Clinical significance of asthma clusters by longitudinal analysis in Korean asthma cohort

So Young Park, Seunghee Baek, Sujeong Kim, Sun Young Yoon, Hyouk Soo Kwon, Yoon Seok Chang, You Sook Cho, An Soo Jang, Jung Won Park, Dong Ho Nahm, Ho Joo Yoon, Sang Heon Cho, Young Joo Cho, Byoung Whui Choi, Hee Bom Moon, Tae Bum Kim

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

Background: We have previously identified four distinct groups of asthma patients in Korean cohorts using cluster analysis: (A) smoking asthma, (B) severe obstructive asthma, (C) early-onset atopic asthma, and (D) late-onset mild asthma. Methods and Results: A longitudinal analysis of each cluster in a Korean adult asthma cohort was performed to investigate the clinical significance of asthma clusters over 12 months. Cluster A showed relatively high asthma control test (ACT) scores but relatively low FEV1 scores, despite a high percentage of systemic corticosteroid use. Cluster B had the lowest mean FEV1, ACT, and the quality of life questionnaire for adult Korean asthmatics (QLQAKA) scores throughout the year, even though the percentage of systemic corticosteroid use was the highest among the four clusters. Cluster C was ranked second in terms of FEV1, with the second lowest percentage of systemic corticosteroid use, and showed a marked improvement in subjective symptoms over time. Cluster D consistently showed the highest FEV1, the lowest systemic corticosteroid use, and had high ACT and QLQAKA scores. Conclusion: Our asthma clusters had clinical significance with consistency among clusters over 12 months. These distinctive phenotypes may be useful in classifying asthma in real practice.

Original languageEnglish
Article numbere83540
JournalPloS one
Volume8
Issue number12
DOIs
Publication statusPublished - 2013 Dec 31

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asthma
Cluster Analysis
Adrenal Cortex Hormones
Asthma
adrenal cortex hormones
Cluster analysis
quality of life
cluster analysis
questionnaires
Quality of Life
testing
signs and symptoms (animals and humans)
Smoking
Phenotype

All Science Journal Classification (ASJC) codes

  • Biochemistry, Genetics and Molecular Biology(all)
  • Agricultural and Biological Sciences(all)
  • General

Cite this

Park, S. Y., Baek, S., Kim, S., Yoon, S. Y., Kwon, H. S., Chang, Y. S., ... Kim, T. B. (2013). Clinical significance of asthma clusters by longitudinal analysis in Korean asthma cohort. PloS one, 8(12), [e83540]. https://doi.org/10.1371/journal.pone.0083540
Park, So Young ; Baek, Seunghee ; Kim, Sujeong ; Yoon, Sun Young ; Kwon, Hyouk Soo ; Chang, Yoon Seok ; Cho, You Sook ; Jang, An Soo ; Park, Jung Won ; Nahm, Dong Ho ; Yoon, Ho Joo ; Cho, Sang Heon ; Cho, Young Joo ; Choi, Byoung Whui ; Moon, Hee Bom ; Kim, Tae Bum. / Clinical significance of asthma clusters by longitudinal analysis in Korean asthma cohort. In: PloS one. 2013 ; Vol. 8, No. 12.
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abstract = "Background: We have previously identified four distinct groups of asthma patients in Korean cohorts using cluster analysis: (A) smoking asthma, (B) severe obstructive asthma, (C) early-onset atopic asthma, and (D) late-onset mild asthma. Methods and Results: A longitudinal analysis of each cluster in a Korean adult asthma cohort was performed to investigate the clinical significance of asthma clusters over 12 months. Cluster A showed relatively high asthma control test (ACT) scores but relatively low FEV1 scores, despite a high percentage of systemic corticosteroid use. Cluster B had the lowest mean FEV1, ACT, and the quality of life questionnaire for adult Korean asthmatics (QLQAKA) scores throughout the year, even though the percentage of systemic corticosteroid use was the highest among the four clusters. Cluster C was ranked second in terms of FEV1, with the second lowest percentage of systemic corticosteroid use, and showed a marked improvement in subjective symptoms over time. Cluster D consistently showed the highest FEV1, the lowest systemic corticosteroid use, and had high ACT and QLQAKA scores. Conclusion: Our asthma clusters had clinical significance with consistency among clusters over 12 months. These distinctive phenotypes may be useful in classifying asthma in real practice.",
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Park, SY, Baek, S, Kim, S, Yoon, SY, Kwon, HS, Chang, YS, Cho, YS, Jang, AS, Park, JW, Nahm, DH, Yoon, HJ, Cho, SH, Cho, YJ, Choi, BW, Moon, HB & Kim, TB 2013, 'Clinical significance of asthma clusters by longitudinal analysis in Korean asthma cohort', PloS one, vol. 8, no. 12, e83540. https://doi.org/10.1371/journal.pone.0083540

Clinical significance of asthma clusters by longitudinal analysis in Korean asthma cohort. / Park, So Young; Baek, Seunghee; Kim, Sujeong; Yoon, Sun Young; Kwon, Hyouk Soo; Chang, Yoon Seok; Cho, You Sook; Jang, An Soo; Park, Jung Won; Nahm, Dong Ho; Yoon, Ho Joo; Cho, Sang Heon; Cho, Young Joo; Choi, Byoung Whui; Moon, Hee Bom; Kim, Tae Bum.

In: PloS one, Vol. 8, No. 12, e83540, 31.12.2013.

Research output: Contribution to journalArticle

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T1 - Clinical significance of asthma clusters by longitudinal analysis in Korean asthma cohort

AU - Park, So Young

AU - Baek, Seunghee

AU - Kim, Sujeong

AU - Yoon, Sun Young

AU - Kwon, Hyouk Soo

AU - Chang, Yoon Seok

AU - Cho, You Sook

AU - Jang, An Soo

AU - Park, Jung Won

AU - Nahm, Dong Ho

AU - Yoon, Ho Joo

AU - Cho, Sang Heon

AU - Cho, Young Joo

AU - Choi, Byoung Whui

AU - Moon, Hee Bom

AU - Kim, Tae Bum

PY - 2013/12/31

Y1 - 2013/12/31

N2 - Background: We have previously identified four distinct groups of asthma patients in Korean cohorts using cluster analysis: (A) smoking asthma, (B) severe obstructive asthma, (C) early-onset atopic asthma, and (D) late-onset mild asthma. Methods and Results: A longitudinal analysis of each cluster in a Korean adult asthma cohort was performed to investigate the clinical significance of asthma clusters over 12 months. Cluster A showed relatively high asthma control test (ACT) scores but relatively low FEV1 scores, despite a high percentage of systemic corticosteroid use. Cluster B had the lowest mean FEV1, ACT, and the quality of life questionnaire for adult Korean asthmatics (QLQAKA) scores throughout the year, even though the percentage of systemic corticosteroid use was the highest among the four clusters. Cluster C was ranked second in terms of FEV1, with the second lowest percentage of systemic corticosteroid use, and showed a marked improvement in subjective symptoms over time. Cluster D consistently showed the highest FEV1, the lowest systemic corticosteroid use, and had high ACT and QLQAKA scores. Conclusion: Our asthma clusters had clinical significance with consistency among clusters over 12 months. These distinctive phenotypes may be useful in classifying asthma in real practice.

AB - Background: We have previously identified four distinct groups of asthma patients in Korean cohorts using cluster analysis: (A) smoking asthma, (B) severe obstructive asthma, (C) early-onset atopic asthma, and (D) late-onset mild asthma. Methods and Results: A longitudinal analysis of each cluster in a Korean adult asthma cohort was performed to investigate the clinical significance of asthma clusters over 12 months. Cluster A showed relatively high asthma control test (ACT) scores but relatively low FEV1 scores, despite a high percentage of systemic corticosteroid use. Cluster B had the lowest mean FEV1, ACT, and the quality of life questionnaire for adult Korean asthmatics (QLQAKA) scores throughout the year, even though the percentage of systemic corticosteroid use was the highest among the four clusters. Cluster C was ranked second in terms of FEV1, with the second lowest percentage of systemic corticosteroid use, and showed a marked improvement in subjective symptoms over time. Cluster D consistently showed the highest FEV1, the lowest systemic corticosteroid use, and had high ACT and QLQAKA scores. Conclusion: Our asthma clusters had clinical significance with consistency among clusters over 12 months. These distinctive phenotypes may be useful in classifying asthma in real practice.

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