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ArticleActa otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale2023

Practical recommendations for managing severe chronic rhinosinusitis with nasal polyps in the era of biologics.

Eugenio De Corso, Carlotta Pipolo, Elena Cantone, Giancarlo Ottaviano, Stefania Gallo, Matteo Trimarchi, Sara Torretta, Carlo Cavaliere, Daniela Lucidi, Veronica Seccia and 24 more

Open access · goldAbstract read
In one paragraph

Article in Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
4.0field-weighted citation impact, top 6% 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

9 citing papers in PubMed, 12 citations in OpenAlex.

  1. Nasal Cytology as a Local Biomarker of Airway Inflammation: A Paradigm Shift in Precision Medicine.Pathophysiology : the official journal of the International Society for Pathophysiology · 2026
    Article
  2. Article
  3. Optimising care for chronic rhinosinusitis with nasal polyps and asthma in multimorbid patients: a multidisciplinary Delphi consensus.Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale · 2025
    Article
  4. Should computed tomography be used in the evaluation of biologic therapies for severe chronic rhinosinusitis with nasal polyps?Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale · 2025
    Article
  5. Blood and local nasal eosinophilia in chronic rhinosinusitis with nasal polyps: prevalence and correlation with severity of disease.Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale · 2025
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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

34 authors at 20 institutions in 3 countries.

Eugenio De CorsoOtorhinolaryngology Unit, Head and Neck Department, A. Gemelli Universitary Hospital Foundation IRCCS, Rome, Italy.
Carlotta PipoloOtorhinolaryngology Unit, Head and Neck Department, Dipartimento di Scienze della Salute, Università degli Studi di Milano, ASST Santi Paolo e Carlo Hospital, Milan, Italy.
Elena CantoneDepartment of Neurosciences, Reproductive and Odontostomatologic Sciences, Unit of Ear, Nose and Throat, "Federico II" University, Naples, Italy.
Giancarlo OttavianoDepartment of Neuroscience DNS, Otolaryngology Section, University of Padua, Padua, Italy.
Stefania GalloOtorhinolaryngology Unit, Head and Neck Department, ASST Sette Laghi and UPLOAD Research Center, University of Insubria, Varese, Italy.
Matteo TrimarchiDivision of Head and Neck Department, Otorhinolaryngology Unit, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Sara TorrettaFondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
Carlo CavaliereDipartimento di scienze odontostomatologiche e maxillo facciali. Sapienza University of Rome, Rome, Italy.
Daniela LucidiDepartment of Otolaryngology - Head and Neck Surgery, University Hospital of Modena, Modena, Italy.
Veronica SecciaOtolaryngology, Audiology, and Phoniatric Operative Unit, Department of Surgical, Medical, Molecular Pathology, and Critical Care Medicine, Pisa University Hospital, Pisa, Italy.
Stefano SettimiCatholic University of The Sacred Heart, Rome, Italy.
Frank Rikki Mauritz CanevariUOC di Otorinolaringoiatria IRCCS Policlinico San Martino Genova, Dipartimento DISC Università di Genova, Genoa, Italy.
Ernesto PasquiniENT Unit "Bellaria" Hospital - Specialized Dep AUSL Bologna, Italy.
Ignazio La MantiaENT Unit Department "G.F. Ingrassia" - Catania University, Italy.
Massimiliano GarzaroENT Division, Maggiore Hospital, Eastern Piedmont University - Novara, Italy.
Gianluca BellocchiENT Department, San Camillo-Forlanini Hospital, Rome, Italy.
Michele De BenedettoENT Unit, Vito Fazzi Hospital, ASL Lecce, Italy.
Nicola LombardoENT Unit Department of Medical and Surgical Sciences, University Magna Græcia Catanzaro, Italy.
Alberto MacchiENT University of Insubria, ASST Settelaghi, Varese, Italy.
Luca MalvezziIRCCS Humanitas Research Hospital, Department of Otorhinolaryngology and Head and Neck Surgery, Rozzano (MI), Italy.
Gaetano MottaOtorhinolaryngology - Head and Neck Surgery, University of Campania "L. Vanvitelli", Naples, Italy.
Claudio ViciniDepartment of Head-Neck Surgery, Otolaryngology, Head-Neck and Oral Surgery Unit, Morgagni Pierantoni Hospital, Forlì, Italy.
Alessandro MaselliDepartment Otorhinolaryngology, Hospital of Barletta, Barletta (BT), Italy.
Valeria Dell'EraENT Division, Maggiore Hospital, Eastern Piedmont University - Novara, Italy.
Alberto DragonettiDepartment of Otolaryngology, Ospedale Niguarda, Milan, Italy.
Francesco AspreaOtorinolaringoiatria e audiologia. Università degli studi di Messina, Messina, Italy.
Valentina LupatoDivision of Otolaryngology, Ospedale Civile di Pordenone, Azienda Sanitaria Friuli Occidentale (ASFO), Pordenone, Italy.
Angelo GhidiniOtorinolaringoiatria Azienda USL di Reggio Emilia/IRCCS, Italy.
Simonetta MasieriDipartimento di scienze odontostomatologiche e maxillo facciali. Sapienza University of Rome, Rome, Italy.
Davide MattavelliUnit of Otorhinolaryngology - Head and Neck Surgery, Department of Medical and Surgical Specialties, Radiological Sciences, and Public Health, ASST Spedali Civili di Brescia - University of Brescia, Brescia, Italy.
Francesco Antonio SalzanoDepartment of Medicine, Surgery and Dentistry, University of Salerno, Salerno, Italy.
Desiderio Passali *IFOS Former President and Executive Board member, Rome, Italy.
Jacopo Galli *Otorhinolaryngology Unit, Head and Neck Department, A. Gemelli Universitary Hospital Foundation IRCCS, Rome, Italy.
Fabio Pagella *Department of Clinical, Surgical, Diagnostic, and Pediatric Sciences, University of Pavia, Pavia, Italy.
Dalle Molle Institute for Artificial Intelligence Research · CHSapienza University of Rome · ITUniversity of Insubria · ITAgostino Gemelli University Polyclinic · ITAzienda Ospedaliera Universitaria Pisana · ITAzienda Sanitaria Unità Locale di Reggio Emilia · ITAzienda Socio Sanitaria Territoriale degli Spedali Civili di Brescia · ITAzienda Socio Sanitaria Territoriale Grande Ospedale Metropolitano Niguarda · ITCarlo Forlanini Hospital · ITFondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico · ITIRCCS Humanitas Research Hospital · ITIstituto di Ricovero e Cura a Carattere Scientifico San RaffaeleMagna Graecia University · ITOspedale Bellaria · ITOspedale G.B. Morgagni - L.Pierantoni · ITOspedale Policlinico San Martino · ITOspedale San Paolo · ITOspedale Vito Fazzi · ITPiedmont University · USPoliclinico San Matteo Fondazione · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: We conducted a national survey to understand how rhinology practice has changed with the advent of biologics and how this affected patients with uncontrolled, severe chronic rhinosinusitis with nasal polyps (CRSwNP). We aimed to analyse the results of the survey and infer practical recommendations for clinical practice. Methods: A group of ear, nose, and throat specialists (ENTs) experienced in the management of CRSwNP developed a 74-question survey. ENTs from rhinology centres authorised to prescribe biologics in the context of the national health system were invited to answer it between 01/05/2022 and 31/07/2022. The responses underwent descriptive analyses, and the authors discussed the results and derived practical recommendations for clinical practice. Results: ENTs working in rhinology centres changed their practices coinciding with the advent of biologics. CRSwNP evaluations have become more complex because they involve diagnostic confirmation, determining the patients' immunologic profile, and other factors. We observed heterogenous behaviours in practice that may be conditioned by the novelty of the topic. The results of the survey were used to develop practical recommendations for ENTs and are summarised herein. Conclusions: Clinical practice in rhinology outpatient clinics has changed profoundly in the era of biologics. Our practical recommendations for clinicians working in rhinology centres are expected to help standardise practice and improve care.

Indexed as

Biological ProductsNasal PolypsRhinitisSinusitisChronic DiseaseHumansNoseBiological Productsbiologicschronic rhinosinusitisnasal polypspractical recommendationType 2 inflammation

Identifiers

PMID37224173
PMCPMC10551726
OpenAlexW4377970735

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.