Evidence map›Paper›PMID 41919747›Full record

SynthesisPediatric pulmonology2026

Systematic Review of Nasal Endoscopy Scores in Cystic Fibrosis Patients Treated With Cystic Fibrosis Transmembrane Conductance Regulator Modulators.

Rebecca Gallardo, Bruna Santos Silva, Lucas Sousa Salgado, José Dirceu Ribeiro, Eulalia Sakano

Abstract readSystematic Review
In one paragraph

Synthesis in Pediatric pulmonology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–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 synthesis or guideline pooled it.

  1. Pooled it
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

5 authors.

Rebecca GallardoDepartamento de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço, Universidade Estadual de Campinas (UNICAMP), Campinas, São Paulo, Brasil.ORCID https://orcid.org/0000-0002-3115-6054
Bruna Santos SilvaUniversity of Taubaté (UNITAU), Caraguatatuba, São Paulo, Brazil.ORCID https://orcid.org/0009-0000-4254-7088
Lucas Sousa SalgadoDepartamento de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço, Universidade Estadual de Campinas (UNICAMP), Campinas, São Paulo, Brasil.ORCID https://orcid.org/0000-0003-0065-5632
José Dirceu RibeiroDepartamento de Pediatria, Universidade Estadual de Campinas (UNICAMP), Campinas, São Paulo, Brasil.ORCID https://orcid.org/0000-0002-3387-5642
Eulalia SakanoDepartamento de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço, Universidade Estadual de Campinas (UNICAMP), Campinas, São Paulo, Brasil.ORCID https://orcid.org/0000-0002-5963-912X

Funding

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - Brasil (CAPES) (ROR identifier: 00x0ma614)
6 · The paper itself

Abstract

introductionCystic fibrosis (CF) is a severe genetic disorder caused by pathogenic variants in the Cystic Fibrosis Transmembrane Conductance Regulator (CFTR) gene, leading to multisystem complications including chronic rhinosinusitis and nasal polyposis. Recent advances in CFTR modulator therapies have revolutionized systemic disease control, but their impact on sinonasal disease remains less explored.

methodsA systematic review was conducted following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines and registered in International Prospective Register of Systematic Reviews (PROSPERO, registration number CRD42025632498). Searches were performed across PubMed/MEDLINE, Cochrane Library, and Embase through March 2025. Studies reporting nasal endoscopic outcomes using validated scoring systems before and after CFTR modulator therapy were included.

resultsOut of 232 identified records, 10 studies met inclusion criteria, representing populations from six countries. Most studies assessed triple therapy (Elexacaftor/Tezacaftor/Ivacaftor). Endoscopic scores, including the Modified Lund-Kennedy scale, showed significant reductions in nasal polyps, mucosal edema, and discharge. Pediatric and adult groups benefited alike, with triple therapy proving more effective than dual or monotherapy. Secondary outcomes included improved pulmonary function, weight gain, and olfactory recovery.

conclusionThis review demonstrates that CFTR modulators provide significant benefits for sinonasal disease in CF, reinforcing their role as a comprehensive therapeutic approach addressing both upper airway and systemic disease burdens.

Indexed as

Cystic FibrosisCystic Fibrosis Transmembrane Conductance RegulatorEndoscopyNasal PolypsRhinosinusitisAminophenolsBenzodioxolesChildHumansIndolesQuinolonesSinusitisAminophenolsBenzodioxolesCystic Fibrosis Transmembrane Conductance RegulatorIndolesQuinolonesCFTR modulatorschronic rhinosinusitiscystic fibrosisLund‐Kennedy scorenasal endoscopytriple therapy

Identifiers

PMID41919747
PMCPMC13041188

What OpenQuestion holds

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LicenceCC BY
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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.