Evidence map›Paper›PMID 41055835›Full record

SynthesisCurrent allergy and asthma reports2025

Phenotypic Features of Central Compartment Atopic Disease Compared with Other Types of Chronic Rhinosinusitis: A Systematic Review.

Julissa Vizcarra-Melgar, Ramón Moreno-Luna, Daniel Martín-Jiménez, Concepción Gago-Torres, Carmen Palma-Martínez, Miriam González-García, Lucía Prieto-Sánchez De Puerta, Meritxell Clarí-Comes, Jaime González-García, Pedro Infante-Cossío and 1 more

Abstract readSystematic ReviewComparative Study
PubMed Publisher
In one paragraph

Synthesis in Current allergy and asthma reports, 2025. 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. Article
  2. Rationale of New Grading System: Central Compartment Atopic Disease.International forum of allergy & rhinology · 2026
    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

11 authors.

Julissa Vizcarra-Melgar *Department of Otolaryngology, Head and Neck Surgery, Sant Joan Despí Moisès Broggi Hospital, Barcelona, Spain. dra.vizcarra.orl@gmail.com.
Ramón Moreno-Luna *Rhinology Unit, Department of Otolaryngology, Head and Neck Surgery, Virgen Macarena University Hospital, Seville, Spain. ramoluorl@gmail.com.ORCID http://orcid.org/0000-0003-0640-0550
Daniel Martín-JiménezDepartment of Otolaryngology, Head and Neck Surgery, Alava University Hospital, Alava, Spain. danimartin12@live.com.ORCID http://orcid.org/0000-0002-4840-2485
Concepción Gago-TorresRhinology Unit, Department of Otolaryngology, Head and Neck Surgery, Virgen Macarena University Hospital, Seville, Spain.
Carmen Palma-MartínezRhinology Unit, Department of Otolaryngology, Head and Neck Surgery, Virgen Macarena University Hospital, Seville, Spain.
Miriam González-GarcíaRhinology Unit, Department of Otolaryngology, Head and Neck Surgery, Virgen Macarena University Hospital, Seville, Spain.
Lucía Prieto-Sánchez De PuertaRhinology Unit, Department of Otolaryngology, Head and Neck Surgery, Virgen Macarena University Hospital, Seville, Spain.
Meritxell Clarí-ComesDepartment of Otolaryngology, Head and Neck Surgery, Alava University Hospital, Alava, Spain.
Jaime González-GarcíaRhinology Unit, Department of Otolaryngology, Head and Neck Surgery, Virgen Macarena University Hospital, Seville, Spain.
Pedro Infante-CossíoDepartment of Surgery, School of Medicine, University of Seville, Seville, 41009, Spain.ORCID http://orcid.org/0000-0002-2770-8573
Serafín Sánchez-GómezRhinology Unit, Department of Otolaryngology, Head and Neck Surgery, Virgen Macarena University Hospital, Seville, Spain.ORCID http://orcid.org/0000-0002-5897-7821

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purpose of reviewCentral Compartment Atopic Disease (CCAD) is an emerging phenotype of chronic rhinosinusitis. The absence of a standardized diagnostic framework and the presence of heterogeneous reported characteristics underscore the importance of consolidating current knowledge on CCAD. This review aims to enhance understanding of the CCAD phenotype by focusing on its clinical and radiologic features, its association with inhalant allergies, and its therapeutic implications in comparison with other chronic rhinosinusitis phenotypes.

methodsA systematic review was conducted through searches in five databases from 2017 to June 2025 following SWiM guidelines. The methodological quality and risk of bias of the included studies were evaluated using the Oxford Centre for Evidence-Based Medicine criteria. Data were analyzed using descriptive and qualitative synthesis.

resultsSeventeen studies were included for qualitative synthesis. CCAD diagnosis relied mainly on endoscopic and radiologic findings, often supported by allergy testing. Most patients showed lower rates of asthma, with variable allergic sensitization rates across populations and elevated blood and tissue eosinophils. Compared to other phenotypes, CCAD showed milder disease and favorable outcomes after endoscopic sinus surgery.

conclusionCCAD presents unique clinical and immunologic features that differ from other chronic rhinosinusitis subtypes. Standardized diagnostic criteria are needed to improve recognition and guide tailored management strategies.

Indexed as

Hypersensitivity, ImmediateRhinitisSinusitisChronic DiseaseHumansPhenotypeRhinosinusitisAllergic rhinitis5Central compartment atopic disease1Chronic rhinosinusitis2Eosinophilic inflammation3Type 2 inflammation4

Identifiers

What OpenQuestion holds

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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.