Treatable traits in the NOVELTY study. Agustí, A., Rapsomaniki, E., Beasley, R., Hughes, R., Müllerová, H., Papi, A., Pavord, I. D., Van Den Berge, M., Faner, R., & for the NOVELTY Study Investigators Respirology, 27(11):929–940, November, 2022.
Treatable traits in the NOVELTY study [link]Paper  doi  abstract   bibtex   
Abstract Background and objective Asthma and chronic obstructive pulmonary disease (COPD) are two prevalent and complex diseases that require personalized management. Although a strategy based on treatable traits (TTs) has been proposed, the prevalence and relationship of TTs to the diagnostic label and disease severity established by the attending physician in a real‐world setting are unknown. We assessed how the presence/absence of specific TTs relate to the diagnosis and severity of ‘asthma’, ‘COPD’ or ‘asthma + COPD’. Methods The authors selected 30 frequently occurring TTs from the NOVELTY study cohort (NOVEL observational longiTudinal studY; NCT02760329), a large ( n  = 11,226), global study that systematically collects data in a real‐world setting, both in primary care clinics and specialized centres, for patients with ‘asthma’ ( n  = 5932, 52.8%), ‘COPD’ ( n  = 3898, 34.7%) or both (‘asthma + COPD’; n  = 1396, 12.4%). Results The results indicate that (1) the prevalence of the 30 TTs evaluated varied widely, with a mean ± SD of 4.6 ± 2.6, 5.4 ± 2.6 and 6.4 ± 2.8 TTs/patient in those with ‘asthma’, ‘COPD’ and ‘asthma + COPD’, respectively ( p  \textless 0.0001); (2) there were no large global geographical variations, but the prevalence of TTs was different in primary versus specialized clinics; (3) several TTs were specific to the diagnosis and severity of disease, but many were not; and (4) both the presence and absence of TTs formed a pattern that is recognized by clinicians to establish a diagnosis and grade its severity. Conclusion These results provide the largest and most granular characterization of TTs in patients with airway diseases in a real‐world setting to date. , This study shows which treatable traits are present and/or absent in patients diagnosed with ‘asthma’, ‘COPD’ (chronic obstructive pulmonary disease) and ‘asthma + COPD’ in a global, observational study of more than 11,000 patients (NOVELTY), and how their prevalence changes with disease severity. See related Editorial
@article{agusti_treatable_2022,
	title = {Treatable traits in the {NOVELTY} study},
	volume = {27},
	issn = {1323-7799, 1440-1843},
	url = {https://onlinelibrary.wiley.com/doi/10.1111/resp.14325},
	doi = {10.1111/resp.14325},
	abstract = {Abstract 
             
              Background and objective 
              Asthma and chronic obstructive pulmonary disease (COPD) are two prevalent and complex diseases that require personalized management. Although a strategy based on treatable traits (TTs) has been proposed, the prevalence and relationship of TTs to the diagnostic label and disease severity established by the attending physician in a real‐world setting are unknown. We assessed how the presence/absence of specific TTs relate to the diagnosis and severity of ‘asthma’, ‘COPD’ or ‘asthma + COPD’. 
             
             
              Methods 
               
                The authors selected 30 frequently occurring TTs from the NOVELTY study cohort (NOVEL observational longiTudinal studY; NCT02760329), a large ( 
                n 
                 = 11,226), global study that systematically collects data in a real‐world setting, both in primary care clinics and specialized centres, for patients with ‘asthma’ ( 
                n 
                 = 5932, 52.8\%), ‘COPD’ ( 
                n 
                 = 3898, 34.7\%) or both (‘asthma + COPD’; 
                n 
                 = 1396, 12.4\%). 
               
             
             
              Results 
               
                The results indicate that (1) the prevalence of the 30 TTs evaluated varied widely, with a mean ± SD of 4.6 ± 2.6, 5.4 ± 2.6 and 6.4 ± 2.8 TTs/patient in those with ‘asthma’, ‘COPD’ and ‘asthma + COPD’, respectively ( 
                p 
                 {\textless} 0.0001); (2) there were no large global geographical variations, but the prevalence of TTs was different in primary versus specialized clinics; (3) several TTs were specific to the diagnosis and severity of disease, but many were not; and (4) both the presence and absence of TTs formed a pattern that is recognized by clinicians to establish a diagnosis and grade its severity. 
               
             
             
              Conclusion 
              These results provide the largest and most granular characterization of TTs in patients with airway diseases in a real‐world setting to date. 
             
          ,  
            This study shows which treatable traits are present and/or absent in patients diagnosed with ‘asthma’, ‘COPD’ (chronic obstructive pulmonary disease) and ‘asthma + COPD’ in a global, observational study of more than 11,000 patients (NOVELTY), and how their prevalence changes with disease severity. 
             
              See related 
              Editorial},
	language = {en},
	number = {11},
	urldate = {2024-05-30},
	journal = {Respirology},
	author = {Agustí, Alvar and Rapsomaniki, Eleni and Beasley, Richard and Hughes, Rod and Müllerová, Hana and Papi, Alberto and Pavord, Ian D. and Van Den Berge, Maarten and Faner, Rosa and {for the NOVELTY Study Investigators}},
	month = nov,
	year = {2022},
	pages = {929--940},
}

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