Evidence map›Paper›PMID 37089476›Full record

SynthesisFrontiers in public health2023

Physio-metabolic and clinical consequences of wearing face masks-Systematic review with meta-analysis and comprehensive evaluation.

Kai Kisielinski, Oliver Hirsch, Susanne Wagner, Barbara Wojtasik, Stefan Funken, Bernd Klosterhalfen, Soumen Kanti Manna, Andreas Prescher, Pritam Sukul, Andreas Sönnichsen

RetractedAbstract readMeta-AnalysisSystematic ReviewRetracted Publication
In one paragraph

Synthesis in Frontiers in public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It has been retracted, and should not be counted. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
–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 synthesis or guideline pooled it.

  1. Pooled it
  2. Assessing the behavior of food handlers wearing face masks and the passage of bacteria through disposable masks.Brazilian journal of microbiology : [publication of the Brazilian Society for Microbiology] · 2025
    Article
  3. COInternational journal of environmental research and public health · 2024
    Article
  4. Article
  5. Article
  6. Article
  7. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors.

Kai KisielinskiOrthopaedic and Trauma Surgery, Clinical Medicine, Private Practice, Düsseldorf, Germany.
Oliver HirschDepartment of Psychology, Fachhochschule für Oekonomie und Management (FOM) University of Applied Sciences, Siegen, Germany.
Susanne WagnerVeterinary Medicine, Wagner Medical Science Liason (MSL) Management, Blankenfelde-Mahlow, Germany.
Barbara WojtasikDepartment of Genetics and Biosystematics, Faculty of Biology, University of Gdańsk, Gdansk, Poland.
Stefan FunkenInternal Medicine, Clinical Medicine, Private Practice, Moers, Germany.
Bernd KlosterhalfenInstitute of Pathology, Dueren Hospital, Dueren, Germany.
Soumen Kanti MannaBiophysics and Structural Genomics Division, Saha Institute of Nuclear Physics, Kolkata, India.
Andreas PrescherInstitute of Molecular and Cellular Anatomy (MOCA), Rhine-Westphalia Technical University of Aachen, Aachen, Germany.
Pritam SukulRostock Medical Breath Research Analytics and Technologies (ROMBAT), Department of Anesthesiology and Intensive Care, University Medicine Rostock, Rostock, Germany.
Andreas SönnichsenInternal Medicine, Clinical Medicine, Private Practice, Gesundheit für Österreich e.V. (Health for Austria), Vienna, Austria.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: As face masks became mandatory in most countries during the COVID-19 pandemic, adverse effects require substantiated investigation. Methods: A systematic review of 2,168 studies on adverse medical mask effects yielded 54 publications for synthesis and 37 studies for meta-analysis (on Results: We found significant effects in both medical surgical and N95 masks, with a greater impact of the second. These effects included decreased SpO Discussion: Masks interfered with O Conclusion: Face mask side-effects must be assessed (risk-benefit) against the available evidence of their effectiveness against viral transmissions. In the absence of strong empirical evidence of effectiveness, mask wearing should not be mandated let alone enforced by law. Systematic review registration: https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42021256694, identifier: PROSPERO 2021 CRD42021256694.

Indexed as

COVID-19Respiratory Protective DevicesAdultCarbon DioxideDyspneaHumansMasksMiddle AgedPandemicsPost-Acute COVID-19 SyndromeSARS-CoV-2Young AdultCarbon Dioxideadverse (side) effectshealth risk assessmentlong-term adverse effectsmaskmasks and N95 respiratorsMIES syndromerisk-benefitsurgical mask

Identifiers

PMID37089476
PMCPMC10116418

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.