Socioeconomic factors impact quality of life outcomes and olfactory measures in chronic rhinosinusitis

Beswick, Daniel M.; Mace, Jess C.; Rudmik, Luke; Soler, Zachary M.; Alt, Jeremiah A.; Smith, Kristine A.; Detwiller, Kara Y.; Smith, Timothy L.

doi:10.1002/alr.22256

Cited by 29 publications

(66 citation statements)

References 34 publications

(41 reference statements)

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“…Study participants included adult human subjects previously recruited for an observational, investigator‐monitored research study funded by the National Institute on Deafness and Other Communication Disorders (NIH Grant 2R01 DC005805), conducted between March 2011 and June 2015. Additional findings from this study cohort have been published elsewhere 11‐16 . Participants were prospectively enrolled via invitation from a patient population referred to 4 academic rhinology practices located in North America, including Oregon Health and Science University (OHSU, Portland, OR), Stanford University (Palo Alto, CA), the Medical University of South Carolina (Charleston, SC), and the University of Calgary (Calgary, AB, Canada).…”

Section: Methodsmentioning

confidence: 99%

Ethmoid‐to‐maxillary opacification ratio: a predictor of postoperative olfaction and outcomes in nasal polyposis?

Beswick¹,

Smith

Mace

et al. 2020

Int Forum Allergy Rhinol

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BackgroundInflammatory profiles for patients with chronic rhinosinusitis with nasal polyposis (CRSwNP) vary between North American and Asian populations. An elevated ethmoid‐to‐maxillary (E/M) opacification ratio on preoperative imaging is associated with certain postoperative outcomes in Asian populations and populations that are non‒type 2 dominant. In this study we explore this factor in North American/type 2‒based populations.MethodsAdult patients (n = 165) from a North American population with CRSwNP who underwent endoscopic sinus surgery (ESS) were prospectively enrolled into an observational, multi‐institutional study. The 22‐item Sino‐Nasal Outcome Test (SNOT‐22), Brief Smell Identification Test (BSIT), and Lund‐Kennedy (LK) endoscopic scores were obtained pre‐ and postoperatively. Patients were stratified according to increasing E/M ratios based on Lund‐Mackay (LM) scores.ResultsOn average, significant within‐subject postoperative improvement was found in all patients for SNOT‐22 total and domain scores, and also BSIT results (p ≤ 0.019). Preoperatively, elevated E/M ratio correlated with worse BSIT scores (r = −0.343, p < 0.001). Postoperatively, elevated E/M ratio correlated with BSIT improvement (r = 0.284, p = 0.002), but did not correlate with SNOT‐22 improvement or polyp recurrence. An elevated E/M ratio was associated with greater likelihood of reporting a minimal clinically important difference in BSIT scores (χ2 = 9.96, p = 0.041).ConclusionElevated E/M ratios were found to associated with worse baseline olfaction and an increased likelihood of achieving a clinically meaningful postoperative improvement in olfaction in this North American population with CRSwNP. Elevated E/M ratios did not predict postoperative changes in SNOT‐22 measures or polyp recurrence. This suggests that prognostic factors may vary according to geography and generalized inflammatory profiles (type 2 vs non‒type 2) in patients with CRS.

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Section: Methodsmentioning

confidence: 99%

Ethmoid‐to‐maxillary opacification ratio: a predictor of postoperative olfaction and outcomes in nasal polyposis?

Beswick¹,

Smith

Mace

et al. 2020

Int Forum Allergy Rhinol

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“…The ▶Table 3 Frequently used CRS-specific PROMs, adapted according to [205,206]. gender-specific differences were confirmed in other trials as well [233,[235][236][237]. Preoperatively, females report higher scores in the rhinologic and extranasal rhinologic domains.…”

Section: Crs-specific Measures Of Health-related Quality Of Lifementioning

confidence: 98%

“…In some patients, an improvement of more than double the MCID can be achieved. Patients with higher total scores ( > 30 or 61-70 points) preoperatively are more likely to reach a MCID of the total score after surgery [35,49,53,[231][232][233]. Patients with a higher household income are also more likely to achieve the MCID [233] (annotation: US American studies with respective differences of the healthcare system).…”

Section: Crs-specific Measures Of Health-related Quality Of Lifementioning

confidence: 99%

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Qualität in der chirurgischen Therapie chronisch entzündlicher Erkrankungen der Nasennebenhöhlen

Hildenbrand

Ketterer

2020

Laryngo-Rhino-Otol

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Hildenbrand T et al. Qualität in der chirurgischen … Laryngo-Rhino-Otol 2020; 99: S5-S33 ZusaMMenfassung Die endonasale endoskopische Nasennebenhöhlenchirurgie hat sich als Standard der operativen Therapie bei chronisch entzündlichen Erkrankungen der Nasennebenhöhlen etabliert. Eine Verbesserung der subjektiven Beschwerden und objektiven Befunde konnte in zahlreichen Studien nachgewiesen werden. Aufgrund der häufig beobachteten Diskrepanz zwischen objektiven und subjektiven Ergebnissen nach Nasennebenhöhlenchirurgie kommt der Messung des sog. patient reported outcome eine zunehmende Bedeutung zu. Qualität und Effizienz in der Medizin haben in den letzten Jahren zunehmend an Bedeutung gewonnen. In vielen Ländern und auch länderübergreifend wurden bereits durch Zusammenschluss von Experten, z.T unter Federführung verschiedener Fachgesellschaften, Initiativen zur Verbesserung der Qualität in der chirurgischen Versorgung gegründet.Die vorliegende Arbeit stellt eine Übersicht qualitätsrelevanter Faktoren in der chirurgischen Therapie chronisch entzündlicher Erkrankungen der Nasennebenhöhlen anhand der vorhandenen Literatur, v.a. der Prozess-und Ergebnisqualität, dar. Ein besonderes Augenmerk liegt auf der subjektiven Bewertung der Ergebnisqualität durch den Patienten.absTraCT Endonasal endoscopic surgery of the paranasal sinuses is the gold standard in surgical treatment of chronic inflammatory diseases of the paranasal sinuses. Improvement of subjective complaints and objective findings has been confirmed in numerous studies. Due to the discrepancy between objective and subjective results after paranasal sinus surgery, the assessment of patient reported outcomes has gained importance.Quality and efficiency in medicine became increasingly important during the last years. In many countries and transnationally, the association of experts, partly coordinated by different medical societies, led to initiatives focusing on improvement of the quality of surgical care. The present article represents an overview of quality-related factors in surgical treatment of chronic inflammatory diseases of the paranasal sinuses, summarizing the existing literature and focusing particularly on process and outcomes quality. Particular attention will be paid to the outcome quality individually assessed by the patients. S5Online publiziert: 16.03.2020 Hildenbrand T et al. Qualität in der chirurgischen … Laryngo-Rhino-Otol 2020; 99: S5-S33 Referat < 200 200 -400 Anzahl der Operationen Anzahl der Kliniken in % > 400 57,6 % 38,3 % 36,4 % 12,8 % städtisch/kirchlich/privat Uniklinik Krankenhaus S7 Hildenbrand T et al. Qualität in der chirurgischen … Laryngo-Rhino-Otol 2020; 99: S5-S33 Referat ren < 20 Operationen pro Jahr durch. Zwischen 20 und 50 Operationen werden von 38,4 % der Kliniken durchgeführt und mehr als 50 Operationen geben lediglich 2 % der Kliniken an (▶abb. 2). 83,1 % aller Kliniken gaben an, an einem interdisziplinären Tumorboard teilzunehmen und 68,4 % führen interdisziplinäre Tumoroperationen bei Erkrankungen der Nasennebenhöhle...

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“…Rudmik i wsp. wykazali, że w kwestii ekonomicznej ESS jest najbardziej opłacalną interwencją w porównaniu z dalszą długoterminową terapią zachowawczą [9].…”

Section: Skrótunclassified

The analysis of maps of healthcare needs in the field of chronic rhinosinusitis in Poland

Skarżyński¹,

Wawszczyk²,

Dąbkowska³

et al. 2020

Now Audiofonol

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Wstęp: Przewlekłe zapalenie zatok przynosowych (PZZP) jest nie tylko uważane za jedną z najczęstszych chorób przewlekłych w krajach rozwiniętych, lecz także ma istotny negatywny wpływ na jakość życia pacjentów, codzienną pracę, oraz na zwiększenie wydatków na opiekę zdrowotną, w tym w dużej mierze na hospitalizacje. W terapii PZZP stosuje się leczenie farmakologiczne oraz operacyjne z coraz powszechniejszym wykorzystaniem endoskopowej chirurgii zatok (ESS). Cel: Celem pracy była analiza map potrzeb zdrowotnych (MPZ) w zakresie chorób zatok przynosowych w Polsce oraz przegląd najnowszych doniesień ze świata dotyczących leczenia PZZP. Choroby nosa i zatok przynosowych są najczęściej występującym schorzeniem wśród chorób z zakresu otorynolaryngologii, dlatego analiza odnośnych map potrzeb zdrowotnych jest istotna i ma swoje uzasadnienie. Materiały i metody: Przeanalizowano mapy potrzeb zdrowotnych -opublikowane przez Ministerstwo Zdrowia -dotyczące chorób zatok przynosowych ze wszystkich województw w zakresie lecznictwa szpitalnego za rok 2014 oraz dostępną literaturę na temat leczenia PZZP w latach 2012-2018 w wyszukiwarce PubMed. Wyniki: W Polsce w 2014 roku współczynnik zapadalności na choroby nosa, zatok przynosowych, ucha, gardła i krtani wynosił 5762,8 na 100 tys. ludności, a współczynnik chorobowości -41 258,7 na 100 tys. Odnotowano 5,132 mln porad ambulatoryjnych z powodu powyższych schorzeń, z czego 47,5% to porady pacjentów, którzy pojawili się co najmniej trzy razy. Z przyczyn otorynolaryngologicznych zarejestrowano 288,4 tys. hospitalizacji. Wnioski: MPZ są narzędziem wspomagającym podejmowanie decyzji o charakterze systemowym, jak i działań prowadzonych w odniesieniu do poszczególnych uczestników systemu ochrony zdrowia. Słowa kluczowe: przewlekłe zapalenie zatok przynosowych • PZZP • mapy potrzeb zdrowotnych

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Socioeconomic factors impact quality of life outcomes and olfactory measures in chronic rhinosinusitis

Cited by 29 publications

References 34 publications

Ethmoid‐to‐maxillary opacification ratio: a predictor of postoperative olfaction and outcomes in nasal polyposis?

Ethmoid‐to‐maxillary opacification ratio: a predictor of postoperative olfaction and outcomes in nasal polyposis?

Qualität in der chirurgischen Therapie chronisch entzündlicher Erkrankungen der Nasennebenhöhlen

The analysis of maps of healthcare needs in the field of chronic rhinosinusitis in Poland

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