Evidence map›Paper›PMID 41257420›Full record

ArticleClinical and translational allergy2025

Variability of Diagnostic Outcomes in Nasal Allergen Challenge: The Role of Combined Subjective and Objective Indicators.

Yu Zhang, Yu Song, Xu Zhang, Jingyun Li, Zengxiao Zhang, Lin Xi, Luo Zhang, Yuan Zhang

Abstract read
In one paragraph

Article in Clinical and translational allergy, 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

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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
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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.

Yu ZhangDepartment of Allergy, Beijing Tongren Hospital, Capital Medical University, Beijing, China.ORCID https://orcid.org/0009-0009-6733-6338
Yu SongDepartment of Allergy, Beijing Tongren Hospital, Capital Medical University, Beijing, China.
Xu ZhangDepartment of Allergy, Beijing Tongren Hospital, Capital Medical University, Beijing, China.
Jingyun LiDepartment of Otolaryngology Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, Beijing, China.
Zengxiao ZhangDepartment of Allergy, Beijing Tongren Hospital, Capital Medical University, Beijing, China.ORCID https://orcid.org/0000-0002-4161-0994
Lin XiDepartment of Allergy, Beijing Tongren Hospital, Capital Medical University, Beijing, China.
Luo ZhangDepartment of Allergy, Beijing Tongren Hospital, Capital Medical University, Beijing, China.ORCID https://orcid.org/0000-0002-0910-9884
Yuan ZhangDepartment of Allergy, Beijing Tongren Hospital, Capital Medical University, Beijing, China.ORCID https://orcid.org/0000-0003-1080-4267

Funding

Beijing Hospitals Authority Clinical Medicine Development of Special Funding ZLRK202303National Key Research and Development Program of China 2022YFC2504100National Natural Science Foundation of China 82071022National Natural Science Foundation of China 82471132Program for the Changjiang Scholars and Innovative Research Team IRT13082
6 · The paper itself

Abstract

backgroundNasal allergen challenge (NAC) is currently the only available test to confirm nasal responsiveness to allergens and is a core diagnostic tool for allergic rhinitis. NAC is currently diagnosed by combining existing subjective measures and objective assessment methods in pairs to assess outcomes, based on a strong positive result for a single item or a moderately positive result for a combination of two items. However, there are few data on the diagnostic outcomes and characteristics of its various diagnostic combinations.

objectiveTo evaluate the differences and characteristics of various existing diagnostic methods (combinations of subjective and objective indicators) for NAC.

methodDuring January 2023-December 2024, patients with history of chronic rhinitis (CR) who experienced nasal symptoms upon exposure to dust, as well as healthy controls, were enrolled. Demographic and clinical data were collected, followed by a NAC with Dermatophagoides farinae (Df). Total nasal symptom score (TNSS), visual analog scales (VAS), acoustic rhinometry (AcRh), Active anterior rhinomanometry (AAR) and 4-phase-rhinomanometry (4PR) were used for assessment before and after NAC. The diagnostic results, minimum NAC concentration at positive trigger, and type of positive response (subjective or objective) were recorded.

resultA total of 180 patients and 133 healthy controls were enrolled in the study. Significant differences in positive rates were observed across the six diagnostic evaluation combinations (p = 0.001). The combination of subjective TNSS evaluation with objective AAR assessment demonstrated the highest positive rate among patients (55.6%), whereas the combination of subjective VAS evaluation with objective AcRh assessment yielded the lowest positive rate (31.7%). Furthermore, when diagnostic combinations triggered positive results, they favored strong objective positivity.

conclusionThe diagnostic results derived from pairwise combinations of various subjective measurements and objective assessments exhibit variability, with objective assessments demonstrating a higher propensity to yield positive results compared to subjective measurements.

Indexed as

allergic rhinitisDermatophagoides farinaediagnostic toolsnasal allergen challengesserum‐specific IgE

Identifiers

PMID41257420
PMCPMC12628074

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