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- Title
Review and Analysis of Research Trends in Surgical Treatment of Pediatric Chronic Sinusitis.
- Authors
Shetty, Kunal R.; Soh, Helen H.; Kahn, Chase; Wang, Rita; Shetty, Anisha; Brook, Chris; Levi, Jessica R.
- Abstract
Background: Chronic sinusitis is a common otolaryngologic complaint with a significant impact on patients' quality of life. There is current debate and differences in quality of evidence regarding the best surgical management approach to pediatric chronic sinusitis. Objective: To investigate changes in publishing trends over time in surgical management of pediatric chronic sinusitis. Methods: A systematic literature review was conducted in January 2019 using Embase, PubMed, and Web of Science, of all articles that included surgical treatments for pediatric chronic sinusitis. Publications were grouped into 3 time periods: pre-1998, 1999–2008, and 2009–2018. In addition, a subgroup of publications pertaining to endoscopic sinus surgery, balloon sinuplasty, and adenoidectomy were grouped into 2-year periods since 1988 to compare the number of publications on each topic and to examine overall trends. Results: A total of 327 abstracts were included in the data collection and analysis. There was an overall significant increase in total number of publications (P <.0001), total number of authors (P =.001), and comparison studies (P =.003) from pre-1989 to 2018. Relative number of prospective studies, systemic review, and case studies/expert opinions have not significantly increased over time when comparing decades (P >.05). Among the surgery types, functional endoscopic sinus surgery has the most amount of publications regardless of year despite a statistically significant increase in publications pertaining to balloon sinuplasty in the pediatric literature from 1999–2008 to 2009–2018 (P =.001). Conclusions: Studies on pediatric chronic sinusitis have increased significantly during each of the last 2 decades with an increase in the concomitant number of authors and comparison studies. Although most publications are still Level C or D evidence, there has been a nonsignificant increase in Level A evidence in the past decade. Endoscopic sinus surgery still remains the most studied procedure despite the recent increase in publications on balloon sinuplasty.
- Subjects
PEDIATRIC therapy; SINUSITIS; TREND analysis; ENDOSCOPIC surgery; ADENOIDECTOMY
- Publication
American Journal of Rhinology & Allergy, 2020, Vol 34, Issue 3, p428
- ISSN
1945-8924
- Publication type
Article
- DOI
10.1177/1945892419896240