at 20 institutions in 2 countries.

Jianmeng Zhou *Guangzhou Institute of Respiratory Health, State Key Laboratory of Respiratory Disease, National Clinical Research Center for Respiratory Disease, National Center for Respiratory Medicine, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou Medical University, 151 Yanjiang Rd., Guangzhou, 510120, China.
Fang Yi *Guangzhou Institute of Respiratory Health, State Key Laboratory of Respiratory Disease, National Clinical Research Center for Respiratory Disease, National Center for Respiratory Medicine, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou Medical University, 151 Yanjiang Rd., Guangzhou, 510120, China.
Feng WuDepartment of Pulmonary and Critical Care Medicine, Huizhou Third People's Hospital, Guangzhou Medical University, Huizhou, China.
Pusheng XuThe Second Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.
Meihua ChenDongguan Third People's Hospital, Dongguan, China.
Huahao ShenThe Second Hospital Zhejiang University School of Medicine, Hangzhou, China.
Lin LinThe Second Clinical College of Guangzhou University of Chinese Medicine, Guangdong Provincial Hospital of Chinese Medicine, Guangdong Provincial Academy of Chinese Medical Sciences, Guangzhou, China.
Yunhui ZhangThe First People's Hospital of Yunnan Province, Kunming, China.
Suyun LiThe First Affiliated Hospital of Henan University of Chinese Medicine, Zhengzhou, China.
Changgui WuXijing Hospital, Fourth Military Medical University, Xi'an, China.
Yadong YuanThe Second Hospital of Hebei Medical University, Shijiazhuang, China.
Gang WangWest China School of Medicine/West China Hospital of Sichuan University, Chengdu, China.
Xianwei YeDepartment of Pulmonary and Critical Care Medicine, Guizhou Provincial People's Hospital, Guiyang, China.
Ping ZhangDongguan People's Hospital, Dongguan, China.
Huaping TangQingdao Municipal Hospital, Qingdao, China.
Qianli MaXinqiao Hospital, Third Military Medical University (Army Medical University), Chongqing, China.
Lanqing HuangThe People's Hospital of Jiangmen, Jiangmen, China.
Zhongmin QiuDepartment of Pulmonary and Critical Care Medicine, Tongji Hospital, School of Medicine, Tongji University, Shanghai, China.
Haiyan DengThe Second People's Hospital of Shenzhen, Shenzhen, China.
Chen QiuShenzhen People's Hospital, Shenzhen, China.
Guochao ShiRuijin Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Jiayu PanGuangzhou Institute of Respiratory Health, State Key Laboratory of Respiratory Disease, National Clinical Research Center for Respiratory Disease, National Center for Respiratory Medicine, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou Medical University, 151 Yanjiang Rd., Guangzhou, 510120, China.
Wei LuoGuangzhou Institute of Respiratory Health, State Key Laboratory of Respiratory Disease, National Clinical Research Center for Respiratory Disease, National Center for Respiratory Medicine, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou Medical University, 151 Yanjiang Rd., Guangzhou, 510120, China.
Kian Fan Chung *National Heart and Lung Institute, Imperial College London, & Royal Brompton and Harefield Foundation NHS Trust, London, UK.
Nanshan Zhong *Guangzhou Institute of Respiratory Health, State Key Laboratory of Respiratory Disease, National Clinical Research Center for Respiratory Disease, National Center for Respiratory Medicine, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou Medical University, 151 Yanjiang Rd., Guangzhou, 510120, China.
Kefang LaiGuangzhou Institute of Respiratory Health, State Key Laboratory of Respiratory Disease, National Clinical Research Center for Respiratory Disease, National Center for Respiratory Medicine, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou Medical University, 151 Yanjiang Rd., Guangzhou, 510120, China. klai@163.com.
CPA Cohort Study Group
Dongguan People’s Hospital · CNFirst Affiliated Hospital of Guangzhou Medical University · CNShenZhen People’s Hospital · CNArmy Medical University · CNJiangmen Central Hospital · CNFirst Affiliated Hospital of Henan University · CNGuizhou Provincial People's Hospital · CNQingdao University · CNSecond Affiliated Hospital of Guangzhou Medical University · CNShanghai Jiao Tong University · CNSichuan University · CNTongji University · CNFirst People's Hospital of Yunnan Province · CNGuangzhou University of Chinese Medicine · CNHebei Medical University · CNRoyal Brompton & Harefield NHS Foundation Trust · GBSecond Affiliated Hospital of Zhejiang University · CNShenzhen Second People's Hospital · CNThird Affiliated Hospital of Guangzhou Medical University · CNXijing Hospital · CN

Funding

the Clinical Research Foundation of GMU 2017-160the Key-Area Research and Development Program of Guangdong Province 2019B020227006
6 · The paper itself

Abstract

backgroundAsthma is a heterogeneous disease with variable symptoms, which presents with cough either as the sole or predominant symptom with or without wheezing. We compared the clinical and pathophysiological characteristics of cough predominant asthma (CPA), cough variant asthma (CVA) and classic asthma (CA) in order to determine any differential phenotypic traits.

methodsIn 20 clinics across China, a total of 2088 patients were finally recruited, including 327 CVA, 1041 CPA and 720 CA patients. We recorded cough and wheezing visual analogue scale, Leicester cough questionnaire (LCQ) and asthma control test scores. Fractional exhaled nitric oxide (FeNO), induced sputum cell counts, and capsaicin cough challenge were also measured and compared.

resultsCPA patients more frequently presented with cough as the initial symptom, and laryngeal symptoms (p < 0.001), had less symptoms related with rhinitis/sinusitis and gastroesophageal reflux (p < 0.05) than CA patients. Comorbidities including rhinitis and gastroesophageal reflux were similar, while the proportion of COPD and bronchiectasis was higher in CA patients. There were no differences in FeNO levels, sputum eosinophil and neutrophil counts, FEV1 (%pred) decreased from CVA to CPA to CA patients (p < 0.001). Cough sensitivity was higher in CVA and CPA compared to CA (p < 0.001), and was positively correlated with LCQ scores.

conclusionsCVA, CPA and CA can be distinguished by the presence of laryngeal symptoms, cough sensitivity and airflow obstruction. Asthma-associated chronic cough was not associated with airway inflammation or comorbidities in our cohort. Trial registration The Chinese Clinical Trial Registration Center, ChiCTR-POC-17011646, 13 June 2017.

Indexed as

AsthmaGastroesophageal RefluxRhinitisCoughHumansNitric OxidePhenotypeProspective StudiesRespiratory SoundsSurveys and QuestionnairesNitric OxideAirway inflammationAsthmaCoughCough predominant asthmaCough sensitivity

Identifiers

PMID36096782
PMCPMC9469623
OpenAlexW4295453815

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.