Evidence map›Paper›PMID 24415555›Full record

ArticleInternational forum of allergy & rhinology2014

The effect of diabetes mellitus on chronic rhinosinusitis and sinus surgery outcome.

Zi Zhang, Nithin D Adappa, Ebbing Lautenbach, Alexander G Chiu, Laurel Doghramji, Timothy J Howland, Noam A Cohen, James N Palmer

Abstract read
In one paragraph

Article in International forum of allergy & rhinology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 1 pooled it
6.1field-weighted citation impact, top 3% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 1 synthesis or guideline pooled it, 71 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Hyperglycemia and type 2 diabetes mellitus associate with postoperative recurrence in chronic rhinosinusitis patients.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 · 2025
    Article
  5. Current Review of Comorbidities in Chronic Rhinosinusitis.Current allergy and asthma reports · 2024
    Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. BMI as a risk factor for the development of chronic rhinosinusitis: a prospective population-based study.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
    Article
  11. Hormonal Effects on Asthma, Rhinitis, and Eczema.The journal of allergy and clinical immunology. In practice · 2022
    Review
  12. How Ocular Surface Microbiota Debuts in Type 2 Diabetes Mellitus.Frontiers in cellular and infection microbiology · 2019
    Article
  13. Frontiers in cellular and infection microbiology · 2019
    Article
  14. Biomarkers in Chronic Rhinosinusitis with Nasal Polyps.Immunology and allergy clinics of North America · 2018
    Review
  15. Observational
  16. Article
  17. Article
  18. Taste Receptors Mediate Sinonasal Immunity and Respiratory Disease.International journal of molecular sciences · 2017
    Review
  19. Review
  20. New insights into upper airway innate immunity.American journal of rhinology & allergy · 2016
    Review
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

8 authors at 2 institutions in 1 country.

Zi ZhangDepartment of Biostatistics and Epidemiology, Center for Clinical Epidemiology and Biostatistics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.
Nithin D Adappa
Ebbing Lautenbach
Alexander G Chiu
Laurel Doghramji
Timothy J Howland
Noam A Cohen
James N Palmer
University of Pennsylvania · USUniversity of Arizona · US

Funding

Mentoring and patient-oriented research in antimicrobial resistanceK24AI080942 · NIAID · UNIVERSITY OF PENNSYLVANIA · PI LAUTENBACH, EBBING · 2009 to 2013
$853k
NIAID NIH HHS K24 AI080942NIAID NIH HHS K24 AI080942/AI/NIAID
6 · The paper itself

Abstract

backgroundPatients with diabetes mellitus (DM) are known to be prone to infection. However, the association between diabetes and chronic rhinosinusitis (CRS) has not been well studied. We sought to determine the effects of DM on CRS culture results and quality of life (QOL) after functional endoscopic sinus surgery (FESS).

methodsWe conducted a retrospective cohort study. Adult CRS patients undergoing FESS were recruited from October 1, 2007 to December 31, 2011. Patient demographics, comorbidities, medication use, and Lund-Mackay CT scores were collected prior to FESS. Intraoperative culture was obtained. Preoperative and 1-month, 3-month, and 6-month postoperative QOL was measured by scores on the 22-item Sinonasal Outcome Test (SNOT-22). A mixed effects model was performed for analysis.

resultsAmong the 376 CRS patients included, 19 patients (5.05%) had DM. Compared to non-DM patients, DM patients were significantly more likely to have Pseudomonas aeruginosa (26.32% vs 7.56%; p = 0.004) and Gram-negative rods (26.32% vs 8.96%; p = 0.013), but there was no significant difference in the prevalence of Staphylococcus aureus; DM patients were also significantly more likely to have nasal polyps and gastroesophageal reflux disease. Additionally, DM patients had significantly less improvement of postoperative SNOT-22 scores from baseline to 6-month follow-up than non-DM patients (adjusted mean = 11.14, 95% CI (0.14, 22.15), p = 0.047) after adjusting for all the other risk factors for CRS.

conclusionDM patients may be prone to Gram-negative bacterial sinus infections, and have significantly worse short-term postoperative QOL. Special postoperative care may need to be considered in CRS patients with DM.

Indexed as

AdultChronic DiseaseCohort StudiesDiabetes Mellitus, Type 1Diabetes Mellitus, Type 2EndoscopyFemaleGram-Negative Bacterial InfectionsHumansMaleMiddle AgedParanasal SinusesPseudomonas aeruginosaQuality of LifeRhinitisSinusitischronic rhinosinusitisdiabetes mellitusinfectionPseudomonas aeruginosaquality of life

Identifiers

PMID24415555
PMCPMC3975697
OpenAlexW2146769602

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.