Evidence map›Paper›PMID 33728824›Full record

ArticleInternational forum of allergy & rhinology2021

Systemic corticosteroids in coronavirus disease 2019 (COVID-19)-related smell dysfunction: an international view.

Caroline Huart, Carl M Philpott, Aytug Altundag, Alexander W Fjaeldstad, Johannes Frasnelli, Simon Gane, Julien W Hsieh, Eric H Holbrook, Iordanis Konstantinidis, Basile N Landis and 11 more

Open access · bronzeAbstract read
In one paragraph

Article in International forum of allergy & rhinology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 1 pooled it
6.3field-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

31 citing papers in PubMed, 1 synthesis or guideline pooled it, 58 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Parosmia: Pathophysiology and Management.Current allergy and asthma reports · 2025
    Review
  6. Review
  7. Article
  8. Article
  9. Delivery of Topical Drugs to the Olfactory Cleft.Journal of clinical medicine · 2023
    Review
  10. Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Review
  16. Article
  17. What about using sniffin' sticks 12 items test to screen post-COVID-19 olfactory disorders?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
  18. Chronic Rhinosinusitis and COVID-19.The journal of allergy and clinical immunology. In practice · 2022
    Review
  19. Article
  20. Results from psychophysical tests of smell and taste during the course of SARS-CoV-2 infection: a review.Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale · 2022
    Review
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

21 authors at 18 institutions in 12 countries.

Caroline HuartDepartment of Otorhinolaryngology, Cliniques universitaires Saint-Luc, Brussels, Belgium.
Carl M PhilpottThe Norfolk Smell and Taste Clinic, Norfolk and Waveney ENT Service, Gorleston, UK.
Aytug AltundagDepartment of Otorhinolaryngology, Biruni University, Istanbul, Turkey.
Alexander W FjaeldstadFlavour Clinic, Department of Otorhinolaryngology, Regional Hospital West Jutland, Holstebro, Denmark.
Johannes FrasnelliDepartment of Anatomy, Université du Québec à Trois-Rivières, Trois-Rivières, Quebec, Canada.
Simon GaneDepartment of Rhinology, Royal National ENT Hospital, University College London Hospitals NHS Foundation Trust, London, UK.
Julien W HsiehDepartment of Otorhinolaryngology-Head and Neck Surgery, Rhinology-Olfactory Unit, Geneva University Hospitals, Geneva, Switzerland.
Eric H HolbrookMassachusetts Eye and Ear, Harvard University, Boston, Massachusetts.
Iordanis Konstantinidis2nd Academic ORL Department, Papageorgiou Hospital, Aristotle University, Thessaloniki, Greece.
Basile N LandisDepartment of Otorhinolaryngology-Head and Neck Surgery, Rhinology-Olfactory Unit, Geneva University Hospitals, Geneva, Switzerland.
Alberto MacchiENT clinic Asst-Settelaghi-University of Insubriae, Varese, Italy.
Christian A MuellerDepartment of Otorhinolaryngology, Medical University of Vienna, Vienna, Austria.
Simona NegoiasDepartment of Otorhinolaryngology, Head and Neck Surgery, University Hospital Basel, CH-4051, Basel, Switzerland.
Jayant M PintoSection of Otolaryngology-Head and Neck Surgery, The University of Chicago, Chicago, Illinois.
Sophia C PolettiDepartment of Otorhinolaryngology, Inselspital University Hospital Bern, Bern, Switzerland.
Vijay R RamakrishnanDepartment of Otolaryngology-Head and Neck Surgery, University of Colorado Anschutz Medical Campus, Aurora, Colorado.
Philippe RombauxDepartment of Otorhinolaryngology, Cliniques universitaires Saint-Luc, Brussels, Belgium.
Jan VodickaDepartment of Otorhinolaryngology and Head and Neck Surgery, Hospital of Pardubice, Pardubice, Czech Republic.
Antje Welge-LüessenDepartment of Otorhinolaryngology, Head and Neck Surgery, University Hospital Basel, CH-4051, Basel, Switzerland.
Katherine L WhitcroftUCL Ear Institute, University College London, London, UK.
Thomas HummelSmell and Taste Clinic, Department of Otorhinolaryngology, TU Dresden, Dresden, Germany.
UCLouvain · BEUniversity Hospital of Basel · CHUniversity Hospital of Geneva · CHAarhus University · DKBiruni University · TRHarvard University · USMedical University of Vienna · ATPapageorgiou General Hospital · GRSchool of Advanced Study · GBTU Dresden · DEUniversité du Québec à Trois-Rivières · CAUniversity College London Hospitals NHS Foundation Trust · GBUniversity Hospital of Bern · CHUniversity of Chicago · USUniversity of Colorado Anschutz Medical Campus · USUniversity of East Anglia · GBUniversity of Insubria · ITUniversity of Pardubice · CZ

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The frequent association between coronavirus disease 2019 (COVID-19) and olfactory dysfunction is creating an unprecedented demand for a treatment of the olfactory loss. Systemic corticosteroids have been considered as a therapeutic option. However, based on current literature, we call for caution using these treatments in early COVID-19-related olfactory dysfunction because: (1) evidence supporting their usefulness is weak; (2) the rate of spontaneous recovery of COVID-19-related olfactory dysfunction is high; and (3) corticosteroids have well-known potential adverse effects. We encourage randomized placebo-controlled trials investigating the efficacy of systemic steroids in this indication and strongly emphasize to initially consider smell training, which is supported by a robust evidence base and has no known side effects.

Indexed as

COVID-19Olfaction DisordersAdrenal Cortex HormonesDrug-Related Side Effects and Adverse ReactionsGlobal HealthHumansMedication Therapy ManagementNeeds AssessmentOlfactory MucosaRemission, SpontaneousResearch DesignSARS-CoV-2Adrenal Cortex HormonescorticosteroidsCOVID-19olfaction disorderSARS-CoV-2smell

Identifiers

PMID33728824
PMCPMC8251281
OpenAlexW3136935895

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.