Evidence map›Paper›PMID 39584852›Full record

GuidelineAdvances in respiratory medicine2024

2024 Update on Position Statement by Experts from the Polish Society of Allergology and the Polish Respiratory Society on the Evaluation of Efficacy and Effectiveness of Single Inhaler Triple Therapies in Asthma Treatment.

Paweł Śliwiński, Adam Antczak, Adam Barczyk, Adam J Białas, Małgorzata Czajkowska-Malinowska, Karina Jahnz-Różyk, Marek Kulus, Piotr Kuna, Maciej Kupczyk

Abstract readGuideline
In one paragraph

Guideline in Advances in respiratory medicine, 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. 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

9 authors.

Paweł Śliwiński2nd Department of Respiratory Medicine, Institute of Tuberculosis and Lung Diseases, 01-138 Warsaw, Poland.
Adam AntczakDepartment of General and Oncological Pulmonology, Medical University of Lodz, 90-419 Lodz, Poland.
Adam BarczykDepartment of Pneumology, Faculty of Medical Sciences, Medical University of Silesia, 40-635 Katowice, Poland.ORCID 0000-0002-6567-9208
Adam J BiałasDepartment of Pneumonology, Medical University of Lodz, 90-419 Lodz, Poland.ORCID 0000-0002-3501-167X
Małgorzata Czajkowska-MalinowskaDepartment of Lung Diseases and Respiratory Failure, Kuyavian-Pomeranian Pulmonology Center, 85-326 Bydgoszcz, Poland.ORCID 0000-0001-5661-3816
Karina Jahnz-RóżykDepartment of Internal Medicine, Pneumonology, Allergology and Clinical Immunology, Military Medical Institute-National Research Institute, 04-141 Warsaw, Poland.
Marek KulusDepartment of Pediatric Pneumonology and Allergology, Warsaw Medical University, 02-091 Warsaw, Poland.
Piotr KunaDepartment of Internal Medicine, Asthma and Allergy, Medical University of Lodz, 90-153 Lodz, Poland.
Maciej KupczykDepartment of Internal Medicine, Asthma and Allergy, Medical University of Lodz, 90-153 Lodz, Poland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Medication non-adherence remains a substantial obstacle in asthma care, prompting the exploration of novel therapeutic modalities that prioritize rapid symptom relief, anti-inflammatory activity, and facilitate patients' compliance. This task is well-served by the following new form of therapy: inhaled triple-combination medications ICS/LABA/LAMA (inhaled glucocorticosteroid/long-acting beta2-agonist/long-acting muscarinic antagonist). The integration of three medications within a singular inhalation device culminates in the reduction of the effective dose of the principal therapeutic agent for asthma management, namely ICS. This consolidation yields a dual benefit of minimizing the likelihood of adverse effects typically linked with ICS while concurrently optimizing bronchodilator efficacy. The accumulated evidence suggests that adding LAMA to a medium- or high-dose ICS/LABA results in a decrease of asthma exacerbations compared to medium- or high-dose ICS/LABA alone, accompanied by sustained enhancements in lung function parameters. In adult patients experiencing suboptimal asthma control despite medium/high-dose ICS/LABA treatment-regardless of adherence to GINA-recommended strategies, such as MART therapy as a first-line approach, or alternative second-line strategies-we propose that the preferred course for intensifying asthma therapy involves the addition of a LAMA, ideally in the form of SITT.

Indexed as

AsthmaNebulizers and VaporizersAdministration, InhalationAdrenergic beta-2 Receptor AgonistsAnti-Asthmatic AgentsBronchodilator AgentsDrug Therapy, CombinationHumansMuscarinic AntagonistsPolandSocieties, MedicalAdrenergic beta-2 Receptor AgonistsAnti-Asthmatic AgentsBronchodilator AgentsMuscarinic Antagonistsasthmaasthma treatmentICS/LABALAMAsingle inhaler triple therapySITT

Identifiers

PMID39584852
PMCPMC11587102

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.