Evidence map›Paper›PMID 38901877›Full record

Observational studyBMJ open respiratory research2024

Sex differences in asthma control, lung function and exacerbations: the ATLANTIS study.

Tessa M Kole, Susan Muiser, Monica Kraft, Salman Siddiqui, Leonardo M Fabbri, Klaus F Rabe, Alberto Papi, Chris Brightling, Dave Singh, Thys van der Molen and 3 more

Registry-linked trialAbstract readObservational StudyMulticenter Study
In one paragraph

Observational study in BMJ open respiratory research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02123667 (AssessmenT of smalL Airways involvemeNT In aSthma), which is not on this map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
–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.

NCT02123667 completednot on this map

AssessmenT of smalL Airways involvemeNT In aSthma (ATLANTIS); Multinational, Multicentre, Non-pharmacological Intervention, Cross-sectional and Longitudinal Study.

TypeobservationalSponsorChiesi Farmaceutici S.p.A.Ran2014 to 2017Enrolled872ConditionsAsthma
3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

13 authors.

Tessa M Kole *Department of Pulmonology and Tuberculosis, University Medical Centre Groningen, Groningen, The Netherlands t.m.kole@umcg.nl.ORCID http://orcid.org/0000-0002-5176-6300
Susan Muiser *Department of Pulmonology and Tuberculosis, University Medical Centre Groningen, Groningen, The Netherlands.ORCID http://orcid.org/0000-0002-1927-7646
Monica KraftSamuel Bronfman Department of Medicine, Icahn School of Medicine, Mount Sinai Medical Center, New York, New York, USA.
Salman SiddiquiNational Heart & Lung Institute, Imperial College London, London, UK.
Leonardo M FabbriDepartment of Respiratory Medicine and Translational Medicine, University of Ferrara, Ferrara, Italy.
Klaus F RabeLungenClinic Grosshansdorf GmbH, Grosshansdorf, Germany.
Alberto PapiDepartment of Respiratory Medicine and Translational Medicine, University of Ferrara, Ferrara, Italy.
Chris BrightlingInstitute for Lung Health, National Institute for Health Research Biomedical Research Centre, University of Leicester, Leicester, UK.
Dave SinghCentre for Respiratory Medicine and Allergy, The University of Manchester, Manchester University NHS Foundation Trust, Manchester, UK.
Thys van der MolenGroningen Research Institute for Asthma and COPD, University Medical Centre Groningen, Groningen, The Netherlands.
Martijn C NawijnGroningen Research Institute for Asthma and COPD, University Medical Centre Groningen, Groningen, The Netherlands.
Huib A M KerstjensDepartment of Pulmonology and Tuberculosis, University Medical Centre Groningen, Groningen, The Netherlands.
Maarten van den BergeDepartment of Pulmonology and Tuberculosis, University Medical Centre Groningen, Groningen, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAsthma is a heterogeneous disease with a prevalence and severity that differs between male and female patients. QUESTION: What are differences between male and female patients with asthma with regard to asthma control, lung function, inflammation and exacerbations?

methodsWe performed a post hoc analysis in the ATLANTIS (Assessment of Small Airways Involvement in Asthma) study, an observational cohort study including patients with asthma from nine countries with a follow-up of 1 year during which patients were characterised with measures of large and small airway function, questionnaires, inflammation and imaging. We compared differences in baseline characteristics and longitudinal outcomes between male and female patients with asthma.

results773 patients were enrolled; 450 (58%) of these were female. At baseline, female patients with asthma were in higher Global Initiative for Asthma (GINA) steps (p=0.042), had higher Asthma Control Questionnaire 6 (F: 0.83; M: 0.66, p<0.001) and higher airway resistance as reflected by uncorrected impulse oscillometry outcomes (ie, R

interpretationWe demonstrate that female patients are in higher GINA steps, exhibit worse disease control, experience more exacerbations and demonstrate higher airway resistance compared with male patients. The higher exacerbation risk was independent of GINA step and blood eosinophil level. Male patients, in turn, have a higher prevalence of persistent airflow limitation and more severe airflow obstruction. These findings show sex can affect clinical phenotyping and outcomes in asthma. TRIAL REGISTRATION NUMBER: NCT02123667.

Indexed as

AsthmaLungAdultAgedAirway ResistanceCohort StudiesDisease ProgressionFemaleForced Expiratory VolumeHumansMaleMiddle AgedRespiratory Function TestsSeverity of Illness IndexSex FactorsSurveys and Questionnairesasthmaasthma epidemiology

Identifiers

PMID38901877
PMCPMC11191767

What OpenQuestion holds

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LicenceCC BY-NC
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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.