Evidence map›Paper›PMID 29133225›Full record

ArticleThe journal of allergy and clinical immunology. In practice

Longitudinal Evaluation of Chronic Rhinosinusitis Symptoms in a Population-Based Sample.

Agnes S Sundaresan, Annemarie G Hirsch, Amanda J Young, Jonathan Pollak, Bruce K Tan, Robert P Schleimer, Robert C Kern, Thomas L Kennedy, J Scott Greene, Walter F Stewart and 2 more

Abstract read
In one paragraph

Article in The journal of allergy and clinical immunology. In practice. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–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.

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

12 citing papers in PubMed.

  1. Autoallergy in chronic rhinosinusitis and its clinical relevance.The World Allergy Organization journal · 2026
    Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Use of endotypes, phenotypes, and inflammatory markers to guide treatment decisions in chronic rhinosinusitis.Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology · 2020
    Review
  8. Article
  9. Article
  10. Sinus Infections, Inflammation, and Asthma.Immunology and allergy clinics of North America · 2019
    Review
  11. Workplace Indirect Cost Impacts of Nasal and Sinus Symptoms and Related Conditions.Journal of occupational and environmental medicine · 2019
    Article
  12. 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

12 authors.

Agnes S SundaresanDepartment of Epidemiology and Health Services Research, Geisinger Health System, Danville, Pa. Electronic address: ashsundaresan@geisinger.edu.
Annemarie G HirschDepartment of Epidemiology and Health Services Research, Geisinger Health System, Danville, Pa.
Amanda J YoungDepartment of Epidemiology and Health Services Research, Geisinger Health System, Danville, Pa.
Jonathan PollakDepartment of Environmental Health and Engineering, Johns Hopkins University Bloomberg School of Public Health, Baltimore, Md.
Bruce K TanDepartment of Otolaryngology Head and Neck Surgery and the Division of Allergy and Immunology, Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, Ill.
Robert P SchleimerDepartment of Otolaryngology Head and Neck Surgery and the Division of Allergy and Immunology, Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, Ill.
Robert C KernDepartment of Otolaryngology Head and Neck Surgery and the Division of Allergy and Immunology, Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, Ill.
Thomas L KennedyDepartment of Otolaryngology/Head and Neck/Facial Plastic Surgery, Geisinger Health System, Danville, Pa.
J Scott GreeneDepartment of Otolaryngology/Head and Neck/Facial Plastic Surgery, Geisinger Health System, Danville, Pa.
Walter F StewartSutter Health, Walnut Creek, Calif.
Karen Bandeen-RocheDepartment of Biostatistics, Johns Hopkins University Bloomberg School of Public Health, Baltimore, Md.
Brian S SchwartzDepartment of Epidemiology and Health Services Research, Geisinger Health System, Danville, Pa; Department of Environmental Health and Engineering, Johns Hopkins University Bloomberg School of Public Health, Baltimore, Md.

Funding

Systems Genetics Approach to Gene Discovery in Chronic RhinosinusitisU19AI106683 · NIAID · NORTHWESTERN UNIVERSITY AT CHICAGO · PI KERN, ROBERT C · 2014 to 2017
$7.9M
Initiators, biomarkers and mechanisms of epithelial dysfunction and immune pathogenesis in chronic rhinosinusitis and aspirin exacerbated respiratory disease (AERD)R01AI137174 · NIAID · NORTHWESTERN UNIVERSITY AT CHICAGO · PI SCHLEIMER, ROBERT P · 2018 to 2022
$3.1M
Role for B-cell mediated olfactory loss in Chronic Sinusitis with Nasal PolypsK23DC012067 · NIDCD · NORTHWESTERN UNIVERSITY AT CHICAGO · PI TAN, BRUCE K · 2012 to 2016
$1.1M
NIAID NIH HHS R01 AI137174NIAID NIH HHS U19 AI106683NIDCD NIH HHS K23 DC012067
6 · The paper itself

Abstract

backgroundChronic rhinosinusitis (CRS) is a prevalent and disabling condition of the nose and sinuses. The natural history of CRS symptoms in a general population sample has not been previously studied.

objectiveIn a general population-based sample from Pennsylvania, we used 2 questionnaires mailed 6 months apart to estimate the prevalence of, and identify predictors for, stability or change in symptoms over time.

methodsWe mailed the baseline and 6-month follow-up questionnaires to 23,700 primary care patients and 7,801 baseline responders, respectively. We categorized nasal and sinus symptoms using European Position Paper on Rhinosinusitis (EPOS) epidemiologic criteria. We defined 6 symptom groups over time on the basis of the presence of CRS symptoms at baseline and follow-up. We performed multivariable survey logistic regression controlling for confounding variables comparing persistent versus nonpersistent, recurrent versus stable past, and incident versus never.

resultsThere were 4,966 responders at follow-up: 558 had persistent symptoms, 190 recurrent symptoms, and 83 new symptoms meeting EPOS criteria for CRS. The prevalence of persistent symptoms was 4.8% (95% CI, 3.8-5.8), whereas the annual cumulative incidence of new symptoms was 1.9% and of recurrent symptoms was 3.2%. More severe symptoms at baseline were associated with persistence, whereas minor symptoms, allergies, and multiple treatments were associated with the development of new symptoms.

conclusionsLess than half with nasal and sinus symptoms meeting CRS EPOS criteria in our general, regional population had symptom persistence over time, with symptom profiles at baseline and age of onset being strongly associated with stability of symptoms.

Indexed as

Chronic DiseaseFemaleHumansMaleMiddle AgedPrevalenceRhinitisSinusitisSurveys and QuestionnairesSymptom AssessmentChronic rhinosinusitisIncidenceLongitudinalPersistenceRecurrence

Identifiers

PMID29133225
PMCPMC5945347

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.