Evidence map›Paper›PMID 38978039›Full record

Observational studyBMC pulmonary medicine2024

Outcomes of biological therapy in patients with severe asthma with chronic rhinosinusitis in Saudi Arabia: patients with nasal polyps versus those without nasal polyps.

Usama E Abuelhassan, Medhat Elnamaky, Abdulaziz Alfifi, Sultan K Kadasah, Mohammed A Alshehri, Haneen A Alasiri, Salihah Y Al-Mani, Ali S Kadasah, Abdullah Musleh, Fawwaz A Alshafa and 13 more

Abstract readObservational StudyComparative Study
In one paragraph

Observational study in BMC pulmonary medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. 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

23 authors.

Usama E AbuelhassanDepartment of Pulmonary Medicine, Faculty of Medicine, Cairo University, Old Cairo, Cairo Governorate, Cairo, 4240310, Egypt. uelgameel22@gmail.com.ORCID http://orcid.org/0000-0003-2470-7062
Medhat ElnamakyDepartment of Internal Medicine, Armed Forces Hospital Southern Region (AFHSR), Khamis Mushayt, Saudi Arabia.
Abdulaziz AlfifiDepartment of Internal Medicine, Armed Forces Hospital Southern Region (AFHSR), Khamis Mushayt, Saudi Arabia.
Sultan K KadasahDepartment of Surgery, College of Medicine, University Of Bisha Kingdom of Saudi, Bisha, Saudi Arabia.
Mohammed A AlshehriDepartment of Internal Medicine, Armed Forces Hospital Southern Region (AFHSR), Khamis Mushayt, Saudi Arabia.
Haneen A AlasiriDepartment of Internal Medicine, Armed Forces Hospital Southern Region (AFHSR), Khamis Mushayt, Saudi Arabia.
Salihah Y Al-ManiDepartment of Internal Medicine, Armed Forces Hospital Southern Region (AFHSR), Khamis Mushayt, Saudi Arabia.
Ali S KadasahDepartment of Internal Medicine, Armed Forces Hospital Southern Region (AFHSR), Khamis Mushayt, Saudi Arabia.
Abdullah MuslehOtorhinolaryngology Division, Surgery Department, College of Medicine, King Khalid University, Abha, Saudi Arabia.
Fawwaz A AlshafaDepartment of Internal Medicine, Armed Forces Hospital Southern Region (AFHSR), Khamis Mushayt, Saudi Arabia.
Muhammad S S QureshiDepartment of Internal Medicine, Armed Forces Hospital Southern Region (AFHSR), Khamis Mushayt, Saudi Arabia.
Abdulmohsen Y AssiriPharmaceutical Care Administration, Department of Pharmacy, Armed Forces Hospital Southern Region (AFHSR), Khamis Mushayt, Saudi Arabia.
Abdulrahman I FalqiPharmaceutical Care Administration, Department of Pharmacy, Armed Forces Hospital Southern Region (AFHSR), Khamis Mushayt, Saudi Arabia.
Bader I AsiriDepartment of Internal Medicine, Armed Forces Hospital Southern Region (AFHSR), Khamis Mushayt, Saudi Arabia.
Haider M O AhmedDepartment of Internal Medicine, Armed Forces Hospital Southern Region (AFHSR), Khamis Mushayt, Saudi Arabia.
Saleem AlshehriInternal Medicine Department, College of Medicine, King Khalid University, Abha, Saudi Arabia.
Fasih U RahmanDepartment of Internal Medicine, Armed Forces Hospital Southern Region (AFHSR), Khamis Mushayt, Saudi Arabia.
Muhammad Amir QureshiDepartment of Internal Medicine, Armed Forces Hospital Southern Region (AFHSR), Khamis Mushayt, Saudi Arabia.
Omar AbdelwahabCollege of Medicine, Al Faisal University, Riyadh, 11533, Saudi Arabia.
Sherif MohamedDepartment of Chest Diseases and Tuberculosis, Faculty of Medicine, Assiut University, 71516, Assiut, Egypt.
Ahmed R I AliDepartment of Anesthesia, Intensive Care and Pain Management, Faculty of Medicine, Al Azhar University, Cairo, Egypt.
Saad M A AlqahtaniDepartment of Internal Medicine, Armed Forces Hospital Southern Region (AFHSR), Khamis Mushayt, Saudi Arabia.
Abdelrahman M AbdallaDepartment of Internal Medicine, Armed Forces Hospital Southern Region (AFHSR), Khamis Mushayt, Saudi Arabia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study's purposes were to evaluate the impact of biological therapies on outcomes in patients with severe asthma (SA) and chronic rhinosinusitis (CRS) and to compare these effects among those with NP (CRSwNP) versus those without NP (CRSsNP) in the "real-world" setting in Saudi Arabian patients.

methodsFrom March to September 2022, a retrospective observational cohort study was undertaken at the severe asthma clinics of the Armed Forces Hospital-Southern Region (AFHSR) and King Khalid University Hospital, Abha, Saudi Arabia, to delineate the effects of dupilumab therapy. Outcomes were assessed, including clinical outcomes, FEV1, and laboratory findings before and one year after dupilumab. Post-therapy effects were compared between CRSwNP and CRSsNP.

resultsFifty subjects were enrolled, with a mean age of 46.56. There were 27 (54%) females and 23(46%) males. Significant improvements in clinical parameters (frequency of asthma exacerbations and hospitalizations, the use of OCs, anosmia, SNOTT-22, and the ACT), FEV1, and laboratory ones (serum IgE and eosinophilic count) were observed 6 and 12 months after using dupilumab (p < 0.001), respectively. However, after 12 months of dupilumab therapy, there were no significant differences between those with and without NP with regards to clinical (anosmia, ACT, and OCs use), laboratory (eosinophilic count, serum IgE level) parameters, and FEV1%.

conclusionsPatients with CRS experienced significant improvements in clinical, FEV1, and laboratory outcomes after dupilumab therapy. However, these improvements were not maintained when comparing CRSwNP with CRSsNP. There were no significant differences between those with and without NP regarding ACT and OCs use or laboratory (eosinophilic count, serum IgE level) parameters. Further prospective multicenter studies are warranted.

Indexed as

Antibodies, Monoclonal, HumanizedAsthmaNasal PolypsRhinosinusitisAdultBiological TherapyChronic DiseaseFemaleHumansImmunoglobulin EMaleMiddle AgedRetrospective StudiesSaudi ArabiaSeverity of Illness IndexTreatment OutcomeAntibodies, Monoclonal, HumanizeddupilumabImmunoglobulin EClinicalComparisonNasal polypsOutcomesRhinosinusitisSaudi ArabiaSevere asthmaSNOTT-22

Identifiers

PMID38978039
PMCPMC11232303

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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.