PMID- 26800771
OWN - NLM
STAT- MEDLINE
DCOM- 20160721
LR  - 20210617
IS  - 0300-0729 (Print)
IS  - 0300-0729 (Linking)
VI  - 54
IP  - 2
DP  - 2016 Jun
TI  - Using postoperative SNOT-22 to help predict the probability of revision sinus 
      surgery.
PG  - 111-6
LID - 10.4193/Rhino15.284 [doi]
AB  - BACKGROUND: There is a need to develop a patient-level strategy to identify those 
      at higher risk of requiring revision ESS since this may assist clinicians in 
      tailoring their postoperative management. This study evaluated whether 
      identifying changes in the post- operative 22-item Sinonasal Outcome Test 
      (SNOT-22) can help identify patients at increased risk of needing revision sinus 
      surgery for refractory chronic rhinosinusitis (CRS). METHODS: 668 CRS patients 
      undergoing primary ESS with complete 60-month follow-up were evaluated in this 
      prospective, longitudinal cohort study. Outcomes were evaluated in an unselected 
      cohort and a low-risk cohort, which was comprised of patients without a history 
      of asthma or aspirin sensitivity. RESULTS: Failing to achieve an improvement of 
      greater than one minimal clinically important difference (MCID; 9 points) at 3 
      months after primary ESS and a deterioration of greater than one MCID (ie. >9 
      points) from the 3- to 12-month follow-up periods was associated with an 
      increased risk of revision ESS in both the unselected and low-risk CRS cohorts. 
      CONCLUSION: Outcomes from this study suggest that identifying MCID changes in the 
      SNOT-22 score within 12 months after primary ESS can identify patients at 
      increased risk for needing revision surgery.
FAU - Rudmik, Luke
AU  - Rudmik L
AD  - Division of Otolaryngology, Head and Neck Surgery, Department of Surgery, 
      University of Calgary, Calgary, AB, 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, SC, USA.
FAU - Hopkins, Claire
AU  - Hopkins C
AD  - Department of ENT, Guy s and St Thomas NHS Trust, London, United Kingdom.
LA  - eng
PT  - Journal Article
PT  - Observational Study
PL  - Netherlands
TA  - Rhinology
JT  - Rhinology
JID - 0347242
SB  - IM
MH  - Adult
MH  - Aged
MH  - Chronic Disease
MH  - Cohort Studies
MH  - Female
MH  - Humans
MH  - Longitudinal Studies
MH  - Male
MH  - Middle Aged
MH  - *Otorhinolaryngologic Surgical Procedures
MH  - Paranasal Sinuses/*surgery
MH  - Probability
MH  - Prospective Studies
MH  - Reoperation
MH  - Rhinitis/*surgery
MH  - Sinusitis/*surgery
MH  - Surveys and Questionnaires
MH  - Treatment Outcome
EDAT- 2016/01/24 06:00
MHDA- 2016/07/22 06:00
CRDT- 2016/01/24 06:00
PHST- 2016/01/24 06:00 [entrez]
PHST- 2016/01/24 06:00 [pubmed]
PHST- 2016/07/22 06:00 [medline]
AID - 1432 [pii]
AID - 10.4193/Rhino15.284 [doi]
PST - ppublish
SO  - Rhinology. 2016 Jun;54(2):111-6. doi: 10.4193/Rhino15.284.