Evidence map›Paper›PMID 28894807›Full record

ArticleLaryngoscope investigative otolaryngology2016

Factors affecting revision rate of chronic rhinosinusitis.

Anni Koskinen, Riikka Salo, Heini Huhtala, Jyri Myller, Markus Rautiainen, Janne Kääriäinen, Matti Penttilä, Risto Renkonen, Hannu Raitiola, Mika Mäkelä and 1 more

Open access · goldAbstract read
In one paragraph

Article in Laryngoscope investigative otolaryngology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
2.7field-weighted citation impact, top 10% 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

19 citing papers in PubMed, 43 citations in OpenAlex.

  1. Trial
  2. Review
  3. Review
  4. Article
  5. Review
  6. Article
  7. Article
  8. Review
  9. How to manage recurrences after surgery in CRSwNP patients in the biologic era: a narrative review.Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale · 2023
    Review
  10. Article
  11. Radiological score of computed tomography scans predicts revision surgery for chronic rhinosinusitis.Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale · 2022
    Article
  12. Article
  13. Article
  14. Article
  15. Review
  16. Article
  17. Article
  18. Article
  19. 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

11 authors at 4 institutions in 1 country.

Anni KoskinenHaartman Institute, University of Helsinki (a.k., r.s., r.r., s.t-s.).
Riikka SaloHaartman Institute, University of Helsinki (a.k., r.s., r.r., s.t-s.).
Heini Huhtalathe School of Health Sciences, (h.h.);Tampere.
Jyri MyllerDepartment of Otorhinolaryngology Päijät-Häme Central Hospital (j.m.) Lahti Finland.
Markus Rautiainenthe Department of Otorhinolaryngology (m.r., m.p.) University of Tampere Tampere.
Janne Kääriäinenthe Department of Otorhinolaryngology Tampere University Hospital (m.r., j.k.); Tampere.
Matti Penttiläthe Terveystalo Healthcare OYJ of Finland (m.p.); Helsinki.
Risto RenkonenHaartman Institute, University of Helsinki (a.k., r.s., r.r., s.t-s.).
Hannu Raitiolathe Department of Otorhinolaryngology Tampere City Hospital (h.r.) Tampere.
Mika Mäkeläthe Department of Allergy (m.m., s.t-s.) University of Helsinki and Helsinki University Hospital.
Sanna Toppila-SalmiHaartman Institute, University of Helsinki (a.k., r.s., r.r., s.t-s.).
Tampere University · FIUniversity of Helsinki · FIHelsinki University Hospital · FITampere University · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveChronic rhinosinusitis (CRS) is a variable multifactorial disease. It can be divided into forms with nasal polyps (CRSwNP) and without (CRSsNP). Sinus and/or nasal polypectomy surgery are considered if maximal conservative treatment is insufficient. The predictive factors of the need of revision surgery comprise mostly the CRSwNP phenotype and are not fully understood. STUDY

designThe aim of this follow-up study was to evaluate the factors associated with the revision surgery rate in CRS patients with variable extent of disease.

methodsData of CRS patients (N = 178) undergoing sinus surgery and/or nasal polypectomy in 2001 to 2010 were used. Patient characteristics and follow-up data were collected from patient records and questionnaires. Associations were analyzed by Fisher's exact, Mann Whitney U, and the Kaplan-Meier method with log-rank test. Unadjusted Cox's proportional hazard models were used for 12 variables and were fitted for the need for revision sinus surgery and/or nasal polypectomy during follow-up of in average 9 years.

resultsThe proportion of CRS patients who had undergone revision in 5 years was 9.6%. After adjustment, the following factors associated significantly with the need for recurrent CRS surgery: allergic rhinitis, corticosteroid treatment, previous surgery of CRS, and recurrent NP.

conclusionIncreased risk of progressive CRS phenotypes with the need for revision surgery would putatively be recognized by relatively simple clinical questions. Further studies with increased sample size are needed to evaluate whether these predictive factors would be relevant for developing better detection and management of progressive CRS. LEVEL OF EVIDENCE: 2b.

Indexed as

Antrochoanal polypaspirin‐exacerbated respiratory diseaseaspirin intoleranceinflammationnasal polyprecurrencerevision surgerysinusitissinus surgery

Identifiers

PMID28894807
PMCPMC5510254
OpenAlexW2503798547

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.