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Kim DH, Kim SW, Han JS, Kim GJ, Basurrah MA, Kim SH, Hwang SH. Are statins effective in preventing chronic rhinosinusitis? A systematic review and meta-analysis. Clin Otolaryngol 2023; 48:820-827. [PMID: 37648372 DOI: 10.1111/coa.14096] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/09/2023] [Revised: 08/06/2023] [Accepted: 08/20/2023] [Indexed: 09/01/2023]
Abstract
OBJECTIVES To evaluate the association between statin use and chronic rhinosinusitis (CRS). DESIGN AND SETTING Systematic review and meta-analysis. The methodological quality of studies was assessed using the Newcastle-Ottawa scale. PARTICIPANTS Patients with CRS. MAIN OUTCOME MEASURES Pooled odds ratios (ORs) with 95% confidence interval (CIs) in analyses of studies that compared the prevalence of CRS, nasal polyp, difference of Lund-Kennedy endoscopic score, Lund-Mackay CT score and Sino-nasal Outcome Test-22. RESULTS The analysis included eight studies and 445 465 patients. Patients who used statins were at lower risk for CRS than those who did not (OR = 0.7457, 95% CI = 0.6629-0.8388, p < 0.0001, I2 = 0.0%). Patients with hyperlipidaemia were at higher risk for CRS than those with normal serum levels of lipid (OR = 1.3590, 95% CI = 1.2831-1.4394, p < 0.0001, I2 = 33.3%). However, there were no significant differences in the risk for nasal polyps between CRS patients using statins or not (OR = 1.0931, 95% CI = 0.7860-1.5202, p = 0.5968, I2 = 0.0%). Additionally, statin use was not related to Lund-Kennedy endoscopic scores, Lund-Mackay CT scores or sino-nasal outcome test-22 scores in CRS patients. CONCLUSION The risk for CRS is lower in patients who use statins and those without hyperlipidaemia.
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Affiliation(s)
- Do Hyun Kim
- Department of Otolaryngology-Head and Neck Surgery, Seoul Saint Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, South Korea
| | - Sung Won Kim
- Department of Otolaryngology-Head and Neck Surgery, Seoul Saint Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, South Korea
| | - Jae Sang Han
- Department of Otolaryngology-Head and Neck Surgery, Seoul Saint Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, South Korea
| | - Geun-Jeon Kim
- Department of Otolaryngology-Head and Neck Surgery, Seoul Saint Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, South Korea
| | | | - Sun Hong Kim
- Department of Otolaryngology-Head and Neck Surgery, Seoul Saint Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, South Korea
| | - Se Hwan Hwang
- Department of Otolaryngology-Head and Neck Surgery, Seoul Saint Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, South Korea
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Gao Y, Wang X, Gao L, Li X, Bai W. Body mass index affects the association between plasma lipids and peripheral eosinophils in a general chinese population: a cross-sectional survey. Lipids Health Dis 2023; 22:146. [PMID: 37679775 PMCID: PMC10483721 DOI: 10.1186/s12944-023-01909-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/04/2023] [Accepted: 08/23/2023] [Indexed: 09/09/2023] Open
Abstract
BACKGROUND Lipid metabolism affects type 2 immunity; however, the association between plasma lipids and eosinophilic inflammation in humans is uncertain. This study analysed the relationship between plasma lipids and peripheral eosinophils and whether patterns differ with different body mass indexes (BMI). METHODS A cross-sectional survey including 62,441 healthy participants recruited from a regular health screening programme was conducted. Participants were divided into normal weight, overweight and obese subgroups according to BMI. RESULTS Multiple linear regression analysis revealed that elevated logarithmic-transformed eosinophil counts (log(EOS)) significantly correlated with high total cholesterol(TC), triglyceride(TG), low-density lipoprotein-cholesterol (LDL-C), and low high-density lipoprotein-cholesterol (HDL-C)levels in the overall population, as well as in men and women, while certain associations between peripheral blood eosinophil percentage and serum lipids varied by gender. These correlations existed across almost all BMI subgroups, and standardised β values decreased sequentially with increasing BMI. HDL-C had the most significant effect on eosinophils in obese women. Two-factor analysis of variance showed log(EOS) increased with higher BMI and hyperlipidemia whether in male or female and a synergistic effect exists of lipid levels (TG and LDL-C) and BMI in men. CONCLUSIONS Blood eosinophil counts were correlated with blood lipid levels and modified by body mass index status. The effects of lipid levels and body mass index on blood eosinophil counts were synergistic. Therefore, lipid metabolism may be involved in systemic eosinophil inflammation.
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Affiliation(s)
- Yu Gao
- Department of Otorhinolaryngology, Shanxi Provincial People’s Hospital Affiliated to Shanxi Medical University, No. 29 of Twin Towers Temple Street, Taiyuan, Shanxi 030012 China
| | - Xiaocheng Wang
- Department of Statistics, Shanxi Provincial People’s Hospital Affiliated to Shanxi Medical University, No. 29 of Twin Towers Temple Street, Taiyuan, Shanxi 030012 China
| | - Lan Gao
- College of Basic Medicine, Shanxi University of Chinese Medicine, Jinzhong, Shanxi 030619 China
| | - Xin Li
- Department of Otorhinolaryngology, Shanxi Provincial People’s Hospital Affiliated to Shanxi Medical University, No. 29 of Twin Towers Temple Street, Taiyuan, Shanxi 030012 China
| | - Weihong Bai
- Department of Otorhinolaryngology, Shanxi Provincial People’s Hospital Affiliated to Shanxi Medical University, No. 29 of Twin Towers Temple Street, Taiyuan, Shanxi 030012 China
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Bulbul MG, Jones G, Shaikh N, Assi S, E Bailey C, Ramadan HH, Makary CA. Is there an association between chronic rhinosinusitis and statins? A single institution study. Int Forum Allergy Rhinol 2023; 13:184-187. [PMID: 35980343 DOI: 10.1002/alr.23075] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/16/2022] [Revised: 08/12/2022] [Accepted: 08/15/2022] [Indexed: 01/26/2023]
Affiliation(s)
- Mustafa G Bulbul
- Department of Otolaryngology - Head and Neck Surgery, West Virginia University School of Medicine, Morgantown, West Virginia, USA
| | - Garrett Jones
- Department of Otolaryngology - Head and Neck Surgery, West Virginia University School of Medicine, Morgantown, West Virginia, USA
| | - Noah Shaikh
- Department of Otolaryngology - Head and Neck Surgery, West Virginia University School of Medicine, Morgantown, West Virginia, USA
| | - Sahar Assi
- Faculty of Medicine, American University of Beirut, Beirut, Lebanon
| | - Christopher E Bailey
- Department of Otolaryngology - Head and Neck Surgery, West Virginia University School of Medicine, Morgantown, West Virginia, USA
| | - Hassan H Ramadan
- Department of Otolaryngology - Head and Neck Surgery, West Virginia University School of Medicine, Morgantown, West Virginia, USA
| | - Chadi A Makary
- Department of Otolaryngology - Head and Neck Surgery, West Virginia University School of Medicine, Morgantown, West Virginia, USA
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Min HK, Lee HJ, Doo JG, Kim SW, Min JY. The Effects of Statin Medications on Postoperative Outcomes in Patients With Chronic Rhinosinusitis. Clin Exp Otorhinolaryngol 2023; 16:95-97. [PMID: 36097843 PMCID: PMC9985982 DOI: 10.21053/ceo.2022.00780] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/03/2022] [Accepted: 08/08/2022] [Indexed: 11/22/2022] Open
Affiliation(s)
- Hye Kyu Min
- Department of Otorhinolaryngology-Head and Neck Surgery, Kyung Hee University Medical Center, Kyung Hee University School of Medicine, Seoul, Korea
| | - Hyun Ji Lee
- Department of Otorhinolaryngology-Head and Neck Surgery, Kyung Hee University Medical Center, Kyung Hee University School of Medicine, Seoul, Korea
| | - Jeon Gang Doo
- Department of Otorhinolaryngology-Head and Neck Surgery, Nowon Eulji Medical Center, Eulji University School of Medicine, Seoul, Korea
| | - Sung Wan Kim
- Department of Otorhinolaryngology-Head and Neck Surgery, Kyung Hee University Medical Center, Kyung Hee University School of Medicine, Seoul, Korea
| | - Jin-Young Min
- Department of Otorhinolaryngology-Head and Neck Surgery, Kyung Hee University Medical Center, Kyung Hee University School of Medicine, Seoul, Korea
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Rimmer RA, Mace JC, Gill A, Alt J, Detwiller K, Geltzeiler M, Smith TL, Farrell NF. Association of statins with quality of life and olfaction in patients with chronic rhinosinusitis. Int Forum Allergy Rhinol 2021; 12:237-239. [PMID: 34510817 DOI: 10.1002/alr.22880] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2021] [Revised: 07/15/2021] [Accepted: 07/21/2021] [Indexed: 01/14/2023]
Affiliation(s)
- Ryan A Rimmer
- Department of Otolaryngology Head and Neck Surgery, Oregon Sinus Center, Oregon Health and Science University, Portland, OR
| | - Jess C Mace
- Department of Otolaryngology Head and Neck Surgery, Oregon Sinus Center, Oregon Health and Science University, Portland, OR
| | - Amarbir Gill
- Division of Otolaryngology Head and Neck Surgery, Department of Surgery, University of Utah, Salt Lake City, UT
| | - Jeremiah Alt
- Division of Otolaryngology Head and Neck Surgery, Department of Surgery, University of Utah, Salt Lake City, UT
| | - Kara Detwiller
- Department of Otolaryngology Head and Neck Surgery, Oregon Sinus Center, Oregon Health and Science University, Portland, OR
| | - Mathew Geltzeiler
- Department of Otolaryngology Head and Neck Surgery, Oregon Sinus Center, Oregon Health and Science University, Portland, OR
| | - Timothy L Smith
- Department of Otolaryngology Head and Neck Surgery, Oregon Sinus Center, Oregon Health and Science University, Portland, OR
| | - Nyssa Fox Farrell
- Department of Otolaryngology Head and Neck Surgery, Washington University in St. Louis, St. Louis, MO
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Association between Dyslipidemia and Chronic Rhinosinusitis in a Korean Population. Diagnostics (Basel) 2020; 11:diagnostics11010026. [PMID: 33375640 PMCID: PMC7823289 DOI: 10.3390/diagnostics11010026] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/04/2020] [Revised: 12/19/2020] [Accepted: 12/23/2020] [Indexed: 12/17/2022] Open
Abstract
This study aims to assess the relationship between chronic rhinosinusitis (CRS) and dyslipidemia in a Korean population. The population aged 40 years or over was selected from the Korean National Health Insurance Service-National Health Screening Cohort. CRS was defined if patients were treated ≥2 times with ICD-10 code (J32) and underwent head and neck computed tomography. Patients with CRS were classified as having nasal polyps (J33) or not. Dyslipidemia was defined if participants with the ICD-10 code (E78) were treated ≥2 times from 2002 to 2015. A total of 6163 patients with CRS were matched with 24,652 controls (1:4 ratio) for sex, age, income, and residence. The adjusted odds ratios (aORs) of a previous dyslipidemia in patients with CRS were analyzed by conditional logistic regression analysis, adjusted for confounding factors. The prevalence of dyslipidemia was significantly higher in participants with CRS (26.1%) than in the controls (20.6%) (p < 0.001). There was a significant positive association between CRS with/without nasal polyps and dyslipidemia (aOR = 1.36, 95%CI = 1.26–1.47, p < 0.001). The association between CRS and dyslipidemia was stronger for CRS without nasal polyps (aOR = 1.42, 95% CI = 1.28–1.57, p < 0.001) than for CRS with nasal polyps (aOR = 1.31, 95% CI = 1.17–1.47, p < 0.001). All age and sex subgroups exhibited consistent results. A personal history of dyslipidemia was associated with risk of CRS regardless of total cholesterol and the use of statins.
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Gilani S, Bhattacharyya N. The Potential Protective Effects of Statins in Chronic Rhinosinusitis: A Case-Control Study. Laryngoscope 2020; 131:E1431-E1433. [PMID: 33140862 DOI: 10.1002/lary.29219] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/01/2020] [Revised: 09/28/2020] [Accepted: 10/05/2020] [Indexed: 12/15/2022]
Abstract
OBJECTIVES/HYPOTHESIS To determine the potential protective effect of prior statin use on the subsequent diagnosis of chronic rhinosinusitis (CRS). STUDY DESIGN Retrospective, case-control. METHODS Electronic medical records for all patients seen in the otolaryngology clinic in 2019 and receiving a diagnosis of CRS were reviewed for the presence or absence of active prior statin use within 365 days of the visit. Similarly, prior statin use in a control group of patients without any diagnosis of CRS was also determined. Statin exposure in CRS patients was compared to statin exposure in control patients with 1:2 matching on age and sex with chi-square and odds ratios were computed. RESULTS In 2019, 3655 patients (mean age, 52.9 years, 56.4% female) were identified with a diagnosis of chronic rhinosinusitis versus 41,636 patients without any diagnosis of CRS. All chronic rhinosinusitis patients were successfully matched to 7310 controls. 6.3% of CRS patients (229 patients) had prior statin use, versus 8.5% (624 patients) of control patients. The average mean duration of statin use prior to visit was not significantly different between CRS and control patients (mean days, 202.3 days versus 205.6 days, respectively; P = .697). The presence of a statin medication in use was associated with a significant protective effect against a subsequent diagnosis of CRS with and odds ratio for CRS diagnosis of 0.716 (95% confidence interval, 0.612-0.838) in those patients taking a statin medication (P < .001). CONCLUSIONS The use of a statin medication was associated with a significant reduction in subsequent diagnosis of chronic rhinosinusitis. LEVEL OF EVIDENCE 3 Laryngoscope, 131:E1431-E1433, 2021.
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Affiliation(s)
- Sapideh Gilani
- Division of Otolaryngology, Department of Surgery, University of California School of Medicine, San Diego, California, U.S.A
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