The development of a General Nasal Patient Inventory

Douglas, Susan A; Marshall, Andrew; Walshaw, David; Robson, Andrew; Wilson, Janet A.

doi:10.1046/j.1365-2273.2001.00497.x

Cited by 17 publications

(13 citation statements)

References 9 publications

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“…7 It represents a comprehensive 45-item questionnaire, encompassing a vast array of nasal complaints perceived as important by patients (Table 1). It is a sensitive tool in assessing preand postoperative nasal symptoms following any nasal intervention.…”

Section: 11mentioning

confidence: 99%

Nasal symptoms following endoscopic transsphenoidal pituitary surgery: assessment using the General Nasal Patient Inventory

Wang¹,

Srirathan²,

Tirr³

et al. 2011

FOC

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Object The endoscopic approach for pituitary tumors is a recent innovation and is said to reduce the nasal trauma associated with transnasal transsphenoidal surgery. The authors assessed the temporal changes in the rhinological symptoms following endoscopic transsphenoidal surgery for pituitary lesions, using the General Nasal Patient Inventory (GNPI). Methods The GNPI was administered to 88 consecutive patients undergoing endoscopic transsphenoidal surgery at 3 time points (presurgery, 3–6 months postsurgery, and at final follow-up). The total GNPI score and the scores for the individual GNPI questions were calculated and differences between groups were assessed once before surgery, several months after surgery, and at final follow-up. Results Of a maximum possible score of 135, the mean GNPI score at 3–6 months postsurgery was only 12.9 ± 12 and was not significantly different from the preoperative score (10.4 ± 13) or final follow-up score (10.3 ± 10). Patients with functioning tumors had higher GNPI scores than those with nonfunctioning tumors for each of these time points (p < 0.05). Individually, a mild increase in symptom severity was seen for symptoms attributable to the nasal trauma of surgery, with partial recovery (nasal sores and bleeding) or complete recovery (nasal blockage, painful sinuses, and unpleasant nasal smell) by final follow-up (p < 0.05). Progressive improvements in symptom severity were seen for symptoms more attributable to tumor mass preoperatively (for example, headaches and painkiller use [p < 0.05]). In total, by final follow-up 8 patients (9%) required further treatment or advice for ongoing nasal symptoms. Conclusions Endoscopic transsphenoidal surgery is a well-tolerated minimally invasive procedure for pituitary fossa lesions. Overall patient-assessed nasal symptoms do not change, but some individual symptoms may show a mild worsening or overall improvement.

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Section: 11mentioning

confidence: 99%

Nasal symptoms following endoscopic transsphenoidal pituitary surgery: assessment using the General Nasal Patient Inventory

Wang¹,

Srirathan²,

Tirr³

et al. 2011

FOC

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“…The Nasal Symptom Questionnaire was used in different studies on patients with CRS and nasal septal surgery [34,35].…”

Section: Disease-specific Instruments Nasal Symptom Questionnaire Symentioning

confidence: 99%

Subjective Outcomes Assessment in Chronic Rhinosinusitis

Baumann¹

2010

TOOTORJ

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Abstract:The treatment of chronic rhinosinusitis (CRS) requires an increasing use of medical and economic resources. Therefore, the assessment of objective and subjective outcome of different treatment strategies is of considerable interest.Validated quality of life (QOL) instruments are one important means to assess subjective outcome of the patients. Frequently used generic instruments are the Short Form 36 Health Survey (SF-36) for prospective evaluations and the Glasgow Benefit Inventory (GBI) for retrospective evaluations. Normative data and numerous comparative data sets collected from various diseases are available for the SF-36.Disease-specific QOL instruments for CRS have been developed over the last 15 years. In this review 11 disease-specific instruments are discussed. Only four of these instruments cover all four main symptoms of CRS and are completely validated as well. Most frequently used instruments (Sino-Nasal Outcome Test, SNOT-20; Chronic Sinusitis Survey, CSS) do not query all the main symptoms of CRS.

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“…These include the Fairley Nasal Questionnaire (FNQ) [25], the General Nasal Patient Inventory (GNPI) [26], the Chronic Sinusitis Survey (CSS) [27], and the Cologne Questionnaire [28]. These tools are similar to the rhinosinusitis-specifi c tools described previously in that they assess one or more of the following: sinonasal symptoms, quality-of-life impairment, or disability related to rhinosinusitis.…”

Section: Rhinosinusitis Disability Indexmentioning

confidence: 99%

“…The FNQ and CSS are among the earliest tools developed for assessing rhinosinusitis control and have good psychometric validity and reliability [25,27]. The FNQ is a physician-derived questionnaire, whereas the GNPI was later created as a patient-oriented questionnaire [26]. GNPI scores correlated highly with FNQ scores, supporting its validity [26].…”

Section: Rhinosinusitis Disability Indexmentioning

confidence: 99%

“…The FNQ is a physician-derived questionnaire, whereas the GNPI was later created as a patient-oriented questionnaire [26]. GNPI scores correlated highly with FNQ scores, supporting its validity [26]. The CSS is somewhat different from other tools, as it measures the duration of symptoms or medication use as opposed to most other instruments, which measure disease severity.…”

Section: Rhinosinusitis Disability Indexmentioning

confidence: 99%

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Assessing nasal symptom control

Erekosima¹,

Katial

2009

Curr Allergy Asthma Rep

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Rhinitis is a common chronic disease that significantly impacts morbidity, health care costs, work and school productivity, and quality of life. Therefore, appropriate management is paramount to help to reduce the burden of disease. In current clinical practice, there are no validated instruments widely used to assess rhinitis control. In this review, we describe the tools available for assessing nasal symptom control in patients with rhinitis. The recently developed Allergic Rhinitis Control Assessment is a promising tool with demonstrated validity, reliability, and ease of use. Health care providers are encouraged to use the rhinitis-specific tools and incorporate other objective measures, such as rhinoscopy and rhinometric techniques, when evaluating patients with rhinitis. Further research is needed to evaluate the benefits and shortcomings of the available rhinitis- and rhinosinusitis-specific instruments to establish their role in clinical practice.

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The development of a General Nasal Patient Inventory

Cited by 17 publications

References 9 publications

Nasal symptoms following endoscopic transsphenoidal pituitary surgery: assessment using the General Nasal Patient Inventory

Nasal symptoms following endoscopic transsphenoidal pituitary surgery: assessment using the General Nasal Patient Inventory

Subjective Outcomes Assessment in Chronic Rhinosinusitis

Assessing nasal symptom control

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