Evidence map›Paper›PMID 41721147›Full record

ArticleCurrent allergy and asthma reports2026

Standardization of Nasal Cytology: An Expert-based Delphi Consensus.

Alberto Macchi, Matteo Gelardi, Massimo Landi, Giulia Gramellini, Rossana Giancaspro, Liliana Nappi, Clara Imperatore, Corso Bocciolini, Veronica Seccia, Piero Pecoraro and 4 more

Abstract readConsensus Statement
In one paragraph

Article in Current allergy and asthma reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed.

  1. Review
  2. Article
  3. From tissue eosinophilia to cellular phenotyping in precision rhinology.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2026
    Article
  4. Local inflammation as a determinant of recurrence in CRSwNP: the clinical value of nasal cytology.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2026
    Article
  5. Review
  6. Nasal Cytology as a Local Biomarker of Airway Inflammation: A Paradigm Shift in Precision Medicine.Pathophysiology : the official journal of the International Society for Pathophysiology · 2026
    Article
  7. Article
  8. Review
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

14 authors.

Alberto MacchiENT Departement ASST Settelaghi (Varese, Italy), Head and Neck Research Foresic Center, Insubria University, Varese, Italy. alberto.macchi@asst-settelaghi.it.ORCID http://orcid.org/0000-0002-5239-9178
Matteo GelardiUnit of Otolaryngology, Department of Clinical and Experimental Medicine, University of Foggia, Foggia, Italy.ORCID http://orcid.org/0000-0003-4406-0008
Massimo LandiENT and Allergy Unit, Humanitas Cellini Clinical Institute, Turin, Italy.ORCID http://orcid.org/0000-0001-7587-4800
Giulia GramelliniUOC Otorinolaringoiatria, ASST GOM Niguarda, Milan, Italy.
Rossana GiancasproUnit of Otolaryngology, Department of Clinical and Experimental Medicine, University of Foggia, Foggia, Italy.ORCID http://orcid.org/0000-0002-5082-7271
Liliana NappiAllergy and Clinical Immunology Specialist, ASL Naples 3 South, Naples, Italy.
Clara ImperatoreU.O. Allergologia - Citologia Nasale, ASL Naples 1 Centre, Naples, Italy.ORCID http://orcid.org/0000-0002-0152-1022
Corso BoccioliniENT unit, Azienda Ospedaliera Ospedale Maggiore, Bologna, Italy.
Veronica SecciaOtolaryngology, Audiology, and Phoniatric Operative Unit, Department of Surgical, Medical, Molecular Pathology and Critical Care Medicine, Pisa University Hospital, Pisa, Italy.ORCID http://orcid.org/0000-0002-6297-8034
Piero PecoraroStudio O.R.L. srl, ASP 6 Palermo, Palermo, Italy.
Flavio ArnoneENT Department, Ospedali Santi Paolo e Carlo, Milan, Italy.ORCID http://orcid.org/0009-0005-3218-0442
Valentina RossiENT unit, AUSL Nord Ovest Massa Carrara e Versilia, Massa Carrara, Italy.
Enrico HefflerDepartment of Biomedical Sciences, Humanitas University, Pieve Emanuele, Italy.ORCID http://orcid.org/0000-0002-0492-5663
all AICNA members

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purpose of reviewStandardization of the methodological and interpretative criteria for nasal citology through a structured expert consensus. Using a modified Delphi process, 100 members of the Italian Academy of Nasal Cytology (AICNA)—including allergists, otorhinolaryngologists, and pulmonologists—participated in three iterative rounds of evaluation of 30 statements addressing sampling, staining, microscopic assessment, and clinical interpretation. RECENT

findingsThis consensus represents the first expert-based standardisation of nasal cytology methodology and interpretation, providing a robust framework for clinical and research applications. Nasal cytology is a simple, minimally invasive, and reproducible diagnostic technique that enables direct assessment of nasal epithelial and inflammatory cells. Despite its increasing use in the diagnosis and follow-up of allergic and non-allergic rhinitis, methodological variability has hindered its full standardisation. Consensus was defined as ≥ 70% agreement, using a likert scale ranging from 1 to 5, where scores > 3 indicated agreement. After three rounds, full or partial consensus was achieved for all 30 statements, confirming nasal cytology as a reliable, repeatable, and cost-effective diagnostic tool for assessing nasal inflammation. The consensus also established essential procedural standards, including sampling from the inferior turbinate, May–Grünwald–Giemsa staining, and semi-quantitative analysis of 50 microscopic fields. Moreover, the experts recognised nasal cytology as a valuable biomarker for the diagnosis, prognosis, and monitoring of rhinitis and chronic rhinosinusitis, and as a supporting instrument in precision medicine.

Indexed as

CytodiagnosisNasal MucosaRhinitisDelphi TechniqueHumansCytotypesDelphiMethodologyNasal cytologyNon-allergic rhinitis

Identifiers

PMID41721147
PMCPMC12923426

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.