Evidence map›Paper›PMID 37972919›Full record

ArticleThe journal of allergy and clinical immunology. In practice2024

Incident Asthma, Asthma Exacerbations, and Asthma-Related Hospitalizations in Patients With Atopic Dermatitis.

Joy Wan, Sonia Wang, Daniel B Shin, Maha N Syed, Katrina Abuabara, Adina R Lemeshow, Joel M Gelfand

Open access · greenAbstract read
In one paragraph

Article in The journal of allergy and clinical immunology. In practice, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
2.3field-weighted citation impact, top 12% 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

8 citing papers in PubMed, 8 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Skin-lung axis in the atopic march: The immune link from skin to lungs.Chinese medical journal pulmonary and critical care medicine · 2025
    Review
  6. Article
  7. Metabolomic and immunological signatures of asthma severity in children.Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology · 2025
    Article
  8. 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

7 authors at 4 institutions in 1 country.

Joy WanDepartment of Dermatology, Johns Hopkins University School of Medicine, Baltimore, Md. Electronic address: jwan7@jhmi.edu.
Sonia WangDepartment of Dermatology, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pa.
Daniel B ShinDepartment of Dermatology, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pa.
Maha N SyedDepartment of Dermatology, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pa.
Katrina AbuabaraDepartment of Dermatology, University of California San Francisco, San Francisco, Calif.
Adina R LemeshowPfizer, Inc, New York, NY.
Joel M GelfandDepartment of Dermatology, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pa; Department of Biostatistics, Epidemiology and Informatics, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pa. Electronic address: joel.gelfand@pennmedicine.upenn.edu.
University of Pennsylvania · USJohns Hopkins University · USPfizer (United States) · USUniversity of California, San Francisco · US

Funding

Study Design and Data AnalysisP30AR069589 · NIAMS · UNIVERSITY OF PENNSYLVANIA · PI Elizabeth Anne Grice · 2016 to 2026
$8.6M
Impact of Pediatric Atopic Dermatitis on Neurocognitive FunctionK23AR077629 · NIAMS · UNIVERSITY OF PENNSYLVANIA · PI WAN, JOY · 2021 to 2025
$858k
NIAMS NIH HHS K23 AR077629NIAMS NIH HHS P30 AR069589
6 · The paper itself

Abstract

backgroundAtopic dermatitis (AD) is thought to induce asthma via the "atopic march," but the effects of AD on incident asthma and asthma severity have not been fully characterized.

objectiveTo determine risk of asthma, asthma exacerbations, and asthma-related hospitalizations among patients fwith AD.

methodsA cohort study was conducted using electronic health records data from UK general practices from 1994 to 2015. Children (<18 years old) and adults (≥18 years) with AD were matched on age, practice, and index date to patients without AD. AD severity was categorized using treatments and dermatologist referrals. Outcomes were incident asthma among all patients and asthma exacerbation or hospitalization among patients with asthma.

resultsOn comparing 409,341 children with AD (93.2% mild, 5.5% moderate, 1.3% severe) with 1,809,029 unaffected children, those with AD were found to be associated with a 2-fold greater risk of asthma compared with those without AD (hazard ratio, 1.96; 95% CI, 1.93-1.98). On comparing 625,083 adults with AD (65.7% mild, 31.4% moderate, and 2.9% severe) with 2,678,888 unaffected adults, AD was found to be associated with a 38% higher risk of asthma (hazard ratio, 1.38; 95% CI, 1.36-1.40). Asthmatic patients with AD also had a 21% to 63% greater risk of asthma exacerbations and a 20% to 64% greater risk of asthma-related hospitalizations compared with asthmatic patients without AD. Risk of asthma, asthma exacerbation, or asthma-related hospitalization increased with AD severity in a dose-dependent manner in both the pediatric and adult cohorts.

conclusionsAD, especially in children and when more severe, is associated with greater risk of asthma as well as greater risk of asthma exacerbations and hospitalizations among asthmatic patients.

Indexed as

AsthmaDermatitis, AtopicAdolescentAdultChildCohort StudiesHospitalizationHumansSeverity of Illness IndexAsthmaAtopic dermatitisAtopyEczemaEpidemiology

Identifiers

PMID37972919
PMCPMC10922794
OpenAlexW4388673114

What OpenQuestion holds

Textmetadata
LicenceTDM
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.