PMID- 25546168
OWN - NLM
STAT- MEDLINE
DCOM- 20150922
LR  - 20220408
IS  - 1531-4995 (Electronic)
IS  - 0023-852X (Print)
IS  - 0023-852X (Linking)
VI  - 125
IP  - 7
DP  - 2015 Jul
TI  - Using preoperative SNOT-22 score to inform patient decision for Endoscopic sinus 
      surgery.
PG  - 1517-22
LID - 10.1002/lary.25108 [doi]
AB  - OBJECTIVES/HYPOTHESIS: The purpose of this study is to improve patient 
      understanding of surgical outcomes while they make a preference-sensitive 
      decision regarding electing endoscopic sinus surgery (ESS) for chronic 
      rhinosinusitis (CRS). STUDY DESIGN: Prospective observational cohort study. 
      METHODS: Patients with CRS who elected ESS were prospectively enrolled into a 
      multi-institutional, observational cohort study. Patients' were categorized into 
      10 preoperative Sino-Nasal Outcome Test (SNOT-22) groups based on 10-point 
      increments beginning with a score of 10 and ending at 110. The proportion of 
      patients achieving a SNOT-22 minimal clinically important difference (MCID) (9 
      points) and the percentage of relative improvement (%) for each preoperative 
      SNOT-22 group were calculated. A subgroup analysis based on polyp status was 
      performed. RESULTS: A total of 327 patients were included in this study. Patients 
      with a SNOT-22 score between 10 and 19 had the lowest chance of achieving an MCID 
      (37.5%) and received a relative mean worsening of their quality of life (QoL) 
      after ESS (+18.8%). Patients with a SNOT-22 score greater than 30 obtained a 
      greater than 75% chance of achieving an MCID, and there was a relative 
      improvement of 45% in QoL (all < -44.9%) after ESS. Outcomes from the polyp 
      status subgroup analysis were similar to the findings from the overall cohort. 
      CONCLUSION: Outcomes from this study suggest that patients with a preoperative 
      SNOT-22 score higher than 30 points receive a greater than 75% chance of 
      achieving an MCID and on average obtain a 45% relative improvement in their QoL 
      after ESS. Patients with SNOT-22 score of less than 20 did not experience 
      improved QoL from ESS.
CI  - (c) 2014 The American Laryngological, Rhinological and Otological Society, Inc.
FAU - Rudmik, Luke
AU  - Rudmik L
AD  - Division of Otolaryngology-Head and Neck Surgery, Department of Surgery, 
      University of Calgary, Calgary, Alberta, Canada.
FAU - Soler, Zachary M
AU  - Soler ZM
AD  - Division of Rhinology and Sinus Surgery, Department of Otolaryngology-Head and 
      Neck Surgery, Medical University of South Carolina, Charleston, South Carolina.
FAU - Mace, Jess C
AU  - Mace JC
AD  - Division of Rhinology and Sinus Surgery, Oregon Sinus Center, Department of 
      Otolaryngology-Head and Neck Surgery, Oregon Health and Science University, 
      Portland, Oregon.
FAU - DeConde, Adam S
AU  - DeConde AS
AD  - Department of Surgery, Division of Otolaryngology-Head and Neck Surgery, 
      University of California San Diego, San Diego, CA, U.S.A.
FAU - Schlosser, Rodney J
AU  - Schlosser RJ
AD  - Division of Rhinology and Sinus Surgery, Department of Otolaryngology-Head and 
      Neck Surgery, Medical University of South Carolina, Charleston, South Carolina.
FAU - Smith, Timothy L
AU  - Smith TL
AD  - Division of Rhinology and Sinus Surgery, Oregon Sinus Center, Department of 
      Otolaryngology-Head and Neck Surgery, Oregon Health and Science University, 
      Portland, Oregon.
LA  - eng
GR  - R01 DC005805/DC/NIDCD NIH HHS/United States
PT  - Clinical Trial
PT  - Journal Article
PT  - Multicenter Study
PT  - Observational Study
PT  - Research Support, N.I.H., Extramural
DEP - 20141229
PL  - United States
TA  - Laryngoscope
JT  - The Laryngoscope
JID - 8607378
SB  - IM
MH  - Adult
MH  - Aged
MH  - Chronic Disease
MH  - Cohort Studies
MH  - *Decision Making
MH  - Endoscopy/*methods
MH  - Female
MH  - Follow-Up Studies
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Paranasal Sinuses/*surgery
MH  - Prospective Studies
MH  - Quality of Life
MH  - Rhinitis/*surgery
MH  - Sinusitis/*surgery
MH  - Treatment Outcome
PMC - PMC4481170
MID - NIHMS647409
OTO - NOTNLM
OT  - Endoscopic sinus surgery
OT  - SNOT-22
OT  - chronic rhinosinusitis
OT  - quality of life
OT  - shared decision making
OT  - sinusitis
EDAT- 2014/12/30 06:00
MHDA- 2015/09/24 06:00
PMCR- 2016/07/01
CRDT- 2014/12/30 06:00
PHST- 2014/10/27 00:00 [received]
PHST- 2014/11/17 00:00 [revised]
PHST- 2014/11/28 00:00 [accepted]
PHST- 2014/12/30 06:00 [entrez]
PHST- 2014/12/30 06:00 [pubmed]
PHST- 2015/09/24 06:00 [medline]
PHST- 2016/07/01 00:00 [pmc-release]
AID - 10.1002/lary.25108 [doi]
PST - ppublish
SO  - Laryngoscope. 2015 Jul;125(7):1517-22. doi: 10.1002/lary.25108. Epub 2014 Dec 29.