Evidence map›Paper›PMID 40548588›Full record

ReviewAllergy2025

Burden of Oral Corticosteroid Use in Severe Asthma: Challenges and Opportunities.

G Walter Canonica, Celeste Porsbjerg, David B Price, Michael E Wechsler, Liam G Heaney, Nicola A Hanania, Rebecca Gall, Nami Pandit-Abid, Juby A Jacob-Nara, Harry J Sacks

Abstract readReview
In one paragraph

Review in Allergy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing 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.

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

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

  1. Pooled it
  2. Article
  3. Article
  4. Ameliorating Effects ofAntioxidants (Basel, Switzerland) · 2026
    Article
  5. Article
  6. Article
  7. 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

10 authors.

G Walter CanonicaDepartment of Biomedical Sciences, Humanitas University, Pieve Emanuele, Milan, Italy.ORCID https://orcid.org/0000-0001-8467-2557
Celeste PorsbjergDepartment of Respiratory Medicine and Infectious Diseases, Bispebjerg and Frederiksberg Hospital, Copenhagen, Denmark.ORCID https://orcid.org/0000-0003-4825-9436
David B PriceObservational and Pragmatic Research Institute, Midview City, Singapore.ORCID https://orcid.org/0000-0002-9728-9992
Michael E WechslerDivision of Pulmonary, Critical Care and Sleep Medicine, National Jewish Health, Denver, Colorado, USA.
Liam G HeaneyWellcome-Wolfson Institute for Experimental Medicine, Queen's University Belfast, Belfast, UK.ORCID https://orcid.org/0000-0002-9176-5564
Nicola A HananiaDepartment of Medicine, Section of Pulmonary and Critical Care Medicine, Baylor College of Medicine, Houston, Texas, USA.
Rebecca GallRegeneron Pharmaceuticals Inc., Tarrytown, New York, USA.
Nami Pandit-AbidSanofi, Bridgewater, New Jersey, USA.
Juby A Jacob-NaraSanofi, Bridgewater, New Jersey, USA.
Harry J SacksRegeneron Pharmaceuticals Inc., Tarrytown, New York, USA.

Funding

Regeneron PharmaceuticalsSanofi
6 · The paper itself

Abstract

Over the past 70 years, oral corticosteroids (OCS) have played an important role in the management of acute and chronic asthma; however, their use is associated with an increased incidence of adverse events, chronic diseases such as osteoporosis and diabetes, and mortality, as well as increased healthcare resource utilization and costs. Despite a consensus that the use of OCS should be minimized in asthma treatment strategies, many patients still routinely receive long-term or frequent short courses of OCS. Add-on biologics can help to improve asthma control in patients with severe asthma and evidence of type 2 inflammation; in clinical trials and real-world studies, both short- and long-term OCS-sparing effects have been demonstrated. In this review, we discuss the benefits and burdens of OCS in patients with severe asthma from the perspective of both patients and healthcare providers and outline potential methods for reducing reliance on OCS. Given the risk of adrenal insufficiency or crisis upon cessation of OCS, we discuss the need for clear guidance and algorithms for the tapering of OCS together with the requirement for multidisciplinary patient-provider interactions as part of an effective OCS stewardship scheme.

Indexed as

Adrenal Cortex HormonesAnti-Asthmatic AgentsAsthmaAdministration, OralCost of IllnessHumansSeverity of Illness IndexAdrenal Cortex HormonesAnti-Asthmatic Agentsbiologicsdose sparingOCS stewardshiporal corticosteroidsevere asthma

Identifiers

PMID40548588
PMCPMC12368757

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.