Evidence map›Paper›PMID 36437459›Full record

ArticleBMC pulmonary medicine2022

"Life-changing": the experience of super-responders to biologics in severe asthma.

Joseph W Lanario, Lucy Cartwright, Rupert C Jones, Ross Sayers, Michael E Hyland, Matthew Masoli

Abstract read
In one paragraph

Article in BMC pulmonary medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

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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

6 authors.

Joseph W LanarioFaculty of Health, University of Plymouth, Room N10, ITTC Building, Plymouth Science Park, Plymouth, Devon, PL6 8BX, UK. joseph.lanario@plymouth.ac.uk.
Lucy CartwrightFaculty of Health, University of Plymouth, Room N10, ITTC Building, Plymouth Science Park, Plymouth, Devon, PL6 8BX, UK.
Rupert C JonesPlymouth Marjon University, Plymouth, UK.
Ross SayersDepartment of Respiratory Medicine, Royal Devon and Exeter Hospital, University of Exeter, Exeter, UK.
Michael E HylandFaculty of Health, University of Plymouth, Room N10, ITTC Building, Plymouth Science Park, Plymouth, Devon, PL6 8BX, UK.
Matthew MasoliDepartment of Respiratory Medicine, Royal Devon and Exeter Hospital, University of Exeter, Exeter, UK.

Funding

GlaxoSmithKline Innovations in Severe Asthma grant
6 · The paper itself

Abstract

backgroundThere is limited information on the patient's perspective of how biologic treatments impact their lives. We conducted a qualitative study to explore the patient's experience of being considered a super-responder from a quality of life perspective.

methodsPatients with severe asthma identified as super-responders were invited to semi-structured interviews conducted online. Participants could bring a family member/friend to the interview. The interviews explored experiences of biologic treatment, were transcribed and underwent thematic analysis.

resultsTwenty-five participants took part in this study. Themes emerged on the impact of biologic treatment for participants and for their friends/family: (i) Words used to describe their often life-changing experiences and (ii) the positive changes noted. Biologic treatment stopped the disruption of family life and social life caused by exacerbations. Improvements in mental health were also noted. Marked individual variations in the way it affected their lives were noted. Most participants noticed improvements 2-3 months after starting their biologic, but some noticed improvement within a few days and others after 6 months.

conclusionsSuper-responders reported profound but heterogeneous improvements following biologic treatment beyond asthma symptoms and exacerbations including important benefits to social and family life. Improvements may be underestimated as social and family benefits are not reliably measured in current studies with implications for health economic evaluations. Not all patients are super-responders, and excellent responses may be lost in group mean data in trials. Individual time course and response patterns need further elucidation to identify who will respond best to biologics.

Indexed as

AsthmaBiological ProductsFamilyHumansQualitative ResearchQuality of LifeBiological ProductsBiologicsPatient perspectivesQoLQualitativeSevere asthmaSuper-responders

Identifiers

PMID36437459
PMCPMC9702657

What OpenQuestion holds

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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.