Evidence map›Paper›PMID 42127123›Full record

ArticlePloS one2026

Development of an asthma policy model for Canada: Lifetime Exposures and Asthma outcomes Projection.

Tae Yoon Lee, John Petkau, Kate M Johnson, Stuart E Turvey, Amin Adibi, Padmaja Subbarao, Ainsleigh Hill, Mark Ewert, Mohsen Sadatsafavi

Abstract read
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Article in PloS one, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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0cells of the map it votes in
1citing papers in PubMed
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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Tae Yoon LeeQuantitative Sciences Unit, Stanford School of Medicine, Stanford, California, United States of America.ORCID https://orcid.org/0000-0001-6672-4317
John PetkauDepartment of Statistics, University of British Columbia, Vancouver, British Columbia, Canada.
Kate M JohnsonRespiratory Evaluation Sciences Program, Faculty of Pharmaceutical Sciences, University of British Columbia, Vancouver, British Columbia, Canada.
Stuart E TurveyDepartment of Pediatrics, BC Children's Hospital and The University of British Columbia, Vancouver, British Columbia, Canada.
Amin AdibiRespiratory Evaluation Sciences Program, Faculty of Pharmaceutical Sciences, University of British Columbia, Vancouver, British Columbia, Canada.
Padmaja SubbaraoDivision of Respiratory Medicine and Translational Medicine, Department of Paediatrics, Research Institute, The Hospital for Sick Children, Toronto, Ontario, Canada.
Ainsleigh HillRespiratory Evaluation Sciences Program, Faculty of Pharmaceutical Sciences, University of British Columbia, Vancouver, British Columbia, Canada.
Mark EwertRespiratory Evaluation Sciences Program, Faculty of Pharmaceutical Sciences, University of British Columbia, Vancouver, British Columbia, Canada.ORCID https://orcid.org/0009-0006-0719-1892
Mohsen SadatsafaviRespiratory Evaluation Sciences Program, Faculty of Pharmaceutical Sciences, University of British Columbia, Vancouver, British Columbia, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo address the need for health policy planning focused on early interventions for asthma, we developed the Lifetime Exposures and Asthma outcomes Projection (LEAP), a reference policy model for asthma in Canada.

methodsBased on a previously developed concept map, we used an open-population microsimulation design to deal with the multidimensionality of risk factors and the need for modelling realistic aspects of adopting health technologies. The model consists of five intertwined modules: demographics, risk factors, asthma occurrence, asthma outcomes, and payoffs. The demographics module was based on sex- and age-specific estimates and projections from national surveys. For the first version of the model, we concentrated on key risk factors from the concept map: age, sex, family history of asthma at birth, and exposure to antibiotics in the first year of life. The distributions of risk factors were estimated from population-based administrative databases and a population-based longitudinal birth cohort. Quantitative evidence synthesis provided estimated parameters for the asthma occurrence and outcomes modules. Costs and utility weights were obtained from the literature. We conducted face validity, calibration, and internal validity assessments.

resultsLEAP is capable of modelling asthma-related health outcomes at the individual level from 2001 onwards. Age-sex stratified demographic projections from the model closely matched projections, while asthma prevalence and control levels matched their respective estimates from the administrative data and estimates from the literature. The LEAP model is publicly accessible as open-source software: https://github.com/tyhlee/LEAP.jl (Julia) and https://resplab.github.io/leap/ (Python).

conclusionsLEAP is the first reference Canadian asthma policy model that emerged from identified needs for health policy planning for early interventions in asthma. It can provide a unified framework under which different interventions and policies can be consistently compared to identify those with the highest value proposition. The model needs to be gradually updated to accommodate other risk factors, and its validity should be independently examined.

Indexed as

AsthmaHealth PolicyAdolescentAdultCanadaChildChild, PreschoolFemaleHumansInfantMaleMiddle AgedModels, TheoreticalPrevalenceRisk FactorsYoung Adult

Identifiers

PMID42127123
PMCPMC13170856

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LicenceCC BY
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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.