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Qualitative development of the sinus control test: a survey evaluating sinus symptom control. Int Forum Allergy Rhinol 2016 05;6(5):491-9

Date

12/20/2015

Pubmed ID

26683532

DOI

10.1002/alr.21690

Abstract

BACKGROUND: Ideal management of chronic rhinosinusitis (CRS) requires ongoing monitoring of disease and its control. Existing control instruments are limited in their correlation to patient reported outcomes, the need for endoscopy, or lack of validation from a multidisciplinary group. The goal of this study was to develop a patient-based Sinus Control Test (SCT) for determining CRS control.

METHODS: A systematic literature review and focus groups consisting of 20 patients and 11 medical experts in CRS from various medical specialties were used to generate items. A draft 13-item questionnaire was administered to 50 patients with CRS in a prospective fashion. Patients were evaluated using the 22-item Sino-Nasal Outcome Test (SNOT-22) instrument, Lund-Mackay computed tomography (CT) score, and Lund-Kennedy endoscopy score. A rhinologist blinded to the questionnaire results also provided an overall control of the disease for each patient. A regression model was generated to identify which subset of items showed the greatest discriminate ability in relation to specialist's and patient's global rating of disease control.

RESULTS: Four questions were included in the final questionnaire (p < 0.05), each with a scale of 0 to 4, with an overall total score ranging from 0 to 16. Optimal classification resulted in patients with a score from 1 to 3 (well controlled), 4 to 11 (partially controlled), and 12 to 16 (uncontrolled). SCT scores correctly classified control levels 72% of the time when compared to physician's assessment.

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

Author List

Banglawala SM, Schlosser RJ, Morella K, Chandra R, Khetani J, Poetker DM, Rayar M, Rudmik L, Sautter NB, Sommer DD, Smith TL, Soler ZM

Author

David M. Poetker MD Chief, Professor in the Otolaryngology department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Adolescent
Adult
Aged
Child
Chronic Disease
Endoscopy
Female
Focus Groups
Humans
Male
Middle Aged
Nasal Polyps
Patients
Physicians
Reproducibility of Results
Rhinitis
Severity of Illness Index
Sinusitis
Surveys and Questionnaires
Tomography, X-Ray Computed
Young Adult
jenkins-FCD Prod-480 9a4deaf152b0b06dd18151814fff2e18f6c05280