Evidence map›Paper›PMID 30452512›Full record

ArticleJAMA facial plastic surgery2019

Health Impairment From Nasal Airway Obstruction and Changes in Health Utility Values From Septorhinoplasty.

Richard Tjahjono, Raquel Alvarado, Larry Kalish, Raymond Sacks, Raewyn Campbell, George Marcells, Carolyn Orgain, Richard John Harvey

Open access · bronzeAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in JAMA facial plastic surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
1.9field-weighted citation impact, top 14% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Implications of Intranasal Trigeminal Nerve Function on the Surgical Management of Nasal Obstruction.ORL; journal for oto-rhino-laryngology and its related specialties · 2025
    Review
  5. Asymmetry of inferior turbinate in patients with nasal septum deviation and its significance for nasal ventilation surgery.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 · 2022
    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

8 authors at 2 institutions in 1 country.

Richard TjahjonoRhinology and Skull Base Research Group, Applied Medical Research Centre, University of New South Wales, Sydney, Australia.
Raquel AlvaradoRhinology and Skull Base Research Group, Applied Medical Research Centre, University of New South Wales, Sydney, Australia.
Larry KalishRhinology and Skull Base Research Group, Applied Medical Research Centre, University of New South Wales, Sydney, Australia.
Raymond SacksRhinology and Skull Base Research Group, Applied Medical Research Centre, University of New South Wales, Sydney, Australia.
Raewyn CampbellRhinology and Skull Base Research Group, Applied Medical Research Centre, University of New South Wales, Sydney, Australia.
George MarcellsRhinology and Skull Base Research Group, Applied Medical Research Centre, University of New South Wales, Sydney, Australia.
Carolyn OrgainRhinology and Skull Base Research Group, Applied Medical Research Centre, University of New South Wales, Sydney, Australia.
Richard John HarveyRhinology and Skull Base Research Group, Applied Medical Research Centre, University of New South Wales, Sydney, Australia.
The University of Sydney · AUUNSW Sydney · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

importanceThe association of nasal airway obstruction with health is significant, and the health care resources utilized in open septorhinoplasty need to be included in health economic analyses.

objectivesTo describe the association of nasal airway obstruction and subsequent open septorhinoplasty with patient health. DESIGN, SETTING, AND

participantsA prospective case series study was conducted from September 30, 2009, to October 29, 2015, at 2 tertiary rhinologic centers in Sydney, Australia, among 144 consecutive adult patients (age, ≥18 years) with nasal airway obstruction from septal and nasal valve disorders.

interventionsOpen septorhinoplasty. MAIN OUTCOMES AND MEASURES: Patients were assessed before undergoing open septorhinoplasty and then 6 months after the procedure. Health utility values (HUVs) were derived from the 36-Item Short Form Health Survey. Nasal obstruction severity was also measured using the Nasal Obstruction Symptom Evaluation (NOSE) questionnaire and the Sino-Nasal Outcome Test 22 questionnaires.

resultsA total of 144 patients (85 women and 59 men; mean [SD] age, 38 [13] years) were assessed. The baseline mean (SD) HUV for patients in this study was 0.72 (0.09), which was below the weighted mean (SD) Australian norm of 0.81 (0.22). After open septorhinoplasty, the mean (SD) HUV improved to 0.78 (0.12) (P < .001). Improvements in HUV were associated with changes in disease-specific patient-reported outcome measures, including Nasal Obstruction Symptom Evaluation scores (r = -0.48; P = .01) and Sino-Nasal Outcome Test 22 scores (r = -0.68; P = .01). CONCLUSIONS AND RELEVANCE: Patients with nasal airway obstruction reported baseline HUVs that were lower than the Australian norm and similar to those in individuals with chronic diseases with significant health expenditure. There was a clinically and statistically significant improvement in HUVs after open septorhinoplasty that was associated with a reduction in Nasal Obstruction Symptom Evaluation and Sino-Nasal Outcome Test 22 scores. Outcomes from this study may be used for health economic analyses of the benefit associated with open septorhinoplasty. LEVEL OF EVIDENCE: 4.

Indexed as

Quality of LifeAdultAustraliaFemaleHumansMaleNasal ObstructionNasal SeptumPatient Reported Outcome MeasuresProspective StudiesRhinoplastySeverity of Illness IndexSurveys and Questionnaires

Identifiers

PMID30452512
PMCPMC6439790
OpenAlexW2901508386

What OpenQuestion holds

Textmetadata
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.