Evidence map›Paper›PMID 28556611›Full record

Trial reportInternational forum of allergy & rhinology2017

Defining the minimal clinically important difference for olfactory outcomes in the surgical treatment of chronic rhinosinusitis.

Joshua M Levy, Jess C Mace, Todd E Bodner, Jeremiah A Alt, Timothy L Smith

Open access · greenAbstract readClinical TrialMulticenter Study
In one paragraph

Trial report in International forum of allergy & rhinology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 21% 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

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

  1. Olfactory Sequelae of Nasal Surgeries: A Systematic Review with Meta-Analysis.Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale
    Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Targetable pathogenic mechanisms in nasal polyposis.International forum of allergy & rhinology · 2021
    Review
  7. Article
  8. Observational
  9. Article
  10. Review
  11. Article
  12. Article
  13. Observational
  14. Article
  15. Observational
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

5 authors at 4 institutions in 1 country.

Joshua M LevyDepartment of Otolaryngology-Head &, Neck Surgery, Sinus, Nasal &, Allergy Center, Emory University School of Medicine, Atlanta, GA.
Jess C MaceDepartment of Otolaryngology-Head and Neck Surgery, Division of Rhinology and Skull Base Surgery, Oregon Health &, Science University, Portland, OR.
Todd E BodnerDepartment of Psychology, Portland State University, Portland, OR.
Jeremiah A AltDepartment of Surgery, Division of Otolaryngology-Head &, Neck Surgery, University of Utah, Salt Lake City, UT.
Timothy L SmithDepartment of Otolaryngology-Head and Neck Surgery, Division of Rhinology and Skull Base Surgery, Oregon Health &, Science University, Portland, OR.
Oregon Health & Science University · USEmory University · USPortland State University · USUniversity of Utah · US

Funding

DETERMINANTS OF SURGICAL OUTCOMES IN CHRONIC SINUSITISR01DC005805 · NIDCD · OREGON HEALTH & SCIENCE UNIVERSITY · PI SMITH, TIMOTHY L, SOLER, ZACHARY M · 2004 to 2020
$7.6M
University of Utah Center for clinical and Translational ScienceKL2TR001065 · NCATS · UNIVERSITY OF UTAH · PI DERE, WILLARD H., HESS, RACHEL · 2013 to 2017
$1.1M
NCATS NIH HHS KL2 TR001065NIDCD NIH HHS R01 DC005805
6 · The paper itself

Abstract

backgroundOlfactory dysfunction is a common and defining symptom of chronic rhinosinusitis (CRS). Many measures of olfactory dysfunction in CRS are limited by scoring criteria defined within general populations with interpretations of statistical significance to infer clinically meaningful improvement. In this investigation we define a minimal clinically important difference (MCID) for the Brief Smell Identification Test (BSIT) in CRS patients electing endoscopic sinus surgery (ESS).

methodsA multicenter cohort of 290 adult patients electing ESS for medically recalcitrant CRS were prospectively enrolled between March 2011 and June 2015 and completed BSIT evaluations before and after ESS. Distribution and anchor-based analytic approaches were utilized to define MCID values of the BSIT across patient cofactors.

resultsA total of 92 (∽32%) patients were found to have preoperative olfactory dysfunction (BSIT <9), significantly associated with nasal polyposis (χ

conclusionClinically meaningful change in BSIT scores may be defined as an absolute value difference of at least 1.0 unit for heterogeneous patients electing ESS for CRS. Significantly exceeding this criterion may be restricted to CRS patients with baseline olfactory dysfunction, regardless of nasal polyposis.

Indexed as

SmellAdolescentAdultAgedAged, 80 and overChronic DiseaseFemaleHumansMaleMiddle AgedNasal PolypsParanasal SinusesRhinitisSinusitisYoung Adultchronic diseaseolfactionolfactory testpatient outcome assessmentquality of lifesinusitissinus surgery

Identifiers

PMID28556611
PMCPMC5544549
OpenAlexW2619899071

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.