PMID- 25891944
OWN - NLM
STAT- MEDLINE
DCOM- 20151006
LR  - 20220321
IS  - 1531-4995 (Electronic)
IS  - 0023-852X (Linking)
VI  - 125
IP  - 8
DP  - 2015 Aug
TI  - The predictive value of the preoperative Sinonasal Outcome Test-22 score in 
      patients undergoing endoscopic sinus surgery for chronic rhinosinusitis.
PG  - 1779-84
LID - 10.1002/lary.25318 [doi]
AB  - OBJECTIVES/HYPOTHESIS: With the aim of facilitating preference-sensitive decision 
      making regarding elective endoscopic sinus surgery (ESS) for chronic 
      rhinosinusitis (CRS), we set out to evaluate the predictive value of the 22-item 
      Sinonasal Outcome Test (SNOT-22) patient-reported outcome measure and to compare 
      outcomes of a UK cohort with a similar United States/Canadian-based study. STUDY 
      DESIGN: Prospective observational cohort study, METHODS: Patients electing ESS in 
      87 UK hospitals were enrolled. The primary outcome was change in SNOT-22 score 3 
      months after surgery. Patients were categorized according to baseline SNOT-22 
      score, and the proportion of patients achieving a SNOT-22 minimal clinically 
      important difference (MCID) of 8.9 was calculated, as well as the percentage 
      change in SNOT-22 score. RESULTS: A total of 2,263 patients were included within 
      this study. There was an average 40% reduction in SNOT-22 scores following 
      surgery, and 66% of patients overall achieved the MCID. The proportion of 
      patients achieving the MCID increased significantly with increasing baseline 
      SNOT-22. Patients with a preoperative score of <20 failed to achieve a mean 
      improvement greater than the MCID. Patients with a score of >30 had a greater 
      than 70% chance of achieving the MCID. CRS patients with polyps had greater 
      improvement than patients with CRS without polyps. The predictive value of the 
      SNOT-22 is similar in the UK cohort, although overall patients did not benefit 
      from surgery as much as their North American counterparts. CONCLUSIONS: Medically 
      recalcitrant patients with CRS considering surgery should make decisions guided 
      by their preoperative quality-of-life impairment, as measured by the SNOT-22. 
      LEVEL OF EVIDENCE: 2b
CI  - (c) 2015 The American Laryngological, Rhinological and Otological Society, Inc.
FAU - Hopkins, Claire
AU  - Hopkins C
AD  - Department of Otolaryngology, Guy's and St. Thomas' National Health Service 
      Trust, London, United Kingdom.
FAU - Rudmik, Luke
AU  - Rudmik L
AD  - Division of Otolaryngology-Head and Neck Surgery, Richmond Road Diagnostic and 
      Treatment Centre, University of Calgary, Calgary, Alberta, Canada.
FAU - Lund, Valerie J
AU  - Lund VJ
AD  - Department of Otolaryngology, Royal National Throat Nose & Ear Hospital, London, 
      United Kingdom.
LA  - eng
PT  - Journal Article
PT  - Multicenter Study
PT  - Observational Study
PT  - Research Support, Non-U.S. Gov't
DEP - 20150417
PL  - United States
TA  - Laryngoscope
JT  - The Laryngoscope
JID - 8607378
SB  - IM
MH  - Adult
MH  - Chronic Disease
MH  - Endoscopy/*methods
MH  - Female
MH  - Follow-Up Studies
MH  - Humans
MH  - Male
MH  - *Otorhinolaryngologic Surgical Procedures
MH  - Predictive Value of Tests
MH  - Preoperative Period
MH  - Prospective Studies
MH  - Rhinitis/diagnosis/*surgery
MH  - Severity of Illness Index
MH  - Sinusitis/diagnosis/*surgery
OTO - NOTNLM
OT  - Chronic rhinosinusitis
OT  - Sinonasal Outcome Test-22
OT  - endoscopic sinus surgery
OT  - outcomes
EDAT- 2015/04/22 06:00
MHDA- 2015/10/07 06:00
CRDT- 2015/04/21 06:00
PHST- 2015/03/16 00:00 [accepted]
PHST- 2015/04/21 06:00 [entrez]
PHST- 2015/04/22 06:00 [pubmed]
PHST- 2015/10/07 06:00 [medline]
AID - 10.1002/lary.25318 [doi]
PST - ppublish
SO  - Laryngoscope. 2015 Aug;125(8):1779-84. doi: 10.1002/lary.25318. Epub 2015 Apr 17.