Evidence map›Paper›PMID 39558970›Full record

ArticleJournal of asthma and allergy2024

Disease Modification in Asthma: Are We on the Right Way? A Multidisciplinary Expert Delphi Consensus (MODIASTHMA Consensus).

Juan Carlos Miralles-López, Francisco J Alvarez-Gutiérrez, Julio Delgado-Romero, Santiago Quirce, Jose Gregorio Soto-Campos, Ruben Andújar-Espinosa, Sheila Cabrejos-Perotti, Manuel Castilla-Martínez, Isabel Flores-Martín, Manuel José Pajarón-Fernández and 1 more

Abstract read
In one paragraph

Article in Journal of asthma and allergy, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

11 authors.

Juan Carlos Miralles-LópezAllergy Department, University General Hospital Reina Sofia, Murcia, Spain.
Francisco J Alvarez-GutiérrezMedical and Surgical Unit of Respiratory Diseases, Hospital Universitario Virgen Del Rocío, Seville, Spain.ORCID 0000-0002-0175-2824
Julio Delgado-RomeroAllergology Clinical Management Unit, Hospital Virgen Macarena, Seville, Spain.
Santiago QuirceDepartment of Allergy, La Paz University Hospital, IdiPAZ, Madrid, Spain.ORCID 0000-0001-8086-0921
Jose Gregorio Soto-CamposPneumology and Allergy Clinical Management Unit, University Hospital of Jerez, Jerez, Spain.ORCID 0000-0003-4052-0417
Ruben Andújar-EspinosaSevere Asthma Association of the Region of Murcia. ASGRAMUR, Murcia, Spain.ORCID 0000-0002-6714-9438
Sheila Cabrejos-PerottiSevere Asthma Association of the Region of Murcia. ASGRAMUR, Murcia, Spain.
Manuel Castilla-MartínezSevere Asthma Association of the Region of Murcia. ASGRAMUR, Murcia, Spain.
Isabel Flores-MartínSevere Asthma Association of the Region of Murcia. ASGRAMUR, Murcia, Spain.
Manuel José Pajarón-FernándezSevere Asthma Association of the Region of Murcia. ASGRAMUR, Murcia, Spain.
José Valverde-MolinaSevere Asthma Association of the Region of Murcia. ASGRAMUR, Murcia, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: With the advent of biological therapies, emerging concepts regarding establishing new targets in asthma management, such as disease modification, have entered the debate among the scientific community. The definitions that form the conceptual basis of this goal need to be agreed upon. Methods: A multidisciplinary expert group was assembled as the steering committee. A systematic literature review was conducted to identify the scientific background for constructing appropriate definitions. Based on the literature review and the clinical experience of the experts, the committee built a list of statements that could be applied to establish the definition of disease modification in asthma. After that, a Delphi validation was performed to assess the appropriateness of the list of statements. The questionnaire included a total of 22 statements, divided into "Essential criteria for disease modification in asthma" (5 statements) and "Disease modification indicators and other considerations" (17 statements). Panelists used a 9-point Likert scale to measure agreement on each statement. The cut-off point for high consensus was defined as a minimum score of 7 and had to be reached by at least two-thirds of the experts. Results: A total of 192 asthma experts voted on statements anonymously. Of those, 104 (54%) were Pneumologists, 65 (34%) were allergologists, and 23 (12%) were Pediatricians. An interim analysis of round 1 data was performed. All statements reached consensus on the first round, with a median score above 7 in all cases. Conclusion: In conclusion, in this Delphi study, a large number of experts in the management of severe asthma from different specialties agreed on the clinical-functional and pathophysiological aspects to be considered in order to try to achieve disease modification.

Indexed as

delphi processdisease modificationremissionsevere asthma

Identifiers

PMID39558970
PMCPMC11571985

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.