Evidence map›Paper›PMID 26581392›Full record

SynthesisSystematic reviews2015

Anti-IgE monoclonal antibody therapy for the treatment of chronic rhinosinusitis: a systematic review.

Chris J Hong, Adrian C Tsang, Jason G Quinn, James P Bonaparte, Adrienne Stevens, Shaun J Kilty

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in Systematic reviews, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 4 pooled it
3.8field-weighted citation impact, top 6% 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

16 citing papers in PubMed, 4 syntheses or guidelines pooled it, 45 citations in OpenAlex.

  1. Pooled it
  2. Biologics for chronic rhinosinusitis.The Cochrane database of systematic reviews · 2021
    Pooled it
  3. Biologics for chronic rhinosinusitis.The Cochrane database of systematic reviews · 2020
    Pooled it
  4. Guideline
  5. Review
  6. Biologic Therapies in Chronic Rhinosinusitis with Nasal Polyposis: Overview of Systematic Reviews and Updated Systematic Review.Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India · 2023
    Article
  7. Review
  8. Article
  9. Article
  10. Review
  11. Article
  12. Review
  13. Review
  14. Immunomodulators in chronic rhinosinusitis.World journal of otorhinolaryngology - head and neck surgery · 2018
    Review
  15. Usefulness of our proposed olfactory scoring system during endoscopic sinus surgery in patients with chronic rhinosinusitis.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 · 2018
    Article
  16. Frequency of CD4Allergy, asthma, and clinical immunology : official journal of the Canadian Society of Allergy and Clinical Immunology · 2018
    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

6 authors at 4 institutions in 1 country.

Chris J HongFaculty of Medicine, University of Ottawa, Ottawa, ON, Canada. jhong042@uottawa.ca.
Adrian C TsangFaculty of Medicine, University of Ottawa, Ottawa, ON, Canada. tsang@uottawa.ca.
Jason G QuinnDepartment of Pathology and Laboratory Medicine, Dalhousie University, Halifax, NS, Canada. jasongquinn@gmail.com.
James P BonaparteDepartment of Otolaryngology-Head and Neck Surgery, University of Ottawa, The Ottawa Hospital, 737 Parkdale Ave., Room 459, Ottawa, Ontario, K1Y 1J8, Canada. jamie.bonaparte@gmail.com.
Adrienne StevensCenter for Practice Changing Research, Ottawa Hospital Research Institute (OHRI), Ottawa, ON, Canada. adstevens@ohri.ca.
Shaun J KiltyDepartment of Otolaryngology-Head and Neck Surgery, University of Ottawa, The Ottawa Hospital, 737 Parkdale Ave., Room 459, Ottawa, Ontario, K1Y 1J8, Canada. kiltysj@gmail.com.
Ottawa Hospital · CAUniversity of Ottawa · CADalhousie University · CAOttawa Hospital Research Institute

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSeveral options are available for the treatment of chronic rhinosinusitis (CRS), but disease control remains elusive for many patients. Recently, literature has emerged describing anti-IgE monoclonal antibody as a potential therapy for CRS. However, its effectiveness and safety are not well known. The purpose of this systematic review was to assess the effectiveness and safety of anti-IgE therapy and to identify evidence gaps that will guide future research for the management of CRS.

methodsMethodology was registered with PROSPERO (No. CRD42014007600). A comprehensive search was performed of standard bibliographic databases, Google Scholar, and clinical trials registries. Only randomized controlled trials assessing anti-IgE therapy in adult patients for the treatment of CRS were included. Two independent reviewers extracted data using a pre-defined extraction form and performed quality assessment using the Cochrane risk of bias tool and the GRADE framework.

resultsTwo studies met our inclusion criteria. When comparing anti-IgE therapy to placebo, there was a significant difference in Lund-McKay score (p = 0.04) while no difference was seen for percent opacification on computed tomography (CT). At 16 weeks, treatment led to a decrease in clinical polyp score. No significant difference was seen with regard to quality of life (Total Nasal Symptom Severity (TNSS), p < 0.21; Sinonasal Outcome Test 20 (SNOT-20), p < 0.60), and no serious complications were reported in either trial. Based on the quality assessment, studies were deemed to be of moderate risk of bias and a low overall quality of evidence.

conclusionsThere is currently insufficient evidence to determine the effectiveness of anti-IgE monoclonal antibody therapy for the treatment of CRS.

Indexed as

Antibodies, Anti-IdiotypicAntibodies, Monoclonal, HumanizedChronic DiseaseFollow-Up StudiesHumansRandomized Controlled Trials as TopicRhinitisSinusitisTreatment OutcomeAntibodies, Anti-IdiotypicAntibodies, Monoclonal, Humanizedanti-IgE antibodies

Identifiers

PMID26581392
PMCPMC4652338
OpenAlexW2173089643

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.