Evidence map›Paper›PMID 30570840›Full record

ArticleInternational forum of allergy & rhinology2019

Long-term revision rates for endoscopic sinus surgery.

Kristine A Smith, Richard R Orlandi, Gretchen Oakley, Huong Meeks, Karen Curtin, Jeremiah A Alt

Abstract read
In one paragraph

Article in International forum of allergy & rhinology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 59 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
59citing papers in PubMed, 4 pooled it
6.6field-weighted citation impact, top 2% 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

59 citing papers in PubMed, 4 syntheses or guidelines pooled it, 121 citations in OpenAlex.

  1. Pooled it
  2. Biologics for chronic rhinosinusitis.The Cochrane database of systematic reviews · 2021
    Pooled it
  3. Biologics for chronic rhinosinusitis.The Cochrane database of systematic reviews · 2020
    Pooled it
  4. Necessary Factors for Efficient Frontal Sinus Irrigation After Endoscopic Sinus Surgery: A Systematic Review.Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale
    Pooled it
  5. Trial
  6. Article
  7. Article
  8. Bioabsorbable steroid-eluting implants in high-risk primary and revision frontal sinus surgery: real-world outcomes at a UK tertiary centre.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 · 2026
    Article
  9. Article
  10. Article
  11. Article
  12. Oral corticosteroid overexposure: characterizing oral corticosteroid use in patients with chronic rhinosinusitis with nasal polypS in Canada (ACTIONS) results.Allergy, asthma, and clinical immunology : official journal of the Canadian Society of Allergy and Clinical Immunology · 2025
    Article
  13. Article
  14. Review
  15. Article
  16. CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2025
    Review
  17. Article
  18. Review
  19. Diagnosis and management of chronic rhinosinusitis.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2025
    Review
  20. High-Fidelity 3D Reconstruction for Accurate Anatomical Measurements in Endoscopic Sinus Surgery.Proceedings of SPIE--the International Society for Optical Engineering · 2025
    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

6 authors at 1 institution in 2 countries.

Kristine A SmithDepartment of Otolaryngology-Head and Neck Surgery, University of Manitoba, Winnipeg, MB, Canada.ORCID 0000-0002-7026-5819
Richard R OrlandiDivision of Otolaryngology-Head and Neck Surgery, Department of Surgery, University of Utah, Salt Lake City, UT.
Gretchen OakleyDivision of Otolaryngology-Head and Neck Surgery, Department of Surgery, University of Utah, Salt Lake City, UT.
Huong MeeksDepartment of Medicine, University of Utah, Salt Lake City, UT.
Karen CurtinDepartment of Medicine, University of Utah, Salt Lake City, UT.
Jeremiah A AltDivision of Otolaryngology-Head and Neck Surgery, Department of Surgery, University of Utah, Salt Lake City, UT.ORCID 0000-0003-0560-5028
University of Utah · US

Funding

Utah Center for Clinical and Translational ScienceUL1TR002538 · NCATS · UNIVERSITY OF UTAH · PI HESS, RACHEL, MAJERSIK, JENNIFER JUHL · 2018 to 2022
$26.0M
University of Utah Center for clinical and Translational ScienceKL2TR001065 · NCATS · UNIVERSITY OF UTAH · PI DERE, WILLARD H., HESS, RACHEL · 2013 to 2017
$1.1M
Sharing statewide health data for genetic research (1 R01 RR021746-01A1)R01RR021746 · NCRR · UNIVERSITY OF UTAH · PI MINEAU, GERALDINE P · 2007 to 2009
$770k
NCATS NIH HHS KL2 TR001065NCATS NIH HHS UL1 TR002538NCRR NIH HHS R01 RR021746
6 · The paper itself

Abstract

backgroundReported revision rates for endoscopic sinus surgery (ESS) for chronic rhinosinusitis (CRS) vary significantly. Several investigations examining revision rates for ESS have been limited by duration of follow-up, academic centers, or small surgeon cohorts. The objective of this study was to define the long-term revision rates for ESS and to determine those unique patient factors that increase the risk of revision ESS.

methodsThe Utah Population Database was queried for Current Procedural Terminology codes for ESS from 1996 to 2016. Patient demographics and comorbid diagnoses were collected. Revision rates and risk factors for surgery were determined by Cox proportional hazard modeling.

resultsA total of 29,934 patients were identified, with a mean length of follow-up of 9.7 years. The long-term revision rate was found to be 15.9%. The mean time between surgeries decreased with higher number of revision surgeries. The time between the first and second surgery was 4.39 years and the time between the fourth and fifth surgery decreased to 2.18 years. Female gender, older age at first surgery, nasal polyps, comorbid asthma, allergy, and a family history of CRS all increased the risk of requiring revision surgery (p < 0.001).

conclusionThe long-term revision rate for ESS exceeds 15% and the time between revision surgeries decreased with each additional surgery being performed. Unique patient factors increased the risk of requiring revision ESS. Understanding patients' risk for revision surgery may help physicians select and counsel patients with CRS undergoing ESS.

Indexed as

EndoscopyNasal Surgical ProceduresAdolescentAdultAgedAged, 80 and overChronic DiseaseFemaleHumansMaleMiddle AgedReoperationRhinitisSinusitisYoung Adultchronic rhinosinusitisendoscopic sinus surgerypatient factorsrevision surgeryrisk factors

Identifiers

PMID30570840
PMCPMC6438735
OpenAlexW2906456473

What OpenQuestion holds

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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.