Long‐term Outcomes in Sinus Surgery Using New Tools for Measuring Health‐Related Quality of Life

Remenschneider, Aaron K.; D'Amico, Laura; Litvack, Jamie R.; Holbrook, Eric H.; Gray, Stacey T.; Metson, Ralph

doi:10.1177/0194599813495815a292

Cited by 19 publications

(32 citation statements)

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“…However, the association between baseline IPTs and treatment outcomes has not been reported previously among patients with CRS, and could represent a major clinical variable with the potential to influence patient‐reported outcomes. Patients reported improvement in multiple PROMs after treatment for CRS, consistent with previous studies . Whereas measures of patient personality (BFI‐10) and peer support (MSPSS) did not correlate with CRS outcomes, statistically significant but weak associations were found between TPS scores and posttreatment improvement in several PROMs, including the SNOT‐22, SF‐6D, and PHQ‐2 measures.…”

Section: Discussionsupporting

confidence: 86%

Influence of interpersonal traits on patient outcomes in the treatment of chronic rhinosinusitis

Levy

Mace

Smith

et al. 2016

Int Forum Allergy Rhinol

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BACKGROUND Patient reported outcome measures (PROMs) measure health states in chronic rhinosinusitis (CRS) and have become the dominant metrics of treatment outcomes. Interpersonal traits (IPTs) are patient-specific factors that include personality type, perceived social support, and trust in physicians. The association of IPTs on treatment outcomes among patients with CRS has not been previously described and IPTs may represent important clinical factors influencing treatment outcomes. METHODS Adult patients electing medical or surgical treatment for recalcitrant CRS were prospectively enrolled into a multi-institutional, observational outcomes study. Validated measures of IPTs, including: the Big Five Inventory-10 Short Version (BFI-10), Multidimensional Scale of Perceived Social Support (MSPSS) and the Trust in Physician Scale (TPS) were completed and compared to PROMs, including: the 22-item SinoNasal Outcome Test (SNOT-22), the Medical Outcomes Study Short Form-6D (SF-6D), and the Patient Health Questionnaire-2 (PHQ-2). RESULTS 354 participants were included and followed for an average [±standard deviation] of 16.3 [±4.8] months. Significant within-subject improvement in mean PROM scores was reported (all p<0.001). No association was detected between PROM score improvement and baseline BFI-10 or MSPSS scores (p>0.050). Significant, but weak, absolute correlations were reported between baseline TPS scores and improvement in SNOT-22, SF-6D and PHQ-2 total scores (p<0.050; Rp:≤ 0.138). CONCLUSIONS Personality type and perceived social support do not associate with improvement following treatment for CRS. However, increased trust in physicians is weakly associated with greater post-treatment improvement. Further study is needed to examine the relationship between physician trust, patient satisfaction and treatment outcomes among patients with CRS.

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Section: Discussionsupporting

confidence: 86%

Influence of interpersonal traits on patient outcomes in the treatment of chronic rhinosinusitis

Levy

Mace

Smith

et al. 2016

Int Forum Allergy Rhinol

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“…Ample evidence in the literature supports ESS, because overall quality of life is better, endoscopic scores are improved, and patients' symptoms are better controlled. 24,27,[33][34][35] An improvement in sinonasal symptoms, such as thick nasal discharge and nasal obstruction, can reasonably be achieved with appropriate surgery and postoperative care. 35 However, the return of olfaction is difficult to predict.…”

Section: Impact Of Endoscopic Sinus Surgery On Olfaction In Chronic Rmentioning

confidence: 99%

Olfaction in Endoscopic Sinus and Skull Base Surgery

Thompson

Kern

Conley

2015

Otolaryngologic Clinics of North America

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“…EQ‐5D allows for direct conversion of a patient's responses into a health utility value (HUV) based on population‐specific preferences . HUV calculation enables the comparison of GHRQOL across many disease states . The accepted MCID for HUV is defined as 0.03 …”

Section: Methodsmentioning

confidence: 99%

“…23,24 HUV calculation enables the comparison of GHRQOL across many disease states. 25 The accepted MCID for HUV is defined as 0.03. 26,27…”

Section: General Health-related Qol and Health Utility Valuementioning

confidence: 99%

Impact of Age on Sinus Surgery Outcomes

et al. 2018

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Objectives/Hypothesis To evaluate the impact of age on patient‐reported quality of life (QOL) following endoscopic sinus surgery (ESS) for chronic rhinosinusitis (CRS). Study Design Prospective cohort study. Methods Six hundred thirty‐six patients with CRS were recruited from 11 otolaryngologic practices and completed the sinonasal‐specific, 22‐item Sino‐Nasal Outcome Test‐22 (SNOT‐22) and general health‐related EuroQol 5‐Dimension (EQ‐5D) questionnaires at baseline and 12 and 24 months after ESS. Patients were grouped chronologically to determine whether age at time of ESS was associated with clinical outcomes. Results Ages ranged from 18 to 80 years (mean ± standard deviation = 48.5 ± 14.4). Improvement was observed in postoperative SNOT‐22 scores at 12 and 24 months for all decades of life. Similar improvements were observed for EQ‐5D‐based health utility value (HUV) scores in all decades of life, except for the eldest cohort (ages 70–80, N = 33), who did not exceed the minimal clinically important difference at either 12 or 24 months following ESS. In regression analysis, age was not associated with sinonasal‐specific outcomes (change in SNOT‐22 scores) at 12 (P = .507) or 24 months (P = .955). In general health‐related outcomes, however, age was significantly associated with change in EQ‐5D‐based HUV scores from baseline to 12 months following ESS after adjusting for patient demographics, comorbidities, and surgical history (P = .049). Conclusions This study demonstrates that ESS for adult CRS sufferers offers improved QOL outcomes through the eighth decade of life. The impact of comorbidities on QOL needs to be carefully considered when assessing older patients for sinus surgery. Level of Evidence 2b Laryngoscope, 128:2681–2687, 2018

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Long‐term Outcomes in Sinus Surgery Using New Tools for Measuring Health‐Related Quality of Life

Cited by 19 publications

References 0 publications

Influence of interpersonal traits on patient outcomes in the treatment of chronic rhinosinusitis

Influence of interpersonal traits on patient outcomes in the treatment of chronic rhinosinusitis

Olfaction in Endoscopic Sinus and Skull Base Surgery

Impact of Age on Sinus Surgery Outcomes

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