Evidence map›Paper›PMID 21643933›Full record

ArticleEuropean archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery2011

Exercise-induced laryngeal obstruction: natural history and effect of surgical treatment.

Robert Christiaan Maat, Magnus Hilland, Ola Drange Røksund, Thomas Halvorsen, Jan Olofsson, Hans Jørgen Aarstad, John-Helge Heimdal

2 registry-linked trialsOpen access · hybridAbstract readComparative Study
In one paragraph

Article in European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 33 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 1 pooled it
2.2field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02755714 phase1 / phase2completednot on this mapstarted 2016, after this paper: background citation

Ipratropium Bromide (Atrovent®) Used to Treat Exercise Induced Laryngeal Obstruction (EILO). An Open Label Pilot Study

TypeinterventionalSponsorHaukeland University HospitalRan2016 to 2020Enrolled20ConditionsExercise Induced Laryngeal Obstruction (EILO)ArmsIpratropium bromide spray
NCT04620343 narecruitingnot on this mapstarted 2021, after this paper: background citation

Exercise Induced Laryngeal Obstruction; a Randomized Controlled Treatment Trial

TypeinterventionalSponsorHaukeland University HospitalRan2021 to 2036Enrolled350ConditionsExercise Induced Laryngeal Obstruction (EILO)ArmsA: Breathing advice with bio-feedback, B: Breathing advice with bio-feedback, Inspiratory muscle training (IMT), C: Breathing advice with bio-feedback, Speech Therapy, D: Breathing advice with bio-feedback, IMT and Speech Therapy, A: If CLE-test unchanged, additional IMT and Speech Therapy
3 · Its place in the literature

Who cites it

33 citing papers in PubMed, 1 synthesis or guideline pooled it, 94 citations in OpenAlex.

  1. Exercise induced laryngeal obstruction: a review of diagnosis and management.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2017
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  11. Clinical responses following inspiratory muscle training in exercise-induced laryngeal obstruction.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2022
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  16. An unusual cause of exertional dyspnea in a 55 years old man.Respiratory medicine case reports · 2020
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Robert Christiaan MaatDepartment of Otolaryngology-Head and Neck Surgery, Haukeland University Hospital, 5021 Bergen, Norway. rcmaat@yahoo.com
Magnus Hilland
Ola Drange Røksund
Thomas Halvorsen
Jan Olofsson
Hans Jørgen Aarstad
John-Helge Heimdal
Haukeland University Hospital · NOUniversity of Bergen · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The current follow-up study concerning the supraglottic type of exercise-induced laryngeal obstruction (EILO) was performed to reveal the natural history of supraglottic EILO and compare the symptoms, as well as the laryngeal function in conservatively versus surgically treated patients. A questionnaire-based survey was conducted 2-5 years after EILO was diagnosed by a continuous laryngoscopy exercise (CLE) test in 94 patients with a predominantly supraglottic obstruction. Seventy-one patients had been treated conservatively and 23 with laser supraglottoplasty. The questionnaire response rate was 70 and 100% in conservatively treated (CT) and surgically treated (ST) patients, respectively. A second CLE test was performed in 14 CT and 19 ST patients. A visual analogue scale on symptom severity indicated improvements in both the groups, i.e. mean values (± standard deviations) declined from 73 (20) to 53 (26) (P < 0.001) in the CT group and from 87 (26) to 25 (27) (P < 0.001) in the ST group. At follow-up, ST patients reported lower scores regarding current level of complaints, and higher ability to perform exercise, as well as to push themselves physically, all compared to CT patients (P < 0.001). CLE scores were normalized in 3 of 14 (21%) CT and 16 of 19 (84%) ST patients (Z = -3.6; P < 0.001). In conclusion, symptoms of EILO diagnosed in adolescents generally decreased during 2-5 years follow-up period but even more after the surgical treatment. Patients with supraglottic EILO may benefit from supraglottoplasty both as to laryngeal function and symptom relief.

Indexed as

AdolescentExercise TestFemaleFollow-Up StudiesHumansLaryngoscopyLaryngostenosisMaleOtorhinolaryngologic Surgical ProceduresRetrospective StudiesSurveys and QuestionnairesTime FactorsTreatment Outcome

Identifiers

PMID21643933
PMCPMC3166603
OpenAlexW2078123043

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.