Evidence map›Paper›PMID 41477026›Full record

ArticleLaryngoscope investigative otolaryngology2026

Chronic Rhinosinusitis and Autoimmune Diseases: A Comprehensive Large Population-Based Analysis.

Robert E Africa, Brian J McKinnon, Charles A Hughes, Scott A Hardison

Abstract read
In one paragraph

Article in Laryngoscope investigative otolaryngology, 2026. 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

4 authors.

Robert E AfricaDepartment of Otolaryngology-Head and Neck Surgery University of Texas Medical Branch Galveston Texas USA.ORCID https://orcid.org/0000-0001-6408-3077
Brian J McKinnonDepartment of Otolaryngology-Head and Neck Surgery University of Texas Medical Branch Galveston Texas USA.ORCID https://orcid.org/0000-0002-2257-4721
Charles A HughesDepartment of Otolaryngology-Head and Neck Surgery University of Texas Medical Branch Galveston Texas USA.
Scott A HardisonDepartment of Otolaryngology-Head and Neck Surgery University of Texas Medical Branch Galveston Texas USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: To evaluate associations between a wide variety of autoimmune diseases and chronic rhinosinusitis without nasal polyposis (CRSsNP), CRS with nasal polyposis (CRSwNP), and the need for endoscopic sinus surgery. Methods: This is a multicenter retrospective study from January 1, 2010 to July 31, 2025 utilizing data from 106 healthcare organizations in the United States. The TriNetX database was used to identify adult patients over 18 years with a specified autoimmune disease from a comprehensive list that were included in the study. These groups were compared to patients without autoimmune diseases. The evaluated outcomes included the rate of developing CRSsNP, CRSwNP, and the need for endoscopic sinus surgery. Results: Higher rates of CRSsNP and CRSwNP were noted in patients with certain autoimmune diseases. In patients with CRSsNP, a higher likelihood of undergoing sinus surgery was identified for Graves' disease, multiple sclerosis, rheumatoid arthritis, and systemic lupus erythematosus (RR: 1.84 [1.60-2.13]; 1.20 [1.02-1.43]; 1.19 [1.09-1.29]; 1.30 [1.05-1.61]). Among patients with CRSwNP, a higher rate of surgery was associated with eosinophilic esophagitis, Hashimoto's disease, and ulcerative colitis (RR: 1.08 [1.02-1.14]; 1.06 [1.02-1.11]; 1.15 [1.04-1.32]). Conclusions: A wide variety of autoimmune diseases are associated with CRSsNP and CRSwNP. The autoimmune diseases that were associated with a higher rate of surgery were rheumatoid arthritis and Graves' disease. Level of Evidence: 3.

Indexed as

autoimmune diseasesbig databaseschronic rhinosinusitischronic rhinosinusitis with nasal polyposisfunctional endoscopic sinus surgery

Identifiers

PMID41477026
PMCPMC12750445

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.