Evidence map›Paper›PMID 32482571›Full record

GuidelineEuropean annals of otorhinolaryngology, head and neck diseases2020

Consensus statement. Corticosteroid therapy in ENT in the context of the COVID-19 pandemic.

P Herman, C Vincent, C Parietti Winkler, N Loundon, V Couloigner, F Tankere, S Tringali, P Gallet, J-F Papon, M Montava and 3 more

Open access · greenAbstract readConsensus StatementPractice Guideline
In one paragraph

Guideline in European annals of otorhinolaryngology, head and neck diseases, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
3.2field-weighted citation impact, top 6% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.

  1. SARS-CoV-2 (COVID-19) and audio-vestibular disorders.International journal of immunopathology and pharmacology
    Pooled it
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Laryngeal dyspnoea and COVID-19.European annals of otorhinolaryngology, head and neck diseases · 2021
    Article
  8. Article
  9. Article
  10. Protracted COVID-19 during Treatment of Facial Palsy.Case reports in neurological medicine · 2021
    Article
  11. Coronavirus Disease-19 and Rhinology/Facial Plastics.Otolaryngologic clinics of North America · 2020
    Review
  12. Article
  13. 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

13 authors at 6 institutions in 2 countries.

P HermanDepartment of otorhinolaryngology, head and neck surgery, Lariboisière university hospital, AP-HP, Paris, France. Electronic address: philippe.herman099@gmail.com.
C VincentDepartment of otorhinolaryngology, head and neck surgery, Lille university hospital, Lille, France.
C Parietti WinklerDepartment of otorhinolaryngology, head and neck surgery, Nancy university hospital, Nancy, France.
N LoundonDepartment of otorhinolaryngology, head and neck surgery, Necker hospital for sick children, AP-HP, Paris, France.
V CouloignerDepartment of otorhinolaryngology, head and neck surgery, Necker hospital for sick children, AP-HP, Paris, France.
F TankereDepartment of otorhinolaryngology, head and neck surgery, La Pitié-Salpêtrière university hospital, AP-HP, Paris, France.
S TringaliDepartment of otorhinolaryngology, head and neck surgery, Lyon south university hospital, Lyon, France.
P GalletDepartment of otorhinolaryngology, head and neck surgery, Nancy university hospital, Nancy, France.
J-F PaponDepartment of otorhinolaryngology, head and neck surgery, Bicêtre university hospital, AP-HP, Le Kremlin Bicêtre, France.
M MontavaDepartment of otorhinolaryngology, head and neck surgery, La Conception university hospital, AP-HM, Marseille, France.
J-P LavieilleDepartment of otorhinolaryngology, head and neck surgery, La Conception university hospital, AP-HM, Marseille, France.
A CharpiotDepartment of otorhinolaryngology, head and neck surgery, Hautepierre university hospital, Strasbourg, France.
S SchmerberDepartment of otorhinolaryngology, head and neck surgery, CHU38 university hospital, Grenoble, France.
Assistance Publique – Hôpitaux de Paris · FRCentre Hospitalier Régional et Universitaire de Nancy · FRHôpital de la Conception · FRHospital for Sick Children Pediatric Center · USHôpital d'Hautepierre · FRSorbonne Université · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This consensus statement about the indications and modalities of corticosteroid treatment in the context of the COVID-19 pandemic was jointly written by experts from the French Association of Otology and Oto-Neurology (AFON) and from the French Society of Otorhinolaryngology, Head and Neck Surgery (SFORL). There is currently not enough data in favour of danger or benefit from corticosteroids in COVID-19, so until this matter is resolved it is advisable to limit their indications to the most serious clinical pictures for which it is well established that this type of treatment has a positive impact on the progression of symptoms. In Grade V and VI Bell's palsy according to the House-Brackmann grading system, a week's course of oral corticosteroids is recommended. Corticosteroid therapy is also recommended in cases of sudden hearing loss of more than 60dB, either in the form of intratympanic injections or a week's course of oral medication. In rhinology, there is no indication for systemic corticosteroid therapy in the current situation. However, patients are advised to continue with their local corticosteroid therapy in the form of a nasal spray or by inhalation. Treatments with corticosteroid nasal sprays can still be prescribed if there is no alternative. Finally, systemic or local corticosteroid therapy is not indicated for bacterial ENT infections.

Indexed as

Adrenal Cortex HormonesCoronavirus InfectionsCOVID-19HumansOtorhinolaryngologic DiseasesPandemicsPneumonia, ViralAdrenal Cortex HormonesAnosmiaBell's palsyCOVID-19PrednisoneSARS-CoV-2Sudden hearing loss

Identifiers

PMID32482571
PMCPMC7198134
OpenAlexW3022635068

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.