Evidence‐based recommendations regarding the differential diagnosis and assessment of nasal congestion: using the new GRADE system
Abstract
Nasal congestion is an important symptom in nasal pathology and can be defined as an objective restriction of nasal cavity airflow because of mucosal pathology and/or increased mucus secretion (excluding anatomical variants). Using the new Grading Recommendations Assessment, Development and Evaluation system, evidence-based recommendations are made that will encompass different clinical questions regarding diagnostic modalities of nasal congestion: (i) their usefulness in assessment of presence and severity of congestion; (ii) their usefulness in assessment of etiological pathology responsible for congestion; and (iii) their usefulness in follow up and treatment effectiveness evaluation of nasal congestion.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Medical history and physical examination are the basis for drawing up a proper diagnostic-therapeutic plan for nasal obstruction.
“Medical history and physical examination are the basis for drawing up a proper diagnostic-therapeutic plan for NO [21].”
From Position Paper on Nasal Obstruction: Evaluation and Treatment (2018) · cites this paper as [21]
Cites
Fokkens, W. J., Lund, V. J., Mullol, J., Bachert, C., Alobid, I., Baroody, F., Cohen, N., Cervin, A., Douglas, R., Gevaert, P., et al. (2012) · Rhinology journal · doi:10.4193/rhino12.000 · Cited by 2,387 · see citing works
Self-citation
Flagged first, then by citations
Cited by
Sorted by citations
Guastella, A. J., Hickie, I. B., McGuinness, M. M., Otis, M., Woods, E. A., Disinger, H. M., Chan, H.-K., Chen, T. F., & Banati, R. B. (2013) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2012.11.019 · Cited by 357 · see citing works
Position Paper on Nasal Obstruction: Evaluation and Treatment
SEAIC Rhinoconjunctivitis Committee & SEORL Rhinology, A., Valero, A., Navarro, A., del Cuvillo, A., Alobid, I., Benito, Jr., Colás, C., de los Santos, G., Fernández Liesa, R., García-Lliberós, A., et al. (2018) · Journal of Investigational Allergology and Clinical Immunology · doi:10.18176/jiaci.0232 · Cited by 76 · see citing works
Mendes, A. I. S., Wandalsen, G. F., & Solé, D. (2012) · Jornal de Pediatria · doi:10.2223/jped.2213 · Cited by 35 · see citing works
- Authors
- Van Spronsen, E., Ingels, K. J. A. O., Jansen, A. H., Graamans, K., & Fokkens, W. J.
- Affiliations
- Radboud University Medical Center (NL)
- Amsterdam UMC Location University of Amsterdam (NL)
- Venue
- Allergy
- Publisher
- Wiley
- Published
- 2008-06-28
- Volume
- 63
- Issue
- 7
- Pages
- 820-833
- ISSN
- 0105-4538 (ISSN-L)
- 1398-9995
- OpenAlex
- W2122464394
- Cited by
- 70
- References
- 1
- Citations by year
- 2025: 2 · 2024: 1 · 2023: 6 · 2022: 1 · 2021: 4 · 2020: 2 · 2019: 4 · 2018: 3 · 2017: 4 · 2016: 4 · 2015: 7 · 2014: 3 · 2013: 2 · 2012: 13
- FWCI
- 0.80
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Allergy (publishedVersion)
- PubMed (publishedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- Pure Amsterdam UMC (submittedVersion)
- Radboud Repository (Radboud University) (submittedVersion)
- Topics
- Health Sciences › Medicine › Surgery › Nasal Surgery and Airway Studies
- Health Sciences › Medicine › Otorhinolaryngology › Sinusitis and nasal conditions
- Health Sciences › Medicine › Immunology and Allergy › Allergic Rhinitis and Sensitization
- Keywords
- nasal congestion, differential diagnosis, nasal obstruction, nasal airflow, mucus secretion, nasal mucosa, diagnostic methods, treatment efficacy assessment, evidence-based recommendations, GRADE
- MeSH terms
- Diagnosis, Differential, Humans, Medical History Taking, Mucus, Nasal Mucosa, Nasal Provocation Tests, Nitric Oxide, Physical Examination, Rhinitis, Severity of Illness Index, Nasal Obstruction, Practice Guidelines as Topic, Evidence-Based Medicine, Rhinometry, Acoustic, Rhinomanometry
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
