PMID- 30156212
OWN - NLM
STAT- MEDLINE
DCOM- 20181031
LR  - 20220321
IS  - 1119-3077 (Print)
VI  - 21
IP  - 9
DP  - 2018 Sep
TI  - Is sino-nasal outcome test-22 reliable for guiding chronic rhinosinusitis 
      patients for endoscopic sinus surgery?
PG  - 1228-1233
LID - 10.4103/njcp.njcp_429_17 [doi]
AB  - Chronic rhino-sinusitis (CRS) is a significant health problem whose incidence and 
      prevalence is rising. An emphasis has been placed on diseasespecific quality of 
      life (QoL as the predominant measure for most current outcome studies. Therefore 
      a validated measure of health-related QoL in sinonasal disease is needed. The 
      present prospective and observational study was conducted on 50 patients in the 
      Department of ENT at Govt. Medical College and Rajindra Hospital Patiala, Punjab, 
      India. The primary outcomes were the following: (1) the chance of attaining 
      minimal clinically important difference (MCID) improvements of nine points at the 
      22-item Sino-Nasal Outcome Test (SNOT-22) after endoscopic sinus surgery (ESS) 
      for different preoperative QoL levels, and (2) the percentage of relative 
      improvement in SNOT-22 after ESS for different preoperative QoL levels. METHODS: 
      Patients with CRS who were elected for ESS were prospectively enrolled into an 
      observational cohort study. They were categorized into 10 preoperative SNOT-22 
      groups based on 10-point increments beginning with a score of 10 and ending at 
      110. Standard protocol for all patients presenting for evaluation included 
      completion of the SNOT-22 prior to and following surgical intervention. The 
      scores were calculated and the data collected were compiled and analyzed. 
      RESULTS: A total of 50 patients were included in this study. Patients with a 
      SNOT-22 score between 10 and 19 had the lowest chance of achieving an MCID. 
      Patients with a SNOT-22 score greater than 30 had a greater than 90% chance of 
      achieving an MCID, and there was a relative improvement of 43.3% on their 
      preoperative SNOT-22 scores. CRS patients with polyp had better outcomes (47.1% 
      improvement) after ESS than those without polyp (33.2% improvement). CONCLUSION: 
      There is an increased probability of achieving an MCID at SNOT-22 score >30 and 
      in general the percentage of relative improvement increased with an increase in 
      preoperative SNOT score.
FAU - Singla, G
AU  - Singla G
AD  - Department of ENT and Head and Neck Surgery, Government Medical College and 
      Rajindra Hospital, Patiala, Punjab, India.
FAU - Singh, M
AU  - Singh M
AD  - Department of ENT and Head and Neck Surgery, Government Medical College and 
      Rajindra Hospital, Patiala, Punjab, India.
FAU - Singh, A
AU  - Singh A
AD  - Department of ENT and Head and Neck Surgery, Government Medical College and 
      Rajindra Hospital, Patiala, Punjab, India.
FAU - Kaur, I
AU  - Kaur I
AD  - Department of ENT and Head and Neck Surgery, Government Medical College and 
      Rajindra Hospital, Patiala, Punjab, India.
FAU - Harsh, K
AU  - Harsh K
AD  - Department of ENT and Head and Neck Surgery, Government Medical College and 
      Rajindra Hospital, Patiala, Punjab, India.
FAU - Jasmeen, K
AU  - Jasmeen K
AD  - Department of ENT and Head and Neck Surgery, Government Medical College and 
      Rajindra Hospital, Patiala, Punjab, India.
LA  - eng
PT  - Journal Article
PT  - Observational Study
PL  - India
TA  - Niger J Clin Pract
JT  - Nigerian journal of clinical practice
JID - 101150032
SB  - IM
MH  - Adult
MH  - Aged
MH  - Chronic Disease
MH  - Cohort Studies
MH  - *Decision Making
MH  - Endoscopy/*methods
MH  - Female
MH  - Humans
MH  - India
MH  - Male
MH  - Middle Aged
MH  - Paranasal Sinuses/*surgery
MH  - Prospective Studies
MH  - *Quality of Life
MH  - Rhinitis/*surgery
MH  - Sinusitis/*surgery
OTO - NOTNLM
OT  - Chronic rhinosinusitis
OT  - endoscopic sinus surgery
OT  - nasal polyp
OT  - sino-nasal outcome test-22
COIS- There are no conflicts of interest
EDAT- 2018/08/30 06:00
MHDA- 2018/11/01 06:00
CRDT- 2018/08/30 06:00
PHST- 2018/08/30 06:00 [entrez]
PHST- 2018/08/30 06:00 [pubmed]
PHST- 2018/11/01 06:00 [medline]
AID - NigerJClinPract_2018_21_9_1228_240069 [pii]
AID - 10.4103/njcp.njcp_429_17 [doi]
PST - ppublish
SO  - Niger J Clin Pract. 2018 Sep;21(9):1228-1233. doi: 10.4103/njcp.njcp_429_17.