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Predicting clinical remission in biologic-treated severe asthma: development of a practical scoring system from a Japanese multicentre study - PubMed

7 hours ago
  • #severe asthma
  • #clinical remission
  • #biologic treatment
  • Development of a practical scoring system (MAC score) to predict clinical remission (CR) in biologic-treated severe asthma.
  • Study involved 281 patients in the exploratory cohort and 53 in the validation cohort, with CR rates of 37.7% and 35.9% respectively.
  • Key predictors for CR identified: male sex (OR 2.34), ACT score ≥20 (OR 3.75), and comorbid chronic rhinosinusitis (CRS) (OR 3.27).
  • MAC score assigns 1 point each for male sex (M), ACT ≥20 (A), and CRS (C), showing good discrimination (AUC 0.73 in exploratory, 0.76 in validation).
  • MAC score is a simple, interview-based tool applicable across various healthcare settings.