GLORIA

GEOMAR Library Ocean Research Information Access

X

Your email was sent successfully. Check your inbox.

An error occurred while sending the email. Please try again.

Proceed reservation?

Export
  • 1
    Online Resource
    Online Resource
    Race-specific spirometry equations may overestimate asthma control in Black children and adolescents
    Springer Science and Business Media LLC ; 2023
    In:  Respiratory Research Vol. 24, No. 1 ( 2023-08-17)
    Details
    In: Respiratory Research, Springer Science and Business Media LLC, Vol. 24, No. 1 ( 2023-08-17)
    Abstract: A growing body of evidence suggests that use of race terms in spirometry reference equations underestimates disease burden in Black populations, which may lead to disparities in pulmonary disease outcomes. Data on asthma-specific health consequences of using race-adjusted spirometry are lacking. Methods We performed a secondary analysis of 163 children from two observational asthma studies to determine the frequencies of participants with ppFEV1  〈  80% (consistent with uncontrolled asthma) or ppFEV1 ≥ 80% using race-specific (GLI-African American or Caucasian) vs. race-neutral (GLI-Global) spirometry and their alignment with indicators of asthma control (Asthma Control Test™, ACT). Comparisons of mean ppFEV1 values were conducted using Wilcoxon matched-pairs signed-rank tests. Two group comparisons were conducted using Wilcoxon rank-sum tests. Results Data from 163 children (100 Black, 63 White) were analyzed. Mean ppFEV 1 was 95.4% (SD 15.8) using race-specific spirometry and 90.4% (16.3) using race-neutral spirometry (p  〈  0.0001). Among 54 Black children with uncontrolled asthma (ACT ≤ 19), 20% had ppFEV1  〈  80% using race-specific spirometry compared to 40% using race-neutral spirometry. In Black children with controlled asthma (ACT  〉  19), 87% had ppFEV1 ≥ 80% using race-specific compared to 67% using race-neutral spirometry. Children whose ppFEV1 changed to ≤ 80% with race-neutral spirometry had lower FEV1/FVC compared to those whose ppFEV1 remained ≥ 80% [0.83 (0.07) vs. 0.77 (0.05), respectively; p = 0.04], suggesting greater airway obstruction. Minimal changes in alignment of ppFEV1 with ACT score were observed for White children. Conclusions Use of race-specific reference equations in Black children may increase the risk of inappropriately labeling asthma as controlled.
    Type of Medium: Online Resource
    ISSN: 1465-993X
    URL: Article
    DOI: 10.1186/s12931-023-02505-3
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2023
    detail.hit.zdb_id: 2041675-1
    Location Call Number Limitation Availability
    BibTip Others were also interested in ...
    Online Resource
  • 2
    Online Resource
    Online Resource
    Community and neighborhood level disparities in extreme climate exposure: implications for asthma and atopic disease outcomes
    Elsevier BV ; 2023
    In:  Journal of Allergy and Clinical Immunology ( 2023-9)
    Details
    In: Journal of Allergy and Clinical Immunology, Elsevier BV, ( 2023-9)
    Type of Medium: Online Resource
    ISSN: 0091-6749
    URL: Article
    DOI: 10.1016/j.jaci.2023.09.015
    RVK:
    XA 52000
    Language: English
    Publisher: Elsevier BV
    Publication Date: 2023
    detail.hit.zdb_id: 2006613-2
    Location Call Number Limitation Availability
    BibTip Others were also interested in ...
    Online Resource
  • 3
    Online Resource
    Online Resource
    Social determinants of health and asthma
    Ovid Technologies (Wolters Kluwer Health) ; 2023
    In:  Current Opinion in Allergy & Clinical Immunology Vol. 23, No. 2 ( 2023-04), p. 144-150
    Details
    In: Current Opinion in Allergy & Clinical Immunology, Ovid Technologies (Wolters Kluwer Health), Vol. 23, No. 2 ( 2023-04), p. 144-150
    Abstract: Social determinants of health play a major role in healthcare utilization and outcomes in patients with asthma. Continuing to understand how these complex and interwoven relationships interact to impact patient care will be crucial to creating innovative programmes that address these disparities. Recent findings The current literature continues to support the association of substandard housing, urban and rural neighbourhoods, and race/ethnicity with poor asthma outcomes. Targeted interventions with community health workers (CHWs), telemedicine and local environmental rectifications can help improve outcomes. Summary The link between social determinants and poor asthma outcomes continues to be supported by recent literature. These factors are both nonmodifiable and consequences of institutionalized racist policies that require innovative ideas, technologic equity and funding for groups most at risk for poorer outcomes.
    Type of Medium: Online Resource
    ISSN: 1528-4050 , 1473-6322
    URL: Article
    DOI: 10.1097/ACI.0000000000000872
    Language: English
    Publisher: Ovid Technologies (Wolters Kluwer Health)
    Publication Date: 2023
    detail.hit.zdb_id: 2039287-4
    Location Call Number Limitation Availability
    BibTip Others were also interested in ...
    Online Resource
  • 4
    Online Resource
    Online Resource
    Pediatric pulmonology 2022 year in review: Asthma
    Wiley ; 2023
    In:  Pediatric Pulmonology
    Details
    In: Pediatric Pulmonology, Wiley
    Abstract: In 2022, new research studies influenced the field of pediatric asthma with improvements in diagnosis and evaluation; new treatment options including biologic therapies; changes in risk factors for asthma; and increased discussion about the impact of social determinants of health on asthma. Additionally, three years after the start of the COVID‐19 pandemic, we continue to see the impact of SARS‐CoV‐2 virus on pediatric asthma care. In this review article, we summarize the significant findings from publications in Pediatric Pulmonology and other relevant journals from the last year. We hope this review will provide new insight within the field of pediatric asthma, as well as guidance for implementation into clinical practice.
    Type of Medium: Online Resource
    ISSN: 8755-6863 , 1099-0496
    URL: Article
    DOI: 10.1002/ppul.26654
    Language: English
    Publisher: Wiley
    Publication Date: 2023
    detail.hit.zdb_id: 1491904-7
    Location Call Number Limitation Availability
    BibTip Others were also interested in ...
    Online Resource
Close ⊗
This website uses cookies and the analysis tool Matomo. More information can be found here...