Characteristics and treatment regimens across ERS SHARP severe asthma registries

van Bragt, Job J. M. H. and Adcock, Ian M. and Bel, Elisabeth H. D. and Braunstahl, Gert-Jan and ten Brinke, Anneke and Busby, John and Canonica, Giorgio W. and Cao, Hui and Chung, Kian Fan and Csoma, Zsuzsanna and Dahlen, Barbro and Davin, Elizabeth and Hansen, Susanne and Heffler, Enrico and Horvath, Ildiko and Korn, Stephanie and Kots, Maxim and Kuna, Piotr and Kwon, Namhee and Louis, Renaud and Plaza, Vicente and Porsbjerg, Celeste and Ramos-Barbon, David and Richards, Levi B. and Skrgat, Sabina and Sont, Jacob K. and Vijverberg, Susanne J. H. and Weersink, Els J. M. and Yasinska, Valentyna and Wagers, Scott S. and Djukanovic, Ratko and Maitland-van der Zee, Anke H. and Abenhardt, B. and Adcock, I. M. and Adler, J. and Alfonso, R. and Ali, R. and Alkameh, S. and Almonacid Sanchez, C. and Alvares, L. and Anderson, G. and Assing, K. and Ayre, S. and Becker, J. and Bel, E. H. D. and Bergmann, K. and Bieksiene, K. and Bjerring, N. and Blasi, F. and Bloemen, P. and Blum, H. and Boeing, S. and Bonavia, M. and Bossios, A. and Bourdin, A. and Braunstahl, G-J and Brons, A. and Brusselle, G. and Buis, J. and Busby, J. and Caiaffa, M. and Calabrese, C. and Camiciottoli, G. and Canonica, G. W. and Cao, H. and Caruso, C. and Castilla Martinez, M. and Centanni, S. and Chung, K. 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H. and van de Ven, M. and van den Elshout, F. and Van Dyke, M. and Van Nederveen-Bendien, S. and van Veen, I and Vandenplas, O. and Velthove, K. and Vianello, A. and Vijverberg, S. J. H. and Vogelberg, C. and Wagers, S. S. and Wallen-Nielsen, E. and Weersink, E. J. and Wisskirchen, T. and Yacoub, M. and Yancey, S. and Yasinska, V and Zappa, M. and Zielen, S. and Zimmermann, C. and Zimmermann, R. (2020) Characteristics and treatment regimens across ERS SHARP severe asthma registries. EUROPEAN RESPIRATORY JOURNAL, 55 (1): 1901163. ISSN 0903-1936, 1399-3003

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Abstract

Little is known about the characteristics and treatments of patients with severe asthma across Europe, but both are likely to vary. This is the first study in the European Respiratory Society Severe Heterogeneous Asthma Research collaboration, Patient-centred (SHARP) Clinical Research Collaboration and it is designed to explore these variations. Therefore, we aimed to compare characteristics of patients in European severe asthma registries and treatments before starting biologicals. This was a cross-sectional retrospective analysis of aggregated data from 11 national severe asthma registries that joined SHARP with established patient databases. Analysis of data from 3236 patients showed many differences in characteristics and lifestyle factors. Current smokers ranged from 0% (Poland and Sweden) to 9.5% (Belgium), mean body mass index ranged from 26.2 (Italy) to 30.6 kg.m(-2) (the UK) and the largest difference in mean pre-bronchodilator forced expiratory volume in 1 s % predicted was 20.9% (the Netherlands versus Hungary). Before starting biologicals patients were treated differently between countries: mean inhaled corticosteroid dose ranged from 700 to 1335 mu g.day(-1) between those from Slovenia versus Poland when starting anti-interleukin (IL)5 antibody and from 772 to 1344 mu g.day(-1) in those starting anti-IgE (Slovenia versus Spain). Maintenance oral corticosteroid use ranged from 21.0% (Belgium) to 63.0% (Sweden) and from 9.1% (Denmark) to 56.1% (the UK) in patients starting anti-IL-5 and anti-IgE, respectively. The severe asthmatic population in Europe is heterogeneous and differs in both clinical characteristics and treatment, often appearing not to comply with the current European Respiratory Society/American Thoracic Society guidelines definition of severe asthma. Treatment regimens before starting biologicals were different from inclusion criteria in clinical trials and varied between countries.

Item Type: Article
Uncontrolled Keywords: HETEROGENEITY; MULTICENTER; MEPOLIZUMAB;
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Innere Medizin II
Depositing User: Dr. Gernot Deinzer
Date Deposited: 08 Apr 2021 06:43
Last Modified: 08 Apr 2021 06:43
URI: https://pred.uni-regensburg.de/id/eprint/45516

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