Evidence map›Paper›PMID 26010534›Full record

ArticleThe Laryngoscope2015

Diagnosis and treatment of acute sinusitis in the primary care setting: A retrospective cohort.

Melissa A Pynnonen, Shana Lynn, Hayley E Kern, Sarah J Novis, Sarah R Akkina, Nahid R Keshavarzi, Matthew M Davis

Open access · greenAbstract read
In one paragraph

Article in The Laryngoscope, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 2 pooled it
1.5field-weighted citation impact, top 19% 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

4 citing papers in PubMed, 2 syntheses or guidelines pooled it, 13 citations in OpenAlex.

  1. Pooled it
  2. Procalcitonin as a Biomarker in Rhinosinusitis: A Systematic Review.American journal of rhinology & allergy · 2019
    Pooled it
  3. Article
  4. A diagnostic dilemma: chronic sinusitis diagnosed by non-otolaryngologists.International forum of allergy & rhinology · 2016
    Article
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 1 institution in 1 country.

Melissa A PynnonenDepartment of Otolaryngology.
Shana LynnDepartment of Otolaryngology.
Hayley E KernDepartment of Otolaryngology.
Sarah J NovisDepartment of Otolaryngology.
Sarah R AkkinaDepartment of Otolaryngology.
Nahid R KeshavarziMichigan Institute for Clinical and Health Research.
Matthew M DavisDepartment of Pediatrics and Communicable Diseases, Department of Internal Medicine, University of Michigan Medical School; Gerald R. Ford School of Public Policy, University of Michigan, Ann Arbor, Michigan, U.S.A.
University of Michigan–Ann Arbor · US

Funding

Michigan Institute for Clinical and Health Research (MCHR)UL1TR000433 · NCATS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MASHOUR, GEORGE ALEXANDER · 2012 to 2016
$49.9M
Michigan Institute for Clinical and Health Research (MCHR)TL1TR000435 · NCATS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MASHOUR, GEORGE ALEXANDER · 2012 to 2016
$1.8M
Michigan Institute for Clinical and Health Research (MCHR)KL2TR000434 · NCATS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MASHOUR, GEORGE ALEXANDER · 2012 to 2016
$1.7M
NCATS NIH HHS 2KL2TR000434NCATS NIH HHS 2TL1TR000435NCATS NIH HHS 2UL1TR000433NCATS NIH HHS KL2 TR000434NCATS NIH HHS TL1 TR000435NCATS NIH HHS UL1 TR000433
6 · The paper itself

Abstract

objectives and hypothesisOur objectives were to characterize the quality of acute sinusitis care and to identify nonclinical factors associated with antibiotic use for acute sinusitis. We hypothesized that we would identify provider-level factors associated with antibiotic use. STUDY

designRetrospective cohort at a single academic institution.

methodsWe developed and clinically annotated an administrative dataset of adult patients diagnosed with acute sinusitis between January 1, 2005, and December 31, 2006. We used identify factors associated with receipt of antibiotics.

resultsWe find that 66.0% of patients with mild symptoms of short duration are given antibiotics, and that nonclinical factors, including the individual provider, the provider's specialty, and the presence of a medical trainee, significantly influence antibiotic use. Relative to internal medicine providers, family medicine providers use fewer antibiotics, and emergency medicine providers use more antibiotics for acute sinusitis.

conclusionsAntibiotics continue to be overused for patients with mild acute sinusitis of short duration. Nonclinical characteristics, including the individual provider, the provider's specialty, and the presence of a medical trainee, significantly influence use of antibiotics for acute sinusitis. LEVEL OF EVIDENCE: 4.

Indexed as

Primary Health CareAcute DiseaseAdultAnti-Bacterial AgentsFemaleHumansMalePrescription Drug OveruseRetrospective StudiesSinusitisAnti-Bacterial Agentsadultproviderretrospective cohortSinusitissurvey

Identifiers

PMID26010534
PMCPMC4578987
OpenAlexW1889995874

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.