Evidence map›Paper›PMID 34003765›Full record

Observational studyJournal of medical Internet research2021

Olfactory Training and Visual Stimulation Assisted by a Web Application for Patients With Persistent Olfactory Dysfunction After SARS-CoV-2 Infection: Observational Study.

Fabrice Denis, Anne-Lise Septans, Lea Periers, Jean-Michel Maillard, Florian Legoff, Hirac Gurden, Sylvain Moriniere

Erratum issuedOpen access · goldAbstract readObservational Study
In one paragraph

Observational study in Journal of medical Internet research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 25 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 3 pooled it
5.4field-weighted citation impact, top 3% 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

25 citing papers in PubMed, 3 syntheses or guidelines pooled it, 50 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
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  4. Efficacy of olfactory-visual combined training on post-viral olfactory dysfunction: a randomized controlled trial.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
    Trial
  5. Limited observed efficacy of olfactory training in severe long-term post-COVID-19 syndrome: a prospective cohort study.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
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  14. Long-term Consequences of COVID-19: Chemosensory Disorders.Current allergy and asthma reports · 2023
    Review
  15. Article
  16. Review
  17. Review
  18. Rehabilitation in long COVID-19: A mini-review.World journal of methodology · 2022
    Review
  19. Article
  20. Long-lasting olfactory dysfunction in COVID-19 patients.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

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 1 country.

Fabrice DenisInstitut Inter-Regional Jean Bernard - ELSAN, Le Mans, France.ORCID 0000-0002-2190-7782
Anne-Lise SeptansWeprom, Angers, France.ORCID 0000-0002-9707-270X
Lea PeriersService d'Otorhinolaryngologie, Centre Hospitalier Universitaire Bretonneau, Tours, France.ORCID 0000-0002-3816-5017
Jean-Michel Maillardanosmie.org Association, Alencon, France.ORCID 0000-0001-7232-6657
Florian LegoffKelindi, Lille, France.ORCID 0000-0001-9367-9769
Hirac GurdenUnite de Biologie Fonctionnelle Adaptative, Unite Mixte de Recherche 8251 Centre National de Recherche Scientifique, Université de Paris, Paris, France.ORCID 0000-0003-0027-4717
Sylvain MoriniereService d'Otorhinolaryngologie, Centre Hospitalier Universitaire Bretonneau, Tours, France.ORCID 0000-0002-5884-7285
Centre Hospitalier Universitaire de Tours · FRCentre Jean Bernard · FRUniversité de Lille · FRUniversité Paris Cité · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPersistent olfactory dysfunction is a significant complication of SARS-CoV-2 infection. Olfactory training involving aromatic oils has been recommended to improve olfactory recovery, but quantitative data are missing.

objectiveWe aimed to quantify the benefit of olfactory training and visual stimulation assisted by a dedicated web application for patients who experienced olfactory dysfunction for ≥1 month.

methodsWe performed an observational, real-life, data-based study on a cohort of patients who experienced at least 1 month of persistent olfactory dysfunction between January 30 and March 26, 2021. An analysis was performed after a mean olfactory training time of 4 weeks, and at least 500 patients were assessable for primary outcome assessment. Participants exposed themselves twice daily to odors from 4 high-concentration oils and visual stimulation assisted by a dedicated web application. Improvement was defined as a 2-point increase on a 10-point, self-assessed olfactory visual analogue scale.

resultsIn total, 548 patients were assessable for primary outcome assessment. The mean baseline, self-assessed olfactory score was 1.9 (SD 1.7), and this increased to 4.6 (SD 2.8) after a mean olfactory training time of 27.7 days (SD 17.2). Olfactory training was associated with at least a 2-point increase in 64.2% (352/548) of patients. The rate of patients' olfactory improvement was higher for patients who trained for more than 28 days than that rate for patients who trained for less than 28 days (73.3% vs 59%; P=.002). The time to olfactory improvement was 8 days faster for patients with hyposmia compared to the time to improvement for patients with anosmia (P<.001). This benefit was observed regardless of the duration of the olfactory dysfunction.

conclusionsOlfactory training and visual stimulation assisted by a dedicated web application was associated with significant improvement in olfaction, especially after 28 days of olfactory training.

Indexed as

Internet-Based InterventionAnosmiaCohort StudiesCOVID-19FemaleHumansMaleOlfaction DisordersPhotic StimulationSARS-CoV-2SmellappCOVID-19dysfunctionnoseobservationalolfactoryolfactory dysfunctionolfactory trainingreal-life studySARS-CoV-2sensessmellstimulationtrainingweb application, eHealth

Identifiers

PMID34003765
PMCPMC8163493
OpenAlexW3159986789

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.