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The role of secondhand smoke in allergic rhinitis: a systematic review.
Int Forum Allergy Rhinol 2014; 4(2):110-6IF

Abstract

BACKGROUND

The objective of this work was to systematically review existing literature on the association between allergic rhinitis (AR) and secondhand smoking (SHS) in children and adults.

METHODS

We performed a literature search encompassing the last 25 years in PubMed, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Cochrane CENTRAL, Web of Science, Scopus, and EMBASE. Inclusion criteria included English language papers containing original human data with greater than 6 subjects. Data was systematically collected on study design, patient demographics, clinical characteristics/outcomes, and level-of-evidence (Oxford Center of Evidence-Based Medicine). Quality assessment of the studies was performed using the Newcastle-Ottawa scale. Two investigators independently reviewed all manuscripts.

RESULTS

The initial search yielded 590 abstracts, of which 40 articles were included. 12 (37.5%) of the 32 articles studying children and 5 (62.5%) of the 8 articles studying adults showed a statistically significant association between AR and SHS. One article was a prospective cohort study (Level 2b) and all other articles were case-control studies (Level 3b). For characterizing AR, 10 (25%) studies included skin-prick testing and 5 (12.5%) used in vitro testing. For determining presence of SHS, 39 (97.5%) of the studies used questionnaires and 1 article used a cotinine/creatinine ratio.

CONCLUSION

This review demonstrated a majority of adult studies vs a minority of children studies found a significant association between AR and SHS. However, the percent difference between age groups was not statistically significant. Further higher-quality studies with validated methods for diagnosing AR and quantifying SHS exposure should be performed to better evaluate the relationship between AR and SHS in adults and children.

Authors+Show Affiliations

Department of Otolaryngology-Head and Neck Surgery, Johns Hopkins University, Baltimore, MD.No affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Review
Systematic Review

Language

eng

PubMed ID

24493468

Citation

Hur, Kevin, et al. "The Role of Secondhand Smoke in Allergic Rhinitis: a Systematic Review." International Forum of Allergy & Rhinology, vol. 4, no. 2, 2014, pp. 110-6.
Hur K, Liang J, Lin SY. The role of secondhand smoke in allergic rhinitis: a systematic review. Int Forum Allergy Rhinol. 2014;4(2):110-6.
Hur, K., Liang, J., & Lin, S. Y. (2014). The role of secondhand smoke in allergic rhinitis: a systematic review. International Forum of Allergy & Rhinology, 4(2), pp. 110-6. doi:10.1002/alr.21246.
Hur K, Liang J, Lin SY. The Role of Secondhand Smoke in Allergic Rhinitis: a Systematic Review. Int Forum Allergy Rhinol. 2014;4(2):110-6. PubMed PMID: 24493468.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The role of secondhand smoke in allergic rhinitis: a systematic review. AU - Hur,Kevin, AU - Liang,Jonathan, AU - Lin,Sandra Y, Y1 - 2013/11/04/ PY - 2013/08/01/received PY - 2013/09/22/revised PY - 2013/10/04/accepted PY - 2014/2/5/entrez PY - 2014/2/5/pubmed PY - 2014/10/11/medline KW - allergic rhinitis KW - hay fever KW - passive smoking KW - rhinitis KW - secondhand smoke KW - systematic review KW - tobacco smoke pollution SP - 110 EP - 6 JF - International forum of allergy & rhinology JO - Int Forum Allergy Rhinol VL - 4 IS - 2 N2 - BACKGROUND: The objective of this work was to systematically review existing literature on the association between allergic rhinitis (AR) and secondhand smoking (SHS) in children and adults. METHODS: We performed a literature search encompassing the last 25 years in PubMed, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Cochrane CENTRAL, Web of Science, Scopus, and EMBASE. Inclusion criteria included English language papers containing original human data with greater than 6 subjects. Data was systematically collected on study design, patient demographics, clinical characteristics/outcomes, and level-of-evidence (Oxford Center of Evidence-Based Medicine). Quality assessment of the studies was performed using the Newcastle-Ottawa scale. Two investigators independently reviewed all manuscripts. RESULTS: The initial search yielded 590 abstracts, of which 40 articles were included. 12 (37.5%) of the 32 articles studying children and 5 (62.5%) of the 8 articles studying adults showed a statistically significant association between AR and SHS. One article was a prospective cohort study (Level 2b) and all other articles were case-control studies (Level 3b). For characterizing AR, 10 (25%) studies included skin-prick testing and 5 (12.5%) used in vitro testing. For determining presence of SHS, 39 (97.5%) of the studies used questionnaires and 1 article used a cotinine/creatinine ratio. CONCLUSION: This review demonstrated a majority of adult studies vs a minority of children studies found a significant association between AR and SHS. However, the percent difference between age groups was not statistically significant. Further higher-quality studies with validated methods for diagnosing AR and quantifying SHS exposure should be performed to better evaluate the relationship between AR and SHS in adults and children. SN - 2042-6984 UR - https://www.unboundmedicine.com/medline/citation/24493468/The_role_of_secondhand_smoke_in_allergic_rhinitis:_a_systematic_review_ L2 - https://doi.org/10.1002/alr.21246 DB - PRIME DP - Unbound Medicine ER -