Evidence mapPaperPMID 37632242Full record

ArticleClinical and translational allergy2023

Risk factors of NSAID-exacerbated respiratory disease: A population-based study.

Alma Helevä, Aada Murtomäki, Heini Huhtala, Jean Bousquet, Annika Luukkainen, Jussi Karjalainen, Riikka Lemmetyinen, Jari Haukka, Paulus Torkki, Mikko Nuutinen and 1 more

Open access · goldAbstract read
In one paragraph

Article in Clinical and translational allergy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.9field-weighted citation impact, top 26% 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

4 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Updates on the Natural History and Clinical Characteristics of NSAID-ERD.The journal of allergy and clinical immunology. In practice · 2024
    Review
  3. Article
  4. 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

11 authors at 4 institutions in 3 countries.

Alma HeleväSkin and Allergy Hospital, Helsinki University Hospital and University of Helsinki, Hospital District of Helsinki and Uusimaa, Helsinki, Finland.ORCID https://orcid.org/0009-0000-7289-358X
Aada MurtomäkiSkin and Allergy Hospital, Helsinki University Hospital and University of Helsinki, Hospital District of Helsinki and Uusimaa, Helsinki, Finland.
Heini HuhtalaFaculty of Social Sciences, Tampere University, Tampere, Finland.
Jean BousquetInstitute for Allergology, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany.ORCID https://orcid.org/0000-0002-4061-4766
Annika LuukkainenInfectious Disease Unit, South Karelia Central Hospital, Lappeenranta, Finland.
Jussi KarjalainenAllergy Centre, Tampere University Hospital, Tampere, Finland.
Riikka LemmetyinenSkin and Allergy Hospital, Helsinki University Hospital and University of Helsinki, Hospital District of Helsinki and Uusimaa, Helsinki, Finland.
Jari HaukkaDepartment of Public Health, University of Helsinki, Helsinki, Finland.
Paulus TorkkiDepartment of Public Health, University of Helsinki, Helsinki, Finland.
Mikko NuutinenSkin and Allergy Hospital, Helsinki University Hospital and University of Helsinki, Hospital District of Helsinki and Uusimaa, Helsinki, Finland.
Sanna Toppila-SalmiSkin and Allergy Hospital, Helsinki University Hospital and University of Helsinki, Hospital District of Helsinki and Uusimaa, Helsinki, Finland.ORCID https://orcid.org/0000-0003-0890-6686
University of Helsinki · FITampere University · FIHumboldt-Universität zu Berlin · DESouth Karelia Central Hospital · FI

Funding

European Academy of Allergy and Clinical ImmunologyFinnish State Funding for University-Level Health Research TYH2019322MD PhD Programme of the Faculty of Medicine, University of HelsinkiPäivikki ja Sakari Sohlbergin SäätiöSuomen Tuberkuloosin Vastustamisyhdistyksen SäätiöTampereen TuberkuloosisäätiöVäinö ja Laina Kiven Säätiö
6 · The paper itself

Abstract

backgroundAsthma with NSAID-exacerbated respiratory disease (NERD) is associated with uncontrolled or severe asthma. NERD patients are more prone to severe allergic reactions and their asthma exacerbations lead to hospitalisations twice as often compared to patients with non-NERD-asthma. NERD patients are prone to recurrent nasal polyposis requiring frequent endoscopic sinus surgeries. However, the early risk factors of NERD are not fully understood. The aim was to identify risk factors of NERD among patients with adult-onset asthma.

methodsWe used data from 1350 population-based adult asthmatics with adult-onset asthma from Finnish national registers. NERD was defined as self-reported wheeze or other typical respiratory symptoms after ingestion of NSAIDs. Thirty-six covariates covering several domains (personal characteristics, life-style, early life factors, asthma characteristics and multimorbidities) were selected based on literature and were studied in association with NERD using logistic regressions.

resultsThe study population included 153 (11.3%) asthmatics with NERD. Thirty-six covariates were entered in univariate logistic regression analysis, in which 23 were associated with NERD (p < 0.05). These variables were entered in a multivariable logistic regression model in which allergic respiratory symptoms, female sex, osteoarthritis, difficult asthma, nasal polyps, second-hand smoke exposure at home, having 3 or more older siblings and being overweight were significantly associated with asthma with NERD (p < 0.05). Overweight decreased the risk of NERD, other factors increased it.

conclusionAccording to our study, risk factors of NERD in part are associated with female sex, BMI, exposure to tobacco smoke, allergy, orthopaedic disorders and infection history, and their early recognition might thus be important to manage the burden of NERD.

Indexed as

AERDallergyASA-intoleranceasthmaNERD

Identifiers

PMID37632242
PMCPMC10442774
OpenAlexW4386082941

What Socratic holds

Textmetadata
LicenceCC BY
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.