Qualitative development of the sinus control test: a survey evaluating sinus symptom control

Abstract

The SCT is a simple, patient generated questionnaire that can measure the control of CRS without requirement of endoscopy or CT evaluation.

Patient‐reported control of chronic rhinosinusitis symptoms is positively associated with general health‐related quality of life

“…The notion of CRS control remains somewhat more nebulous. Multiple different studies have sought to develop a definition of CRS control . Some of these studies have suggested utilising objective measures of disease, such as endoscopic findings, to define CRS control, while others have suggested using patient history, such as utilisation of CRS‐related corticosteroids, to define CRS control .…”

“…14,17 Because sinonasal symptomatology is the dominant contributor to decreased QOL in CRS, 14 Multiple different studies have sought to develop a definition of CRS control. 1,21,22 Some of these studies have suggested utilising objective measures of disease, such as endoscopic findings, to define CRS control, 21 while others have suggested using patient history, such as utilisation of CRS-related corticosteroids, to define CRS control. 22 However, in all of these different proposed definitions of CRS control, patient-reported CRS control is consistently advocated to assess CRS control.…”

“…1,21,22 Some of these studies have suggested utilising objective measures of disease, such as endoscopic findings, to define CRS control, 21 while others have suggested using patient history, such as utilisation of CRS-related corticosteroids, to define CRS control. 22 However, in all of these different proposed definitions of CRS control, patient-reported CRS control is consistently advocated to assess CRS control. 1,21,22 Despite the many studies that seek to define CRS control, no study has yet determined the significance of…”

“…22 However, in all of these different proposed definitions of CRS control, patient-reported CRS control is consistently advocated to assess CRS control. 1,21,22 Despite the many studies that seek to define CRS control, no study has yet determined the significance of…”

IFAR Editorial May 2016

“…The authors found that attendance at clinic at the later time points (ie, 12 and 24 months) was predicted by asthma, higher computed tomography (CT) score, prior sinus surgery, and recalcitrant subtypes such as aspirin-exacerbated respiratory disease, allergic fungal sinusitis, nasal polyposis, and granulomatosis with polyangiitis. To aid in quantifying follow-up measures for CRS patients, Banglawala et al 12 developed the 4-item Sinus Control Test (SCT), which includes questions on nasal obstruction, nasal discharge, sinus symptom interference with tasks at work or home, and recent treatment with antibiotics or steroids in the previous 2 weeks. This new instrument was evaluated vs rhinologist assessment of disease control, with a resulting Cohen's kappa of 0.68.…”