Can we use the questionnaire SNOT-22 as a predictor for the indication of surgical treatment in chronic rhinosinusitis?

Marambaia, Pablo Pinillos; Lima, Manuela Garcia; Guimarães, Marina Barbosa; Gomes, Amaury de Machado; Marambaia, Melina Pinillos; Santos, Otávio Marambaia dos; Gomes, Leonardo Marques

doi:10.1016/j.bjorl.2016.05.010

Cited by 5 publications

(8 citation statements)

References 17 publications

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“…No statistically significant difference found between total baseline SNOT‐22 scores in those who failed initial medical therapy and those who did not 29 …”

Section: Resultsmentioning

confidence: 83%

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The predictive utility of the 22‐item sino‐nasal outcome test (SNOT‐22): A scoping review

Liu

Weitzel³

et al. 2021

Int Forum Allergy Rhinol

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Background The 22‐item sino‐nasal outcome test (SNOT‐22) is a widely used and powerful patient‐reported outcomes measure for chronic rhinosinusitis (CRS). More recently; however, the SNOT‐22 has been evaluated as a predictive tool for multiple conditions. The objective of this scoping review is to investigate the extent to which SNOT‐22 is used in this manner and present this information in a way useful for clinicians. Methods A systematic search of PubMed, Scopus, Cochrane Library, and Web of Science was performed. Studies that evaluated SNOT‐22s predictive utility were considered for eligibility in this scoping review. Results A total of 39 studies met eligibility. The SNOT‐22 was found to be used as a predictive tool in three broad categories: (1) to predict a diagnosis, (2) to predict an outcome of an intervention, and (3) to predict a patient treatment preference. Thirteen studies were included in the diagnosis category, which made up ten different individual predictions. Twenty‐four studies were included in the outcomes category and investigated 17 different individual predictions. Finally, two studies were included in the patient preferences category, which together made one prediction. Conclusions The SNOT‐22 is a versatile tool that has the potential to be used in predicting various diagnoses, outcomes, and patient preferences. However, care must be taken in applying these predictions to clinical practice, as further research must be done in validating these predictions based on SNOT‐22 responses.

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“…No statistically significant difference found between total baseline SNOT‐22 scores in those who failed initial medical therapy and those who did not 29 …”

Section: Resultsmentioning

confidence: 83%

“…(Illiterate patients, smokers, patients with immune deficiency, cystic fibrosis or primary ciliary dyskinesia, patients with benign or malignant nasal tumors, patients with granulomatous diseases and vasculitis, patients who had previously undergone surgery) 29 …”

Section: Resultsmentioning

confidence: 99%

The predictive utility of the 22‐item sino‐nasal outcome test (SNOT‐22): A scoping review

Liu

Weitzel³

et al. 2021

Int Forum Allergy Rhinol

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“…Patients were divided into two groups: the group that evolved to the referral for surgery (26 patients) and the group that continued with medical treatment (62 patients). Regarding the SNOT-22 score during the first consultation, there was no difference between the medical and surgical group 15 .…”

Section: Change In Snot-22 Scoresmentioning

confidence: 78%

“…Marambaia et al 15 (2016), conducted a descriptive and analytical retrospective longitudinal study among 88 patients. The SNOT-22 was applied during the first consultation and after three years.…”

Section: Change In Snot-22 Scoresmentioning

confidence: 99%

Change in symptomatology score after functional endoscopic sinus surgery in cases of chronic rhinosinusitis

Rajpurohit

Singh

Meher

2021

Romanian Journal of Rhinology

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BACKGROUND. Chronic rhinosinusitis (CRS) is one of the most common health problems in adults, which not only causes physical symptoms, but also results in functional and emotional impairment. The aim of the present study was to investigate the effect of functional endoscopic sinus surgery (FESS) on SNOT-22 in cases of chronic rhinosinusitis.MATERIAL AND METHODS. A total of 50 patients, between 18-60 years of age, who had taken treatment for CRS but found no improvement, were enrolled in the study. Before surgery, all patients were asked to fill the SNOT-22 form, the CT score was evaluated, and FESS was performed. A reevaluation with SNOT-22 questionnaire was performed 10 days, 1 and 3 months after surgery. The preoperative and postoperative scores and change score were calculated.RESULTS. The initial preoperative mean score was 39.96±13.41. The percentage decrease in symptom score on the 10th day, the first and third month postoperatively was 42%, 74% and 91% respectively. Males had scored higher as compared to females. There was no correlation between the CT score and SNOT-22 score. Rhinological symptoms scored more than 74% in chronic rhinosinusitis cases.CONCLUSION. SNOT-22 can be used in routine clinical practice to inform clinicians about a full range of problems associated with chronic rhinosinusitis. Responses on the instrument can help focus the clinical encounter. It can also aid researchers in assessing the degree and effect of rhinosinusitis on health status, QoL and to measure treatment response.

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“…About 20% of all patients referred to immunology and allergy clinics are diagnosed with CRSwNP (5) . Nasal congestion, rhinorrhea, insomnia, headache, and posterior nasal drip are the most common symptoms of CRSwNP that affect the daily activities of patients (6,7) . In addition, a high recurrence rate and multiple referrals to allergy clinics are consequences that not only place a financial burden on both the patient and society but also disrupt a patient's social and individual functions (8,9) and reduce their quality of life (QOL).…”

Section: Introductionmentioning

confidence: 99%

Evaluation of the effect of endoscopic partial middleturbinectomy surgery on the quality of life of patients with chronic rhinosinusitis and nasal polyps

Delarestaghi¹,

Rajaeih²,

Firouzabadi³

et al. 2020

Rhin

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Background: Chronic rhinosinusitis (CRS) is a common chronic inflammatory disease. Endoscopic sinus surgery is recommended as a standard method when medical treatment fails. The effectiveness of various complementary surgical methods such as endoscopic partial middle-turbinectomy is controversial in the improvement of CRS symptoms in these patients. This study aimed to investigate the effect of endoscopic partial middle-turbinectomy on the quality of life (QOL) of patients with chronic rhinosinusitis and nasal polyps (CRSwNP) in Iran.Method: Ninety patients with CRSwNP of grades 3 and 4 were randomly assigned to either an intervention (45 patients) or control group (45 patients). In the control group, endoscopic sinus surgery without middle turbinectomy was performed and in the intervention group, endoscopic partial middle-turbinectomy was performed in addition to endoscopic sinus surgery. To evaluate the outcomes, the SNOT-22 QOL questionnaire was used, and the results were analyzed using SPSS version 24.Results: Most of the patients were male and had a mean age of 39 years. The mean SNOT-22 QOL questionnaire scores were 49.13±16.72 and 52.51±16.95 before surgery in the control and intervention groups respectively, which did not show any significant difference. In contrast, after endoscopic surgery these scores changed to 28.46±12.38 and 11.13±5.55 in the control and intervention groups, respectively< and there was a significant difference between both groups. Although there was a significant improvement in both groups, the patients in the intervention group experienced more improvement than the control group (41.4 (±16.46) vs 30.7 (±18.27), respectively Conclusion: According to this study, it appears that the use of endoscopic partial middle-turbinectomy in addition to endoscopic sinus surgery improves CRS symptoms and the QOL of patients compared with endoscopic sinus surgery alone.

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Can we use the questionnaire SNOT-22 as a predictor for the indication of surgical treatment in chronic rhinosinusitis?

Abstract: The SNOT-22 was unable to predict the outcome of surgical patients with chronic rhinosinusitis.

Cited by 5 publications

References 17 publications

The predictive utility of the 22‐item sino‐nasal outcome test (SNOT‐22): A scoping review

The predictive utility of the 22‐item sino‐nasal outcome test (SNOT‐22): A scoping review

Change in symptomatology score after functional endoscopic sinus surgery in cases of chronic rhinosinusitis

Evaluation of the effect of endoscopic partial middleturbinectomy surgery on the quality of life of patients with chronic rhinosinusitis and nasal polyps

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