Evidence map›Paper›PMID 38398379›Full record

ReviewJournal of clinical medicine2024

Adherence to Intranasal Steroids in Chronic Rhinosinusitis with Nasal Polyposis Prior to and during Biologic Therapy: A Neglected Matter.

Francesca Norelli, Michele Schiappoli, Gianenrico Senna, Patrick Pinter, Bianca Olivieri, Giancarlo Ottaviano, Eugenio De Corso, Marco Caminati

Open access · goldAbstract readReview
In one paragraph

Review in Journal of clinical medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
4.6field-weighted citation impact, top 5% 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

8 citing papers in PubMed, 8 citations in OpenAlex.

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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

8 authors at 3 institutions in 1 country.

Francesca NorelliDepartment of Medicine, University of Verona, 37129 Verona, Italy.
Michele SchiappoliAllergy Unit and Asthma Center, Verona Integrated University Hospital, 35134 Verona, Italy.ORCID 0000-0002-4718-5984
Gianenrico SennaDepartment of Medicine, University of Verona, 37129 Verona, Italy.ORCID 0000-0003-4172-3216
Patrick PinterDivision of Otorhinolaryngology, Department of Surgery, Dentistry, Gynecology, and Pediatrics, Verona University Hospital, University of Verona, 37129 Verona, Italy.
Bianca OlivieriAllergy Unit and Asthma Center, Verona Integrated University Hospital, 35134 Verona, Italy.ORCID 0000-0003-1690-6774
Giancarlo OttavianoOtolaryngology Section, Department of Neurosciences, University of Padova, 35122 Padova, Italy.ORCID 0000-0003-2433-4761
Eugenio De CorsoOtorhinolaryngology Unit, A. Gemelli University Hospital Foundation IRCCS, 00168 Rome, Italy.ORCID 0000-0001-5761-7018
Marco CaminatiDepartment of Medicine, University of Verona, 37129 Verona, Italy.ORCID 0000-0001-7383-1487
University of Verona · ITAgostino Gemelli University Polyclinic · ITUniversity of Padua · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Adherence to treatment is essential in chronic rhinosinusitis with nasal polyposis (CRSwNP). Intranasal corticosteroids (INCS) are the first-line therapy, followed by systemic corticosteroids and surgery if needed. In cases of refractory disease, biologics are added to conventional treatment, making adherence to INCS crucial in assessing eligibility for these targeted therapies. The purpose of this review is to examine INCS adherence assessment and rate, before starting and during biologic therapy. We conducted a comprehensive literature review focusing on INCS adherence in CRSwNP treated with biologics, including randomized controlled trials and real-life studies. The search extended to studies on allergic and non-allergic rhinitis to provide broader insights into tools to assess the INCS adherence. The result was that adherence to INCS in CRSwNP is underexplored, with only a few studies addressing it directly. Various tools for adherence assessment have been identified, but none are universally accepted as standard. The review also highlights the complexity of factors influencing adherence rates. Effective CRSwNP management requires a paradigm shift to prioritize adherence in treatment guidelines and clinical practice. The review advocates for improved adherence assessment tools, a deeper understanding of influencing factors, and the integration of personalized medicine approaches, especially for biologic therapies.

Indexed as

adherencechronic rhinosinusitisintranasal corticosteroidsnasal polyposis

Identifiers

PMID38398379
PMCPMC10889709
OpenAlexW4391822056

What OpenQuestion holds

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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.