Evidence map›Paper›PMID 35837824›Full record

ArticleAllergy, asthma & immunology research2022

Clinical Characteristics and Disease Burden of Severe Asthma According to Oral Corticosteroid Dependence: Real-World Assessment From the Korean Severe Asthma Registry (KoSAR).

Ji-Hyang Lee, Hyo-Jung Kim, Chan Sun Park, So Young Park, So-Young Park, Hyun Lee, Sang-Heon Kim, You Sook Cho, Working Group on Severe Asthma, the Korean Academy of Asthma, Allergy and Clinical Immunology

Open access · diamondAbstract read
In one paragraph

Article in Allergy, asthma & immunology research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
2.7field-weighted citation impact, top 9% 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

15 citing papers in PubMed, 24 citations in OpenAlex.

  1. Article
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  3. Review
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  7. Observational
  8. Big Data Research on Severe Asthma.Tuberculosis and respiratory diseases · 2024
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  11. Biologics in Severe Asthma: An Ideal Choice for Achieving Control.Allergy, asthma & immunology research · 2024
    Article
  12. Article
  13. Article
  14. Article
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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 at 4 institutions in 1 country.

Ji-Hyang Lee *Division of Allergy and Clinical Immunology, Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0003-4286-3114
Hyo-Jung Kim *Department of Internal Medicine, Inje University of College of Medicine, Haeundae Paik Hospital, Busan, Korea.ORCID https://orcid.org/0000-0002-8867-7483
Chan Sun ParkDepartment of Internal Medicine, Inje University of College of Medicine, Haeundae Paik Hospital, Busan, Korea.ORCID https://orcid.org/0000-0003-0113-8354
So Young ParkDepartment of Internal Medicine, Eulji General Hospital, Seoul, Korea.ORCID https://orcid.org/0000-0001-9846-8346
So-Young ParkDivision of Pulmonology, Allergy and Critical Care Medicine, Department of Internal Medicine, Chung-Ang University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0002-5224-3077
Hyun LeeDepartment of Internal Medicine, Hanyang University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0002-1269-0913
Sang-Heon KimDepartment of Internal Medicine, Hanyang University College of Medicine, Seoul, Korea. sangheonkim@hanyang.ac.kr.ORCID https://orcid.org/0000-0001-8398-4444
You Sook ChoDivision of Allergy and Clinical Immunology, Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. yscho@amc.seoul.kr.ORCID https://orcid.org/0000-0001-8767-2667
Working Group on Severe Asthma, the Korean Academy of Asthma, Allergy and Clinical Immunology
Eulji Medical Center · KRHanyang University · KRInje University Haeundae Paik Hospital · KRUlsan College · KR

Funding

Korea Health Industry Development Institute HI21C0198Korea National Institute of Health 2022-ER1205-00
6 · The paper itself

Abstract

purposeOral corticosteroids (OCS) are commonly used in patients with severe asthma, but they are associated with several adverse events. We estimated the prevalence of patients with OCS-dependent asthma in a large nationwide registry for severe asthma and delineated their clinical characteristics.

methodsThis cross-sectional study analyzed enrollment data of the patients recruited in the Korean Severe Asthma Registry (KoSAR) from 2010 to 2019. The clinical characteristics of patients were compared according to OCS dependency, which was defined as maintenance OCS treatment lasting at least 6 months during the 12 months prior to enrollment.

resultsAmong the 562 patients with severe asthma, 121 (21.5%) patients were defined as having OCS-dependent asthma. Compared with the OCS-independent group, the OCS-dependent group was older at symptom onset and had a higher prevalence of anxiety, worse lung function, and used more medication than the control group. Despite the higher doses of daily ICS and 6-month cumulative OCS, the OCS-dependent group reported greater consumption of relievers and a higher prevalence of unscheduled emergency room visits and repeated OCS bursts. Although anti-interleukin-5 was more commonly prescribed for patients with OCS-dependent asthma, only a limited proportion of patients with severe asthma received biologics.

conclusionsOne-fifth of patients with severe asthma had OCS-dependency, which was associated with a greater disease burden compared to those with OCS-independent asthma. Active intervention including initiation of biologics and regular assessment of OCS-induced morbidities is warranted to reduce the use of OCS and its potential adverse effects.

Indexed as

adverse reactionsAsthmabiologicsprevalenceseveritysteroids

Identifiers

PMID35837824
PMCPMC9293595
OpenAlexW4285412304

What Socratic holds

Textmetadata
LicenceCC BY-NC
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 Socratic graph.