Evidence map›Paper›PMID 40227995›Full record

ArticleThe Laryngoscope2025

Allergic Rhinitis-Underrepresented Populations and Barriers to Healthcare Access.

Sophia J Peifer, Zachary M Helmen, Stuart Duffield, Chloe Shields, Shray Mehra, David K Lerner, Shekhar K Gadkaree

Abstract read
In one paragraph

Article in The Laryngoscope, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

7 authors.

Sophia J PeiferDepartment of Otolaryngology, University of Miami Miller School of Medicine, Miami, Florida, USA.ORCID 0009-0001-8408-3549
Zachary M HelmenDepartment of Otolaryngology, University of Miami Miller School of Medicine, Miami, Florida, USA.ORCID 0000-0002-9034-555X
Stuart DuffieldEmory University School of Medicine, Atlanta, Georgia, USA.
Chloe ShieldsDepartment of Otolaryngology, University of Miami Miller School of Medicine, Miami, Florida, USA.
Shray MehraDepartment of Otolaryngology, University of Miami Miller School of Medicine, Miami, Florida, USA.
David K LernerDepartment of Otolaryngology, University of Miami Miller School of Medicine, Miami, Florida, USA.ORCID 0000-0002-0431-2920
Shekhar K GadkareeDepartment of Otolaryngology, University of Miami Miller School of Medicine, Miami, Florida, USA.

Funding

Miami Clinical and Translational Science InstituteUM1TR004556 · NCATS · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI Olveen Carrasquillo, ERIN N KOBETZ · 2023 to 2026
$16.0M
National Center For Advancing Translational Sciences of the National Institutes of Health UM1TR004556NCATS NIH HHS UM1 TR004556
6 · The paper itself

Abstract

objectiveTo establish the prevalence of allergic rhinitis (AR), categorized by demographics and barriers to healthcare, and the prevalence of antihistamine and nasal steroid use in these subgroups.

methodsWe performed a retrospective, cross-sectional study utilizing the All of Us Database. Sociodemographic factors among AR patients were compared via Chi-Square analysis and multivariable logistic regression (MLR). Subgroups of AR patients with or without nasal steroid spray or oral antihistamine listed in the electronic health record (EHR) were compared via chi-square analysis and MLR.

results47,224 participants were identified with AR, an 11.6% estimated prevalence. AR patients were more commonly White (12.8% vs. 10.6%, p < 0.001), female (13.1% vs. 9.1%, p < 0.001), and older than 65 (14.7% vs. 7.6% vs. 11.6%, p < 0.001). MLR identified older age (OR 1.018, CI: 1.017-1.018), income > $35,000 (OR 1.035, CI: 1.021-1.049), finishing high school/college (OR 1.140, CI: 1.113-1.167; OR 1.113, CI: 1.085, 1.142), and health insurance coverage (OR 2.003, CI: 1.924-2.087) as predictive factors for AR. Patients with nasal steroid spray and/or oral antihistamine listed in the EHR were more commonly Black (OR 1.250, CI: 1.177-1.328; OR 1.491, CI: 1.398-1.590) and had an income < $35,000 (OR 0.856, CI: 0.814-0.900; OR 0.724, CI: 0.687-0.764).

conclusionAR patients were more likely to be insured, while oral antihistamines/nasal steroid spray listed in the EHR were associated with lower income and Black race. These results highlight the barriers to AR diagnoses and treatment and the need for providers to ensure that underserved patients are offered appropriate care. LEVEL OF EVIDENCE: 3:

Indexed as

Health Services AccessibilityRhinitis, AllergicAdolescentAdultAgedChildCross-Sectional StudiesFemaleHistamine AntagonistsHumansMaleMiddle AgedPrevalenceRetrospective StudiesUnited StatesYoung AdultHistamine Antagonistsallergic rhinitisbarriers to carefluticasonesocioeconomic status

Identifiers

PMID40227995
PMCPMC12371843

What OpenQuestion holds

Textmetadata
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.