Tulasi Kota Karanth1, Veena Kota Laxminarayan Kl Karanth2, Bryan K Ward3, Bradford A Woodworth4, Laxminarayan Karanth5. 1. Kasturba Medical College, Manipal University, Karnataka, India. 2. Department of Surgery, Kasturba Medical College and Hospital, Manipal, India. 3. Division of Otology, Neurotology and Skull Base Surgery, Johns Hopkins Hospital, Baltimore, Maryland, USA. 4. University of Alabama, Birmingham, USA. 5. Department of Obstetrics and Gynaecology, Melaka-Manipal Medical College, Manipal Academy of Higher Education (MAHE), Melaka, Malaysia.
Abstract
BACKGROUND: Chronic rhinosinusitis frequently occurs in people with cystic fibrosis. Several medical interventions are available for treating chronic rhinosinusitis in people with cystic fibrosis; for example, different concentrations of nasal saline irrigations, topical or oral corticosteroids, antibiotics - including nebulized antibiotics - dornase alfa and modulators of the cystic fibrosis transmembrane conductance regulator (CFTR) (such as lumacaftor, ivacaftor or tezacaftor). However, the efficacy of these interventions is unclear. This is an update of a previously published review. OBJECTIVES: The objective of this review is to compare the effects of different medical interventions in people diagnosed with cystic fibrosis and chronic rhinosinusitis. SEARCH METHODS: We searched the Cochrane Cystic Fibrosis Trials Register, compiled from electronic database searches and hand searching of journals and conference abstract books. Date of last search of trials register: 09 September 2021. We also searched ongoing trials databases, other medical databases and the reference lists of relevant articles and reviews. Date of latest additional searches: 22 November 2021. SELECTION CRITERIA: Randomized and quasi-randomized trials of different medical interventions compared to each other or to no intervention or to placebo. DATA COLLECTION AND ANALYSIS: Two review authors independently assessed trials identified for potential inclusion in the review. We planned to conduct data collection and analysis in accordance with Cochrane methods and to independently rate the quality of the evidence for each outcome using the GRADE guidelines. MAIN RESULTS: We identified no trials that met the pre-defined inclusion criteria. The most recent searches identified 44 new references, none of which were eligible for inclusion in the current version of this review; 12 studies are listed as excluded and one as ongoing. AUTHORS' CONCLUSIONS: We identified no eligible trials assessing the medical interventions in people with cystic fibrosis and chronic rhinosinusitis. High-quality trials are needed which should assess the efficacy of different treatment options detailed above for managing chronic rhinosinusitis, preventing pulmonary exacerbations and improving quality of life in people with cystic fibrosis.
BACKGROUND: Chronic rhinosinusitis frequently occurs in people with cystic fibrosis. Several medical interventions are available for treating chronic rhinosinusitis in people with cystic fibrosis; for example, different concentrations of nasal saline irrigations, topical or oral corticosteroids, antibiotics - including nebulized antibiotics - dornase alfa and modulators of the cystic fibrosis transmembrane conductance regulator (CFTR) (such as lumacaftor, ivacaftor or tezacaftor). However, the efficacy of these interventions is unclear. This is an update of a previously published review. OBJECTIVES: The objective of this review is to compare the effects of different medical interventions in people diagnosed with cystic fibrosis and chronic rhinosinusitis. SEARCH METHODS: We searched the Cochrane Cystic Fibrosis Trials Register, compiled from electronic database searches and hand searching of journals and conference abstract books. Date of last search of trials register: 09 September 2021. We also searched ongoing trials databases, other medical databases and the reference lists of relevant articles and reviews. Date of latest additional searches: 22 November 2021. SELECTION CRITERIA: Randomized and quasi-randomized trials of different medical interventions compared to each other or to no intervention or to placebo. DATA COLLECTION AND ANALYSIS: Two review authors independently assessed trials identified for potential inclusion in the review. We planned to conduct data collection and analysis in accordance with Cochrane methods and to independently rate the quality of the evidence for each outcome using the GRADE guidelines. MAIN RESULTS: We identified no trials that met the pre-defined inclusion criteria. The most recent searches identified 44 new references, none of which were eligible for inclusion in the current version of this review; 12 studies are listed as excluded and one as ongoing. AUTHORS' CONCLUSIONS: We identified no eligible trials assessing the medical interventions in people with cystic fibrosis and chronic rhinosinusitis. High-quality trials are needed which should assess the efficacy of different treatment options detailed above for managing chronic rhinosinusitis, preventing pulmonary exacerbations and improving quality of life in people with cystic fibrosis.
Authors: J A Wagner; M L Moran; A H Messner; R Daifuku; C K Conrad; T Reynolds; W B Guggino; R B Moss; B J Carter; J J Wine; T R Flotte; P Gardner Journal: Hum Gene Ther Date: 1998-04-10 Impact factor: 5.695
Authors: J A Wagner; I B Nepomuceno; N Shah; A H Messner; M L Moran; A M Norbash; R B Moss; J J Wine; P Gardner Journal: J Gene Med Date: 1999 Jan-Feb Impact factor: 4.565
Authors: Felix Ratjen; Christopher Hug; Gautham Marigowda; Simon Tian; Xiaohong Huang; Sanja Stanojevic; Carlos E Milla; Paul D Robinson; David Waltz; Jane C Davies Journal: Lancet Respir Med Date: 2017-06-09 Impact factor: 30.700
Authors: John A Wagner; Ilynn B Nepomuceno; Anna H Messner; Mary Lynn Moran; Eric P Batson; Sue Dimiceli; Byron W Brown; Julie K Desch; Alexander M Norbash; Carol K Conrad; William B Guggino; Terence R Flotte; Jeffrey J Wine; Barrie J Carter; Thomas C Reynolds; Richard B Moss; Phyllis Gardner Journal: Hum Gene Ther Date: 2002-07-20 Impact factor: 5.695
Authors: John H Krouse; Randall W Brown; Stanley M Fineman; Joseph K Han; Andrew J Heller; Stephanie Joe; Helene J Krouse; Harold C Pillsbury; Matthew W Ryan; Maria C Veling Journal: Otolaryngol Head Neck Surg Date: 2007-05 Impact factor: 3.497