Article
作者: Kulus, Marek ; Hyland, Michael ; Louis, Gilles ; Vardaloğlu Koyuncu, Ilgim ; Robalo Cordeiro, Carlos ; Ollert, Markus ; Papadopoulos, Nikolaos G ; Boulet, Louis-Philippe ; Czarlewski, Wienczyslawa ; Antó, Josep M ; Louis, Renaud ; Haahtela, Tari ; Chaves Loureiro, Claudia ; Brussino, Luisa ; Gil-Mata, Sara ; Bedbrook, Anna ; Brightling, Christopher ; Bossios, Apostolos ; Brusselle, Guy ; Porsbjerg, Celeste ; Puggioni, Francesca ; Pfaar, Oliver ; Ansotegui, Ignacio J ; Patella, Vincenzo ; Morais-Almeida, Mário ; Roche, Nicolas ; Yorgancioglu, Arzu ; Kvedarienė, Violeta ; Ventura, Maria Teresa ; Zuberbier, Torsten ; Kupczyk, Maciej ; Marques-Cruz, Manuel ; Usmani, Omar S ; Heaney, Liam G ; Sastre, Joaquin ; Braido, Fulvio ; Niedoszytko, Marek ; Kuna, Piotr ; Amaral, Rita ; Bonini, Matteo ; Larenas-Linnemann, Desiree E ; Sousa-Pinto, Bernardo ; Valiulis, Arunas ; Pétré, Benoit ; Vieira, Rafael José ; Bergmann, Karl-C ; Taborda-Barata, Luis ; Quirce, Santiago ; Fonseca, João A ; Skrgat, Sabina ; Makris, Michael ; Toppila-Salmi, Sanna ; Klimek, Ludger ; Canonica, G Walter ; Schleich, Florence ; Ivancevich, Juan Carlos ; Gradauskiene, Brigita ; Gemicioglu, Bilun ; Cruz, Alvaro A ; Scichilone, Nicola ; Bousquet, Jean ; Samolinski, Boleslaw ; Regateiro, Frederico S
BACKGROUND AND RESEARCH QUESTION:We aimed to assess whether levels of digital biomarkers can reflect monthly patterns of asthma control.
STUDY DESIGN AND METHODS:We performed a longitudinal study on patients with asthma and comorbid rhinitis who filled ≥26 days of data in a month in the MASK-air® app and who reported at least 1 day of treatment with an inhaled corticosteroid with or without a long-acting β2-agonist (ICS ± LABA). We applied k-means cluster analysis to define clusters of months according to daily asthma control and medication use. Clusters were compared using digital biomarkers (visual analogue scale [VAS] on asthma symptoms and electronic daily asthma control score [e-DASTHMA]). We compared patients who did not switch with patients who switched their ICS ± LABA.
RESULTS:We assessed 243 patients and 1358 months. We identified three clusters of poor asthma control despite high ICS ± LABA adherence, one cluster of poor asthma control and poor ICS ± LABA adherence, one cluster of good asthma control and high ICS ± LABA adherence and one cluster of good asthma control despite poor ICS ± LABA adherence. These clusters displayed relevant differences in VAS asthma and e-DASTHMA levels. Similar clusters were found in 'non-switchers' versus 'switchers'.
CONCLUSION:Levels of digital biomarkers reflect asthma control patterns and might be used to monitor patients with asthma.