Evidence map›Paper›PMID 30062132›Full record

ArticleLaryngoscope investigative otolaryngology2018

The effects of nasal closure on quality of life in patients with hereditary hemorrhagic telangiectasia.

Rhett S Thomson, Nicole L Molin, Kevin J Whitehead, Shaelene Ashby, Leland Johnson, P Daniel Ward, Bryan R McRae, Kevin F Wilson, Jamie McDonald

Open access · goldAbstract read
In one paragraph

Article in Laryngoscope investigative otolaryngology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
0.7field-weighted citation impact, top 28% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Long-term efficacy assessment of current treatment options for epistaxis in HHT.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 · 2021
    Article
  6. Effects of tranexamic acid on human nasal ciliary beat frequency.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 · 2021
    Article
  7. Patient-recorded benefit from nasal closure in a Danish cohort of patients with hereditary haemorrhagic telangiectasia.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 · 2020
    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

9 authors at 1 institution in 1 country.

Rhett S ThomsonSchool of Medicine, University of Utah Salt Lake City Utah U.S.A.ORCID 0000-0003-2555-4010
Nicole L MolinSchool of Medicine, University of Utah Salt Lake City Utah U.S.A.
Kevin J WhiteheadHHT Center for Excellence, University of Utah Salt Lake City Utah U.S.A.
Shaelene AshbyHHT Center for Excellence, University of Utah Salt Lake City Utah U.S.A.
Leland JohnsonDivision of Otolaryngology University of Utah Salt Lake City Utah U.S.A.
P Daniel WardDivision of Otolaryngology University of Utah Salt Lake City Utah U.S.A.
Bryan R McRaeDivision of Otolaryngology University of Utah Salt Lake City Utah U.S.A.
Kevin F WilsonDivision of Otolaryngology University of Utah Salt Lake City Utah U.S.A.
Jamie McDonaldHHT Center for Excellence, University of Utah Salt Lake City Utah U.S.A.ORCID 0000-0001-9939-7922
University of Utah · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionEpistaxis is the most common symptom of hereditary hemorrhagic telangiectasia (HHT). Complete nasal closure is one of the treatment options for patients with severe, intractable epistaxis. In our experience, this surgery can be life changing in a positive sense; but many patients as well as their physicians understandably fear that such a procedure will diminish certain aspects of quality of life (QOL).

methodsCase-control study of HHT patients treated at the University of Utah HHT Center of Excellence with and without nasal closure from January 2005 to January 2016. Patients were matched according to epistaxis severity. Each included patient was issued three surveys: Epistaxis Severity Score (ESS), the Pittsburg Sleep Quality Index (PSQI), and the Nasal Obstruction Symptom Evaluation (NOSE).

resultsAfter treatment, the mean PSQI and NOSE scores were not significantly different between the two groups. However, the mean ESS score in the nasal closure group was significantly lower at 1.10 compared to the severe epistaxis group with a mean score of 3.99 (

conclusionThe results of this study demonstrate that nasal closure significantly improves epistaxis severity without having a significant effect on sleep or nasal obstruction as they relate to QOL. These findings suggest that nasal closure should be considered for HHT patients with chronic severe epistaxis. LEVEL OF EVIDENCE: 4.

Indexed as

epistaxisHereditary hemorrhagic telangiectasiaquality of life

Identifiers

PMID30062132
PMCPMC6057218
OpenAlexW2799460610

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.