Evidence map›Paper›PMID 35434330›Full record

ReviewLaryngoscope investigative otolaryngology2022

Environmental air pollution and chronic rhinosinusitis: A systematic review.

Evelyn M Leland, Varun Vohra, Stella M Seal, Zhenyu Zhang, Murugappan Ramanathan

Open access · goldAbstract readReview
In one paragraph

Review in Laryngoscope investigative otolaryngology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 2 pooled it
10.5field-weighted citation impact, top 1% 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

28 citing papers in PubMed, 2 syntheses or guidelines pooled it, 55 citations in OpenAlex.

  1. Association between air pollution and allergic upper respiratory diseases: a meta-analysis.European respiratory review : an official journal of the European Respiratory Society · 2025
    Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Effects of urban PM2.5 on primary sinonasal epithelial cells in individuals with chronic rhinosinusitis.Toxicological sciences : an official journal of the Society of Toxicology · 2026
    Article
  6. Article
  7. Characterizing air pollution exposure methodologies in rhinology: a scoping review.International journal of environmental health research · 2025
    Article
  8. Article
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  12. Article
  13. Review
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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

5 authors at 2 institutions in 2 countries.

Evelyn M LelandDepartment of Otolaryngology-Head and Neck Surgery Johns Hopkins University Baltimore Maryland USA.
Varun VohraDepartment of Otolaryngology-Head and Neck Surgery Johns Hopkins University Baltimore Maryland USA.
Stella M SealWelch Medical Library Johns Hopkins University School of Medicine Baltimore Maryland USA.
Zhenyu ZhangDepartment of Global Health School of Public Health, Peking University Beijing China.
Murugappan RamanathanDepartment of Otolaryngology-Head and Neck Surgery Johns Hopkins University Baltimore Maryland USA.ORCID https://orcid.org/0000-0002-7612-9586
Johns Hopkins University · USPeking University · CN

Funding

The Role of Nrf2 in Stabilizing the Epithelial Barrier in Particulate Matter Induced RhinosinusitisR01AI143731 · NIAID · JOHNS HOPKINS UNIVERSITY · PI RAMANATHAN, MURUGAPPAN · 2019 to 2023
$2.2M
NIAID NIH HHS R01 AI143731
6 · The paper itself

Abstract

Objective: Chronic rhinosinusitis (CRS) is a highly prevalent and burdensome disease. The pathophysiology is not fully elucidated, but environmental pollutants have been suggested to impact the inflammatory component of the disease process. This review aims to summarize the role of environmental pollution in CRS onset and disease severity. Methods: A systematic review was performed following Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. PubMed, EMBASE, Cochrane Library, Web of Science, and Scopus databases were queried in August 2021. Original articles reporting on air pollution exposure in CRS were included. Other forms of sinonasal disease were excluded. Results: Literature search produced 11,983 articles, of which 10 met inclusion criteria. Outcomes evaluated included incidence/prevalence, disease severity, quality of life, and histopathologic/microbial changes. Air pollutant exposure was associated with higher odds of CRS, particularly with particulate matter (PM) exposure. Increasing air pollution exposure was also associated with worsened disease severity and detectable histopathologic changes. Impact on quality of life was less clear. Conclusion: Air pollution (particularly PM) is correlated with CRS incidence/prevalence and disease severity, with evidence of histopathologic changes in CRS tissue samples. Further research is warranted to better understand the mechanisms by which air pollution components may cause CRS and type 2 inflammation. Level of Evidence: 3a.

Indexed as

air pollutantsenvironmental pollutionquality of lifesinusitis

Identifiers

PMID35434330
PMCPMC9008184
OpenAlexW4220923243

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.