Evidence map›Paper›PMID 31899859›Full record

ArticleInternational forum of allergy & rhinology2020

Factors driving olfactory loss in patients with chronic rhinosinusitis: a case control study.

Rodney J Schlosser, Timothy L Smith, Jess C Mace, Jeremiah Alt, Daniel M Beswick, Jose L Mattos, Spencer Payne, Vijay R Ramakrishnan, Zachary M Soler

Open access · greenAbstract readMulticenter Study
In one paragraph

Article in International forum of allergy & rhinology, 2020. 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
1.1field-weighted citation impact, top 20% 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

12 citing papers in PubMed, 21 citations in OpenAlex.

  1. Trial
  2. Article
  3. Review
  4. Review
  5. Review
  6. Article
  7. Measured and self-reported olfactory function in voluntary Norwegian adults.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
  8. International consensus statement on allergy and rhinology: Olfaction.International forum of allergy & rhinology · 2022
    Review
  9. COVID-19 in a group of children with asthma: presentation, severity, and outcome.American journal of clinical and experimental immunology · 2022
    Article
  10. Observational
  11. Observational
  12. New loss of smell and taste: Uncommon symptoms in COVID-19 patients on Nord Franche-Comte cluster, France.International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 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 5 institutions in 1 country.

Rodney J SchlosserDepartment of Otolaryngology-Head and Neck Surgery, Medical University of South Carolina, Charleston, SC.
Timothy L SmithDepartment of Otolaryngology-Head and Neck Surgery, Oregon Health Sciences University, Portland, OR.ORCID 0000-0002-6424-7083
Jess C MaceDepartment of Otolaryngology-Head and Neck Surgery, Oregon Health Sciences University, Portland, OR.
Jeremiah AltDivision of Otolaryngology-Head and Neck Surgery, Department of Surgery, University of Utah, Salt Lake City, UT.ORCID 0000-0003-0560-5028
Daniel M BeswickDepartment of Otolaryngology-Head and Neck Surgery, University of Colorado, Denver, CO.
Jose L MattosDepartment of Otolaryngology-Head and Neck Surgery, University of Virginia, Charlottesville, VA.ORCID 0000-0001-8766-1626
Spencer PayneDepartment of Otolaryngology-Head and Neck Surgery, University of Virginia, Charlottesville, VA.
Vijay R RamakrishnanDepartment of Otolaryngology-Head and Neck Surgery, University of Colorado, Denver, CO.ORCID 0000-0003-2748-0705
Zachary M SolerDepartment of Otolaryngology-Head and Neck Surgery, Medical University of South Carolina, Charleston, SC.
Medical University of South Carolina · USOregon Health & Science University · USUniversity of Colorado Denver · USUniversity of Virginia · USUniversity of Utah · US

Funding

DETERMINANTS OF SURGICAL OUTCOMES IN CHRONIC SINUSITISR01DC005805 · NIDCD · OREGON HEALTH & SCIENCE UNIVERSITY · PI SMITH, TIMOTHY L, SOLER, ZACHARY M · 2004 to 2020
$7.6M
NIDCD NIH HHS R01 DC005805
6 · The paper itself

Abstract

backgroundOlfactory dysfunction (OD) in chronic rhinosinusitis (CRS) is common. It is likely that numerous factors such as sex, race, age, allergies, asthma, smoking, and other comorbidities play a role in CRS-related OD. In order to determine which aspects of OD are due solely to CRS and which are associated with other confounders, control populations are needed to allow appropriate risk assessments.

methodsProspective, multi-institutional enrollment of patients with CRS and control subjects without CRS was performed. Demographic information, comorbidities, and olfactory testing (Sniffin' Sticks) of threshold (T), discrimination (D), and identification (I) scores (TDI) was collected.

resultsA total of 224 patients with CRS and 164 control subjects were enrolled. Olfaction was worse in CRS patients compared to controls (mean ± standard deviation (SD) TDI = 22.4 ± 9.5 vs 28.8 ± 7.0, respectively, p < 0.001). Only 27% of CRS patients were normosmic compared to 49% of controls (p < 0.001). When stratifying by nasal polyp (NP) status, CRSwNP patients had significant impairments in TDI, T, D, and I compared to controls with mean differences of 11.2, 3.3, 3.5, and 4.4 points, respectively (all p < 0.001). In contrast, CRSsNP patients only had impaired T when compared to controls with a mean difference of 2.2 points (p < 0.001). Multivariate modeling of TDI scoring showed that OD was driven by polyps, asthma, diabetes, and age. CRSsNP was not independently associated with worse TDI scores.

conclusionOD in CRS patients is multifactorial. Independent drivers appear to be polyp status, asthma, diabetes, and age. OD in patients with CRSsNP is similar to controls with the exception of impaired thresholds.

Indexed as

AdultAgedCase-Control StudiesChronic DiseaseComorbidityFemaleHumansMaleMiddle AgedNasal PolypsOlfaction DisordersProspective StudiesRhinitisRisk FactorsSinusitischemosensoryolfactionpolypsinusitissurgery

Identifiers

PMID31899859
PMCPMC6948021
OpenAlexW2997037634

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.