Evidence map›Paper›PMID 9522793›Full record

ArticleBMJ (Clinical research ed.)1998

Effect of asthma and its treatment on growth: four year follow up of cohort of children from general practices in Tayside, Scotland.

C McCowan, R G Neville, G E Thomas, I K Crombie, R A Clark, I W Ricketts, A Y Cairns, F C Warner, S A Greene, E White

Open access · bronzeAbstract read
In one paragraph

Article in BMJ (Clinical research ed.), 1998. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
23.4field-weighted citation impact, top 1% of its field
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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 73 citations in OpenAlex.

  1. Guideline
  2. Article
  3. Adrenal suppression: A practical guide to the screening and management of this under-recognized complication of inhaled corticosteroid therapy.Allergy, asthma, and clinical immunology : official journal of the Canadian Society of Allergy and Clinical Immunology · 2011
    Article
  4. Review
  5. Review
  6. The role of inhaled corticosteroids in children with asthma.Archives of disease in childhood · 2000
    Review
  7. Review
  8. 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

10 authors at 2 institutions in 1 country.

C McCowanTayside Centre for General Practice, University of Dundee.
R G Neville
G E Thomas
I K Crombie
R A Clark
I W Ricketts
A Y Cairns
F C Warner
S A Greene
E White
University of Dundee · GBNHS Tayside · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo investigate whether asthma or its treatment impairs children's growth, after allowing for socioeconomic group.

design4 year follow up of a cohort of children aged 1-15.

setting12 general practices in the Tayside region of Scotland. SUBJECTS: 3347 children with asthma or features suggestive of asthma registered with the general practices.

main outcome measuresHeight and weight standard deviation scores.

resultsChildren who lived in areas of social deprivation (assessed by postcode) had lower height and weight than their contemporaries (mean standard deviation score -0.26 (SD 1.02) and -0.18 (1.15) respectively, P < 0.001 for both). Children who were receiving > or = 400 micrograms daily of inhaled steroids and who were attending both hospital and general practice for asthma care had lower height and weight than average, independent of the effect of deprivation (mean standard deviation score -0.62 (1.01), P = 0.002, for height and -0.58 (0.94), P = 0.005, for weight). Children receiving high doses of inhaled corticosteroids also showed lower growth rates (mean change in standard deviation score -0.19 (0.51), P = 0.003). However, no other children with asthma showed growth impairment.

conclusionMost children with asthma were of normal height and weight and had normal growth rates. However, children receiving high doses of inhaled steroids and requiring both general practice and hospital services had a significant reduction in their stature. This effect was independent from but smaller than the effect of socioeconomic group on stature.

Indexed as

AdolescentAsthmaBody HeightChildChild DevelopmentChild Health ServicesChild, PreschoolCohort StudiesFollow-Up StudiesGrowth DisordersHumansInfantPatient Acceptance of Health CareScotlandSocioeconomic Factors

Identifiers

PMID9522793
PMCPMC28474
OpenAlexW2024373044

What OpenQuestion holds

Textmetadata
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.