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. 2010 Apr;136(4):340-6.
doi: 10.1001/archoto.2010.34.

Correlations between endoscopy score and quality of life changes after sinus surgery

Jess C Mace  1 , Yvonne L Michael, Nichole E Carlson, Jamie R Litvack, Timothy L Smith
Affiliations

Correlations between endoscopy score and quality of life changes after sinus surgery

Jess C Mace et al. Arch Otolaryngol Head Neck Surg. 2010 Apr.

Abstract

Objective: To assess whether change in endoscopy score correlates with change in health-related quality of life (HRQOL) following endoscopic sinus surgery for chronic rhinosinusitis.

Design: Prospective open cohort.

Setting: Tertiary rhinology clinic.

Patients: One hundred two adult patients with and without nasal polyposis who elected to undergo endoscopic sinus surgery and were followed up for 12 +/- 2 months postoperatively.

Intervention: Patient characteristics and Lund-Mackay computed tomography scores were recorded preoperatively. Lund-Kennedy endoscopy scores and 2 HRQOL surveys, the Rhinosinusitis Disability Index and Chronic Sinusitis Survey, were examined before and after surgery.

Main outcome measures: Postoperative changes in endoscopy score and HRQOL were examined using bivariate and multivariate analyses.

Results: Statistically significant improvements were found in endoscopy score (P < .001) and for all total and subscale HRQOL measures (P < .001). After controlling for baseline status and comorbid factors, improvement in endoscopy score significantly correlated with 12-month improvement on the total Rhinosinusitis Disability Index (P = .01), the physical (P = .01) and functional (P = .02) subscales of the Rhinosinusitis Disability Index, and the symptom subscale of the Chronic Sinusitis Survey (P = .003) but could explain only 25.5% to 36.6% of the linear variation for these HRQOL improvements.

Conclusions: For most patients, endoscopy scores and disease-specific HRQOL significantly improve after endoscopic sinus surgery. Changes in endoscopy scores explain a portion of the improvement in HRQOL. For patients with chronic rhinosinusitis, improvements in disease-specific HRQOL outcomes are complex, multidimensional constructs that cannot be entirely explained by surgical changes measured by endoscopic examination. Trial Registration clinicaltrials.gov Identifier: NCT00799097.

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Figures

Figure 1
Figure 1
Bivariate correlation between postoperative changes in the Rhinosinusitis Disability Index (RSDI) physical subscale and postoperative changes in endoscopy score (n=102). Pearson’s r = 0.190, p=0.058.
Figure 2
Figure 2
Bivariate correlation between postoperative changes in the Rhinosinusitis Disability Index (RSDI) functional subscale and postoperative changes in endoscopy score (n=102). Pearson’s r = 0.187,p=0.061.
Figure 3
Figure 3
Bivariate correlations between postoperative changes in total Rhinosinusitis Disability Index (RSDI) total scores and postoperative changes in endoscopy score (n=102). Pearson’s r = 0.195, p=0.051.
Figure 4
Figure 4
Bivariate correlations between postoperative changes in Chronic Sinusitis Survey (CSS) symptom subscale and postoperative changes in endoscopy score (n=102). Pearson’s r = 0.194,p=0.052.
Figure 5
Figure 5
Comparisons of bivariate correlations between postoperative changes in endoscopy score and Rhinosinusitis Disability Index (RSDI) subscale and total scores for patients with and without nasal polyposis.
Figure 6
Figure 6
Comparison of bivariate correlations between postoperative changes in endoscopy score and Chronic Sinusitis Survey (CSS) subscale and total scores for patients with and without nasal polyposis.
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References

    1. Giger R, Landis BN, Zheng C, et al. Objective and subjective evaluation of endoscopic nasal surgery outcomes. Am J Rhinol. 2003;17(6):327–333. - PubMed
    1. Damm M, Quante G, Jungehuelsing M, Stennert E. Impact of functional endoscopic sinus surgery on symptoms and quality of life in chronic rhinosinusitis. Laryngoscope. 2002;112:310–315. - PubMed
    1. Wabnitz D, Nair S, Wormald PJ. Correlation between preoperative symptom scores, quality-of-life questionnaires, and staging with computed tomography in patients with chronic rhinosinusitis. Am J Rhinol. 2005;19(1):91–96. - PubMed
    1. Bhattacharyya N. A comparison of symptom scores and radiographic staging systems in chronic rhinosinusitis. Am J Rhinol. 2005;19(2):175–179. - PubMed
    1. Bhattacharyya N. Radiographic stage fails to predict symptom outcomes after endoscopic sinus surgery for chronic rhinosinusitis. Laryngoscope. 2006;116(1):18–22. - PubMed

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