Evidence map›Paper›PMID 25379119›Full record

ArticleThe World Allergy Organization journal2014

ICON: chronic rhinosinusitis.

Claus Bachert, Ruby Pawankar, Luo Zhang, Chaweewan Bunnag, Wytske J Fokkens, Daniel L Hamilos, Orathai Jirapongsananuruk, Robert Kern, Eli O Meltzer, Joaquim Mullol and 6 more

2 registry-linked trialsAbstract read
In one paragraph

Article in The World Allergy Organization journal, 2014. 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 94 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
94citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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.

NCT04093193 naunknown statusnot on this mapstarted 2018, after this paper: background citation

The Efficacy of Debridement of the Sinus Cavity Following Primary Functional Endoscopic Sinus Surgery (FESS): A Randomized Controlled Trial.

TypeinterventionalSponsorSt. Paul's Hospital, CanadaRan2018 to 2021Enrolled150ConditionsChronic Rhinosinusitis (Diagnosis)ArmsDebridement
NCT06731881 narecruitingnot on this mapstarted 2025, after this paper: background citation

Leveraging Photodynamic Therapy to Inhibit Microorganisms - Assessing the Efficacy of Photodynamic Therapy for Preventing Surgical Site Infections in Nasal Surgery Patients: A Pilot Study

TypeinterventionalSponsorGuy's and St Thomas' NHS Foundation TrustRan2025 to 2026Enrolled80ConditionsSurgery, Nasal Disease, Light, Therapy, ComplicationsArmsNasal PDT, Photosensitizer formulation only, Standard follow-up, Nasal culture, Flexible nasendoscopy
3 · Its place in the literature

Who cites it

94 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Comprehensive immunological and molecular analysis revealed inflammation-related diagnostic signatures in chronic rhinosinusitis.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2026
    Article
  5. How to Identify Type 2 Chronic Rhinosinusitis in East Asian Patients.Journal of rhinology : official journal of the Korean Rhinologic Society · 2026
    Review
  6. Chinese Guidelines for Diagnosis and Treatment of Chronic Rhinosinusitis (2024).World journal of otorhinolaryngology - head and neck surgery · 2026
    Article
  7. Article
  8. An overview of switching biological therapies for chronic rhinosinusitis with nasal polyposis (CRSwNP).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
    Review
  9. Article
  10. Article
  11. Risk of swallowing disorders in patients with chronic rhinosinusitis and nasal polyposis in comparison to healthy controls: a Survey of 50 cases.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
  12. Article
  13. Review
  14. Review
  15. [Expert consensus on the diagnosis and treatment of chronic sinusitis in children].Lin chuang er bi yan hou tou jing wai ke za zhi = Journal of clinical otorhinolaryngology head and neck surgery · 2024
    Article
  16. Sino-Nasal Outcome Test-22: translation, cross-cultural adaptation, and validation in Polish-speaking 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 · 2024
    Article
  17. Review
  18. Review
  19. Article
  20. Article

34 more citing papers are in PubMed but not listed here.

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

16 authors.

Claus BachertUpper Airways Research Laboratory (URL), University Hospital Ghent, Kragujevac, Belgium.
Ruby PawankarDiv. of Allergy, Dept. of Pediatrics, Nippon Medical School, Tokyo, Japan.
Luo ZhangBeijing Key Laboratory of Nasal diseases, Beijing Institute of Otolaryngology, Beijing, China.
Chaweewan BunnagFaculty of Medicine, Siriraj Hospital Mahidol University, Bangkok, Thailand.
Wytske J FokkensDepartment of Otorhinolaryngology, Academic Medical Centre, Amsterdam, The Netherlands.
Daniel L HamilosDivision of Rheumatology, Allergy & Immunology, Massachusetts General Hospital, Boston, MA USA.
Orathai JirapongsananurukFaculty of Medicine, Siriraj Hospital Mahidol University, Bangkok, Thailand.
Robert KernDepartment of Otolaryngology Head and Neck Surgery, Northwestern University Feinberg School of Medicine, Chicago, Illinois USA.
Eli O MeltzerAllergy & Asthma Medical Group & Research Center, San Diego, California USA.
Joaquim MullolRhinology Unit & Smell Clinic, Hospital Clínic - IDIBAPS, Barcelona, Catalonia Spain.
Robert NaclerioSection of Otolaryngology Head and Neck Surgery, Department of Surgery, University of Chicago, Chicago, Illinois USA.
Renata PilanDepartment of Otorhinolaryngology, Clinics Hospital/University of Sao Paulo Medical School, Kragujevac, Brazil.
Chae-Seo RheeDepartment of Otorhinolaryngology-Head and Neck Surgery, Seoul National University Bundang Hospital, Seongnam, Seoul National University College of Medicine, Seoul, Korea.
Harumi SuzakiDept. of Otorhinolaryngology, Showa University, Tokyo, Japan.
Richard VoegelsDepartment of Rhinology, University of Sao Paulo Medical School, Sao Paulo, Brazil.
Michael BlaissUniversity of Tennessee Health Science Center, Memphis, Tennessee.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Chronic rhinosinusitis (CRS) is a public health problem that has a significant socio-economic impact. Moreover, the complexity of this disease due to its heterogeneous nature based on the underlying pathophysiology - leading to different disease variants - further complicates our understanding and directions for the most appropriate targeted treatment strategies. Several International/national guidelines/position papers and/or consensus documents are available that present the current knowledge and treatment strategies for CRS. Yet there are many challenges to the management of CRS especially in the case of the more severe and refractory forms of disease. Therefore, the International Collaboration in Asthma, Allergy and Immunology (iCAALL), a collaboration between EAACI, AAAAI, ACAAI, and WAO, has decided to propose an International Consensus (ICON) on Chronic Rhinosinusitis. The purpose of this ICON on CRS is to highlight the key common messages from the existing guidelines, the differences in recommendations as well as the gaps in our current knowledge of CRS, thus providing a concise reference. In this document we discuss the definition of the disease, its relevance, pharmacoeconomics, pathophysiology, phenotypes and endotypes, genetics and risk factors, natural history and co-morbidities as well as clinical manifestations and treatment options in both adults and children comprising pharmacotherapy, surgical interventions and more recent biological approaches. Finally, we have also highlighted the unmet needs that wait to be addressed through future research.

Indexed as

BiologicalsChronic rhinosinusitisCo-morbiditiesGeneticsPathophysiologyPharmacoeconomicsPhenotypesTreatmentUnmet needs

Identifiers

PMID25379119
PMCPMC4213581

What OpenQuestion holds

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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.