Evidence map›Paper›PMID 40290584›Full record

ArticleInternational journal of chronic obstructive pulmonary disease2025

Treatable Traits in Patients with Obstructive Lung Diseases in a Well-Established Asthma/COPD Service for Primary Care.

Lars Dijk, Yoran H Gerritsma, Thys Van der Molen, Ian Pavord, Ronald J Meijer, Huib Kerstjens, Janwillem Kocks

Abstract read
In one paragraph

Article in International journal of chronic obstructive pulmonary disease, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

7 authors.

Lars DijkGeneral Practitioners Research Institute, Groningen, The Netherlands.ORCID 0000-0002-9544-1487
Yoran H GerritsmaGeneral Practitioners Research Institute, Groningen, The Netherlands.
Thys Van der MolenGeneral Practitioners Research Institute, Groningen, The Netherlands.ORCID 0000-0002-6606-8804
Ian PavordOxford Respiratory NIHR BRC, Nuffield Department of Medicine, University of Oxford, Oxford, UK.ORCID 0000-0002-4288-5973
Ronald J MeijerOmmelander Ziekenhuis Groningen (OZG), Scheemda, The Netherlands.
Huib KerstjensUniversity of Groningen, University Medical Center Groningen, GRIAC Research Institute, Groningen, The Netherlands.ORCID 0000-0001-7705-7927
Janwillem KocksGeneral Practitioners Research Institute, Groningen, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: The primary objective of this study was to assess the prevalence of treatable traits (TTs) in patients with obstructive lung diseases in a primary care setting and how these TTs co-occur. The secondary objective was to assess the stability of TTs and the effect of management advice on changes in traits and health outcomes. Patients and Methods: Data from the Dutch asthma/COPD service (2007-2023) were studied retrospectively. Patients ≥18 years with asthma, COPD, or Asthma-COPD overlap (ACO) were included. The prevalence of eight TTs were assessed: 1) insufficient inhaler technique, 2) poor medication adherence, 3) blood eosinophilia, 4) smoking, 5) obesity, 6) physical inactivity, 7) reversible airflow limitation, and 8) anxiety and/or depression. The effect of management advice on TTs was evaluated for patients with a follow-up visit scheduled within 1-2 years. Results: In total, 15246 patients (COPD n=4822; ACO n=1761, asthma n=8663) were included. The highest proportions of TTs were insufficient inhaler technique: 43.6% (95% CI: 42.9-44.4), followed by poor medication adherence: 40.3% (95% CI: 39.2-41.4) and blood eosinophilia: 36.9% (95% CI: 35.8-38.1). Overall, 83.3% of patients had ≥ 1 TTs, and 48.9% of patients ≥ 2 TTs. Among patients with blood eosinophilia, a significant reduction of the trait at follow-up (OR: 0.61, 95% CI: 0.39; 0.96) and improved health status were observed when the pulmonologist advised the general practitioner to initiate or increase the dose of ICS. No significant association was found between management advice and the exacerbation rate at follow-up. Conclusion: The TTs assessed in this study are common in primary care patients, with nearly half of the patients showing a combination of at least two TTs. These TTs coexist in many different combinations. A personalized approach targeting these traits may be effective in achieving better control of these heterogeneous diseases.

Indexed as

AsthmaAsthma-Chronic Obstructive Pulmonary Disease Overlap SyndromeBronchodilator AgentsLungPrimary Health CarePulmonary Disease, Chronic ObstructiveAdministration, InhalationAdultAgedFemaleHumansMaleMedication AdherenceMiddle AgedNetherlandsPrevalenceBronchodilator Agentsasthmaasthma-COPD overlapCOPDprecision medicinetreatable traits

Identifiers

PMID40290584
PMCPMC12034284

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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.