Evidence map›Paper›PMID 41645639›Full record

ArticleAllergy2026

Comorbid Chronic Rhinosinusitis and Asthma: Shared Risk Factors and Treatment Implications-An EAACI Task Force Report.

Sanna Toppila-Salmi, Sietze Reitsma, Valérie Hox, Simon Gane, Philippe Gevaert, Juan Maza-Solano, Alma Helevä, Ida Sulku, Kaisa Santala, Iiris Kangasniemi and 12 more

Abstract readConsensus Statement
In one paragraph

Article in Allergy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. 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

22 authors.

Sanna Toppila-SalmiDepartment of Otorhinolaryngology, University of Eastern Finland, Joensuu and Kuopio, Finland.ORCID https://orcid.org/0000-0003-0890-6686
Sietze ReitsmaDepartment of Otorhinolaryngology/Head-Neck Surgery, Amsterdam University Medical Center, University of Amsterdam, Amsterdam, the Netherlands.ORCID https://orcid.org/0000-0003-1734-2632
Valérie HoxDepartment of Otorhinolaryngology, Head and Neck Surgery, Cliniques Universitaires Saint-Luc, Brussels, Belgium.
Simon GaneRoyal National Ear, Nose and Throat and Eastman Dental Hospital, University College London Hospitals NHS Trust, London, UK.
Philippe GevaertUpper Airways Research Laboratory, Department of Head and Skin, Ghent University, Ghent, Belgium.ORCID https://orcid.org/0000-0002-1629-8468
Juan Maza-SolanoRhinology and Skull Base Unit, Department of Otolaryngology, University Hospital Virgen del Rocío, Seville, Spain.
Alma HeleväDepartment of Allergology, Inflammation Center, Helsinki University Hospital and University of Helsinki, Helsinki, Finland.ORCID https://orcid.org/0009-0000-7289-358X
Ida SulkuDepartment of Otorhinolaryngology, University of Eastern Finland, Joensuu and Kuopio, Finland.
Kaisa SantalaDepartment of Otorhinolaryngology, University of Eastern Finland, Joensuu and Kuopio, Finland.
Iiris KangasniemiDepartment of Otorhinolaryngology, University of Eastern Finland, Joensuu and Kuopio, Finland.
Ludger KlimekCenter for Rhinology and Allergology, Wiesbaden, Germany.ORCID https://orcid.org/0000-0002-2455-0192
Adam ChakerDepartment of Otorhinolaryngology and Center for Allergy and Environment, Technical University of Munich, Munich, Germany.
Aspasia KaraveliaENT Department, General Hospital of Kalamata, Kalamata City, Greece.
Michael RudenkoLondon Allergy and Immunology Centre, London, UK.
Oliver PfaarSection of Rhinology and Allergy, Department of Otorhinolaryngology, Head and Neck Surgery, University Hospital Marburg, Philipps-Universität Marburg, Marburg, Germany.ORCID https://orcid.org/0000-0003-4374-9639
Laura Van GervenDepartment of Otorhinolaryngology, Head and Neck Surgery, University Hospitals Leuven, Leuven, Belgium.
Shaari ArianaDepartment of Otolaryngology-Head and Neck Surgery, Rutgers New Jersey Medical School, Newark, New Jersey, USA.
Michele SchiappoliAllergy Department & Asthma Center Medico Chirurgo, Azienda Ospedaliera Universitaria Integrata Verona, Università degli Studi di Padova, Verona, Veneto, Italy.
Marie LundbergDepartment of Otorhinolaryngology - Head and Neck Surgery, Helsinki University Hospital and University of Helsinki, Helsinki, Finland.
Jan HagemannCenter for Rhinology and Allergology, Wiesbaden, Germany.ORCID https://orcid.org/0000-0002-9846-7850
Ibon Eguíluz-GraciaAllergy Unit, Hospital Regional Universitario de Malaga, IBIMA-Plataforma BIONAND, RICORS Enfermedades Inflamatorias, Malaga, Spain.ORCID https://orcid.org/0000-0002-3774-931X
Andre MoreiraCentro Hospitalar Universitário São João, Porto, Portugal.

Funding

Allergy Research FoundationEuropean Academy of Allergy and Clinical Immunology (EAACI) under the EAACI (project Prevalence and predictive factors for comorbid CRS and asthma 40211Foundation of the Finnish Anti-Tuberculosis AssociationState funding for university-level health researchTampereen Tuberkuloosisäätiö
6 · The paper itself

Abstract

Chronic rhinosinusitis (CRS) and asthma are prevalent conditions that often coexist. These diseases share common inflammatory mechanisms, such as T-helper cell 2 (T2)-high inflammation, driven by interleukin (IL)-4, IL-5, and IL-13 cytokines. The frequent comorbidity between CRS, especially CRS with nasal polyps (CRSwNP), and asthma exacerbates disease severity, impairs quality of life, and complicates treatment. Patients with NSAID-exacerbated respiratory disease (N-ERD) represent a severe phenotype of this disease, characterized by the coexistence of CRSwNP, asthma, and NSAID hypersensitivity, which poses unique therapeutic challenges. This EAACI Task Force explores the shared risk factors, including genetic predispositions, epithelial barrier dysfunction, microbiome dysbiosis, underlying CRS, and asthma. It also evaluates current therapeutic strategies such as biologics, aspirin therapy after desensitization (ATAD), and endoscopic sinus surgery (ESS). Biologics have shown their effectiveness and safety in the treatment of asthma and CRS. Dupilumab, mepolizumab, depemokimab, and omalizumab have emerged as transformative therapies, particularly for patients with severe type 2 inflammation. Tezepelulumab is effective for both T2-high and T2-low asthma and CRSwNP. Itepekimab has shown its effect in asthma and is under investigation for CRSwNP. Omalizumab is effective in allergic asthma and CRSwNP. ATAD provides an additional disease-modifying approach for N-ERD, though patient adherence and tolerability remain critical challenges. ESS significantly improves asthma control, reduces medication use, and enhances sinonasal outcomes, particularly in severe asthma cases; however, these patients often need recurring surgeries. Despite these advances, treatment outcomes vary based on individual phenotypes and endotypes, underscoring the need for personalized approaches. The report highlights gaps in the literature, such as the lack of head-to-head trials comparing biologics, ATAD, and surgery. Future research should focus on refining treatment algorithms, identifying biomarkers for treatment selection, and assessing long-term outcomes to optimize care for patients with CRS, asthma, and N-ERD.

Indexed as

AsthmaRhinosinusitisChronic DiseaseComorbidityHumansNasal PolypsRisk Factorsasthmaasthma treatmentENT (rhinitis, sinusitis, nasal polyps…)

Identifiers

PMID41645639
PMCPMC13040647

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.