Evidence map›Paper›PMID 42038094›Full record

ArticleLaryngoscope investigative otolaryngology2026

Weight Loss and Chronic Rhinosinusitis in the Obese Population: Associations With Disease Risk and Burden.

Zain Mehdi, Akshay R Prabhakar, Jagan M R Dwarampudi, Justina R Varghese, Heli Majeethia, Faizaan Khan, Roshan Dongre, Franklin M Wu, Aatin Dhanda, Sebastian Guadarrama-Sistos-Vazquez and 8 more

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

18 authors.

Zain MehdiDepartment of Otolaryngology - Head and Neck Surgery Houston Methodist Hospital Houston Texas USA.ORCID https://orcid.org/0000-0002-8665-2725
Akshay R PrabhakarDepartment of Otolaryngology - Head and Neck Surgery Houston Methodist Hospital Houston Texas USA.
Jagan M R DwarampudiDepartment of Electrical and Computer Engineering University of Houston Houston Texas USA.
Justina R VargheseDepartment of Otolaryngology - Head and Neck Surgery Houston Methodist Hospital Houston Texas USA.
Heli MajeethiaDepartment of Otolaryngology - Head and Neck Surgery Houston Methodist Hospital Houston Texas USA.
Faizaan KhanTexas A&M University School of Engineering Medicine Houston Texas USA.
Roshan DongreTexas A&M University School of Engineering Medicine Houston Texas USA.
Franklin M WuDepartment of Otolaryngology - Head and Neck Surgery Houston Methodist Hospital Houston Texas USA.
Aatin DhandaDepartment of Otolaryngology - Head and Neck Surgery Houston Methodist Hospital Houston Texas USA.ORCID https://orcid.org/0000-0002-8926-7662
Sebastian Guadarrama-Sistos-VazquezDepartment of Otolaryngology - Head and Neck Surgery Houston Methodist Hospital Houston Texas USA.
Tania BanerjeeDepartment of Information Science Technology University of Houston Houston Texas USA.
Renjie HuDepartment of Information Science Technology University of Houston Houston Texas USA.
Amber U LuongDepartment of Otorhinolaryngology - Head and Neck Surgery McGovern Medical School at the University of Texas Health Science Center Houston Texas USA.ORCID https://orcid.org/0000-0001-6078-8010
Dennis M TangDivision of Otolaryngology - Head and Neck Surgery Cedars Sinai Medical Center California Los Angeles USA.
Edward D McCoulDepartment of Otorhinolaryngology and Communication Sciences Ochsner Clinic Foundation New Orleans Louisiana USA.ORCID https://orcid.org/0000-0003-1812-2105
Mohammad ChaabanDepartment of Otolaryngology - Head and Neck Surgery Cleveland Clinic Head and Neck Institute Cleveland Ohio USA.ORCID https://orcid.org/0000-0002-4914-5302
Masayoshi TakashimaDepartment of Otolaryngology - Head and Neck Surgery Houston Methodist Hospital Houston Texas USA.ORCID https://orcid.org/0000-0001-9790-3529
Omar G AhmedDepartment of Otolaryngology - Head and Neck Surgery Houston Methodist Hospital Houston Texas USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: Obesity is associated with increased risk and severity of chronic rhinosinusitis (CRS), yet the impact of weight loss (WL) on CRS development and burden is not well defined. This study investigates whether weight reduction influences the likelihood of developing CRS and improves clinical outcomes among obese adults. Methods: Retrospective cohort study using the NIH All of Us database. Obese adults (BMI ≥ 30) with complete demographics and follow-up were included. To assess CRS onset, patients were stratified into sequential WL cohorts and followed for 1 year. To assess CRS outcomes, patients who lost ≥ 5 BMI points were categorized into any WL (AWL), unsustained WL (UWL), or sustained WL (SWL; ≥ 1, 2, 3 years) and compared with no WL (NWL) controls matched on demographics and healthcare visit frequency. Time-to-event analyses used Kaplan-Meier and Cox models to evaluate CRS onset. Among CRS patients, follow-up visits, new nasal symptoms, and medication use were analyzed using odds ratios (ORs). Results: Among 3203 obese patients, a ≥ 5-BMI decrease was associated with reduced CRS risk versus NWL (HR 0.57, 95% CI 0.37-0.87). Of 2714 obese CRS patients, 537 lost weight. Two-year SWL was associated with fewer follow-up CRS visits versus NWL (10.4% vs. 20.1%; OR 0.46, 95% CI 0.24-0.90). Any SWL demonstrated lower odds of nasal symptoms, and 2-year SWL demonstrated reduced antibiotic usage (OR 0.43, 95% CI 0.21-0.88). Conclusion: Sustained WL may reduce both the risk of developing CRS and the burden of ongoing disease, supporting its relevance as a potential adjunctive management strategy. Level of Evidence: Level III.

Indexed as

body mass indexchronic rhinosinusitisobesityweight loss

Identifiers

PMID42038094
PMCPMC13109781

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.