Evidence mapPaperPMID 33332460Full record

ArticlePloS one2020

Level of sex hormones and their association with acetylsalicylic acid intolerance and nasal polyposis.

Julia Espersen, Ursula Weber, Ariane Römer-Franz, Thomas Lenarz, Stefan R O Stolle, Athanasia Warnecke

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.4field-weighted citation impact, top 17% of its field
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

11 citing papers in PubMed, 18 citations in OpenAlex.

  1. Article
  2. Effects of urban PM2.5 on primary sinonasal epithelial cells in individuals with chronic rhinosinusitis.Toxicological sciences : an official journal of the Society of Toxicology · 2026
    Article
  3. Biological Sex and Chronic Rhinosinusitis Diagnosis and Biomarkers.JAMA otolaryngology-- head & neck surgery · 2026
    Article
  4. Article
  5. Sex Hormones and the Risk of Nasal Polyps: A Two-Sample Mendelian Randomization Study.World journal of otorhinolaryngology - head and neck surgery · 2025
    Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Hormonal Effects on Asthma, Rhinitis, and Eczema.The journal of allergy and clinical immunology. In practice · 2022
    Review
  11. 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

6 authors at 1 institution in 1 country.

Julia EspersenDepartment of Otolaryngology, Hannover Medical School, Hannover, Germany.
Ursula WeberDepartment of Otolaryngology, Hannover Medical School, Hannover, Germany.
Ariane Römer-FranzDepartment of Otolaryngology, Hannover Medical School, Hannover, Germany.
Thomas LenarzDepartment of Otolaryngology, Hannover Medical School, Hannover, Germany.
Stefan R O StolleDepartment of Otolaryngology, Hannover Medical School, Hannover, Germany.
Athanasia WarneckeDepartment of Otolaryngology, Hannover Medical School, Hannover, Germany.ORCID 0000-0001-9652-1035
Medizinische Hochschule Hannover · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChronic rhinosinusitis may be associated with nasal polyposis. Recurrence of disease is often observed and may be due to an intolerance of acetylsalicylic acid. Sex hormones are known to modulate allergic reactions and inflammation. Whether they may be involved in the development and progression of nasal polyposis has not been investigated yet.

aimExamine the relationship between levels of sex hormones and nasal polyposis.

methodsHormonal levels (estradiol, testosterone and progesterone) in patients with nasal polyposis (n = 26) with or without acetylsalicylic acid-intolerance were determined and compared to hormonal levels in patients with septal deviation (n = 35). Cone-beam computed tomography scans were analysed by using scores as defined by Lund and Mackay and by Kennedy.

resultsOur results show a 5 times greater odds (p = 0.01) for developing nasal polyposis in the presence of lowered estradiol plasma levels than in the presence of normal / elevated levels. When analyzing females and males separately, a 6 times greater odds for females to develop nasal polyposis in the presence of lowered estradiol plasma levels was calculated (p = 0.02). Thus, females are more likely to develop nasal polyposis when they have lowered estradiol levels than males. In addition, female patients showed an increased risk for developing ASA intolerance (p = 0.01).

conclusionVariation of sex hormones may be involved in nasal polyposis. Further studies including more patients to validate the presented results are required. SIGNIFICANCE: Retrospective clinical investigation suggesting a correlation between varying sex hormones and nasal polyposis.

Indexed as

AdultAgedAged, 80 and overAspirinChronic DiseaseCone-Beam Computed TomographyDrug HypersensitivityEstradiolFemaleHumansIncidenceMaleMiddle AgedNasal MucosaNasal PolypsProgesteroneAspirinEstradiolProgesteroneTestosterone

Identifiers

PMID33332460
PMCPMC7746182
OpenAlexW3112471711

What Socratic holds

Textmetadata
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 Socratic graph.