Evidence map›Paper›PMID 35292788›Full record

ArticleActa otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale2022

Radiological score of computed tomography scans predicts revision surgery for chronic rhinosinusitis.

Markus Lilja, Anni Koskinen, Anna Julkunen-Iivari, Antti Mäkitie, Jura Numminen, Markus Rautiainen, Jyri P Myller, Antti Markkola, Mikko Suvinen, Mika Mäkelä and 3 more

Abstract read
In one paragraph

Article in Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
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

7 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
  4. Article
  5. Predictive factors of revision endoscopic sinus surgery.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 · 2023
    Article
  6. How to manage recurrences after surgery in CRSwNP patients in the biologic era: a narrative review.Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale · 2023
    Review
  7. 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.

Markus LiljaSkin and Allergy Hospital, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.
Anni KoskinenSkin and Allergy Hospital, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.
Anna Julkunen-IivariHaartman Institute, University of Helsinki, Helsinki, Finland.
Antti MäkitieDepartment of Otorhinolaryngology - Head and Neck Surgery, Helsinki University Hospital and University of Helsinki, Helsinki, Finland.
Jura NumminenDepartment of Otorhinolaryngology, Tampere University Hospital. Tampere, Finland.
Markus RautiainenDepartment of Otorhinolaryngology, Tampere University Hospital. Tampere, Finland.
Jyri P MyllerDepartment of Otorhinolaryngology, Päijät-Häme Central Hospital, Lahti, Finland.
Antti MarkkolaUniversity of Helsinki and HUS Imaging, Helsinki, Finland.
Mikko SuvinenDepartment of Otorhinolaryngology, Tampere City Hospital, Tampere, Finland.
Mika MäkeläSkin and Allergy Hospital, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.
Risto RenkonenHaartman Institute, University of Helsinki, Helsinki, Finland.
Juha PekkanenDepartment of Public Health, Univesity of Helsinki, Finland.
Sanna K Toppila-SalmiSkin and Allergy Hospital, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: Evaluate computed tomography (CT) signs that predict need for revision endoscopic sinus surgery (ESS) of chronic rhinosinusitis (CRS). Methods: CRS patients (n = 48) underwent routine sinus CT scans and baseline ESS in 2006-2011. Lund-Mackay (LM) scores and 43 other CT signs were analysed blinded from both sides. Patients filled in a questionnaire during the day of CT scanning. Follow-up data were collected from hospital records until January 2018. Associations were analysed by Fisher's exact, Mann Whitney U, Kaplan-Meier method with logrank test and Cox's proportional hazard model. Results: Total LM score was not significantly associated with the need for revision ESS. The best predictive model was a sum of CT signs of non-detectable anatomy of inferior/middle turbinates, obstructed frontal recess, and previous sinus surgery. Using these CT findings, we formed a Radiological Score (RS) (min-max, 0-3 points). Having at least one RS point was significantly associated with the need for revision ESS during the average follow-up of 10.7 years (p = 0.008, Logrank test). Conclusion: We identified a radiologic score that was able to predict the need for revision ESS, which is probably useful in predicting CRS outcomes.

Indexed as

Frontal SinusSinusitisEndoscopyHumansReoperationTomography, X-Ray Computedcomputed tomographyCRSsNPCRSwNPpredictionrhinosinusitis

Identifiers

PMID35292788
PMCPMC9058939

What OpenQuestion holds

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Registered trials

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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.