Evidence supporting endoscopic sinus surgery in the management of adult chronic rhinosinusitis: A systematic review

Timothy Smith, Pete S. Batra, Allen M. Seiden, Maureen Hanley

Research output: Contribution to journalArticle

83 Citations (Scopus)

Abstract

Background: Evidence-based medicine calls for a critical evaluation of the scientific evidence for treatments of disease. This report synthesizes the available evidence on the use of endoscopic sinus surgery (ESS) in the management of adult chronic rhinosinusitis (CRS) examining the clinical question: "In adults with CRS who have failed medical management, does ESS improve symptoms and/or quality of life (QOL)?" Methods: The American Rhinologic Society and the American Academy of Otolaryngology-Head and Neck Surgery convened a steering committee composed of the authors. Primary research articles evaluated for this report were identified using appropriate search terms and a Medline search. Two authors independently reviewed each article. Articles were assigned an evidence level based on accepted guidelines (level 1 = randomized trials; level 2 = prospective cohort studies with comparison group; level 3 = case-control studies; level 4 = retrospective case series; level 5 = expert opinion). Results: We identified 886 abstracts to review, retrieved 75 articles for full review, and included 45 articles in our report. The vast majority of articles represented level 4 evidence (n = 42) and two articles represented level 5 evidence. One article was identified that qualified for level 2 evidence. All of these articles generally supported the finding that ESS improves symptoms and/or QOL in adult patients with CRS. Conclusion: There is substantial level 4 evidence with supporting level 2 evidence that ESS is effective in improving symptoms and/or QOL in adult patients with CRS. Future research efforts should focus on prospective studies that include appropriate comparison groups in their design.

Original languageEnglish (US)
Pages (from-to)537-543
Number of pages7
JournalAmerican Journal of Rhinology
Volume19
Issue number6
StatePublished - Nov 2005
Externally publishedYes

Fingerprint

Quality of Life
Prospective Studies
Evidence-Based Medicine
Otolaryngology
Expert Testimony
Case-Control Studies
Cohort Studies
Neck
Head
Guidelines
Research
Therapeutics

ASJC Scopus subject areas

  • Otorhinolaryngology

Cite this

Evidence supporting endoscopic sinus surgery in the management of adult chronic rhinosinusitis : A systematic review. / Smith, Timothy; Batra, Pete S.; Seiden, Allen M.; Hanley, Maureen.

In: American Journal of Rhinology, Vol. 19, No. 6, 11.2005, p. 537-543.

Research output: Contribution to journalArticle

@article{3d689fbefbf4454fa7509bf32000c1f6,
title = "Evidence supporting endoscopic sinus surgery in the management of adult chronic rhinosinusitis: A systematic review",
abstract = "Background: Evidence-based medicine calls for a critical evaluation of the scientific evidence for treatments of disease. This report synthesizes the available evidence on the use of endoscopic sinus surgery (ESS) in the management of adult chronic rhinosinusitis (CRS) examining the clinical question: {"}In adults with CRS who have failed medical management, does ESS improve symptoms and/or quality of life (QOL)?{"} Methods: The American Rhinologic Society and the American Academy of Otolaryngology-Head and Neck Surgery convened a steering committee composed of the authors. Primary research articles evaluated for this report were identified using appropriate search terms and a Medline search. Two authors independently reviewed each article. Articles were assigned an evidence level based on accepted guidelines (level 1 = randomized trials; level 2 = prospective cohort studies with comparison group; level 3 = case-control studies; level 4 = retrospective case series; level 5 = expert opinion). Results: We identified 886 abstracts to review, retrieved 75 articles for full review, and included 45 articles in our report. The vast majority of articles represented level 4 evidence (n = 42) and two articles represented level 5 evidence. One article was identified that qualified for level 2 evidence. All of these articles generally supported the finding that ESS improves symptoms and/or QOL in adult patients with CRS. Conclusion: There is substantial level 4 evidence with supporting level 2 evidence that ESS is effective in improving symptoms and/or QOL in adult patients with CRS. Future research efforts should focus on prospective studies that include appropriate comparison groups in their design.",
author = "Timothy Smith and Batra, {Pete S.} and Seiden, {Allen M.} and Maureen Hanley",
year = "2005",
month = "11",
language = "English (US)",
volume = "19",
pages = "537--543",
journal = "American Journal of Rhinology and Allergy",
issn = "1945-8924",
publisher = "OceanSide Publications Inc.",
number = "6",

}

TY - JOUR

T1 - Evidence supporting endoscopic sinus surgery in the management of adult chronic rhinosinusitis

T2 - A systematic review

AU - Smith, Timothy

AU - Batra, Pete S.

AU - Seiden, Allen M.

AU - Hanley, Maureen

PY - 2005/11

Y1 - 2005/11

N2 - Background: Evidence-based medicine calls for a critical evaluation of the scientific evidence for treatments of disease. This report synthesizes the available evidence on the use of endoscopic sinus surgery (ESS) in the management of adult chronic rhinosinusitis (CRS) examining the clinical question: "In adults with CRS who have failed medical management, does ESS improve symptoms and/or quality of life (QOL)?" Methods: The American Rhinologic Society and the American Academy of Otolaryngology-Head and Neck Surgery convened a steering committee composed of the authors. Primary research articles evaluated for this report were identified using appropriate search terms and a Medline search. Two authors independently reviewed each article. Articles were assigned an evidence level based on accepted guidelines (level 1 = randomized trials; level 2 = prospective cohort studies with comparison group; level 3 = case-control studies; level 4 = retrospective case series; level 5 = expert opinion). Results: We identified 886 abstracts to review, retrieved 75 articles for full review, and included 45 articles in our report. The vast majority of articles represented level 4 evidence (n = 42) and two articles represented level 5 evidence. One article was identified that qualified for level 2 evidence. All of these articles generally supported the finding that ESS improves symptoms and/or QOL in adult patients with CRS. Conclusion: There is substantial level 4 evidence with supporting level 2 evidence that ESS is effective in improving symptoms and/or QOL in adult patients with CRS. Future research efforts should focus on prospective studies that include appropriate comparison groups in their design.

AB - Background: Evidence-based medicine calls for a critical evaluation of the scientific evidence for treatments of disease. This report synthesizes the available evidence on the use of endoscopic sinus surgery (ESS) in the management of adult chronic rhinosinusitis (CRS) examining the clinical question: "In adults with CRS who have failed medical management, does ESS improve symptoms and/or quality of life (QOL)?" Methods: The American Rhinologic Society and the American Academy of Otolaryngology-Head and Neck Surgery convened a steering committee composed of the authors. Primary research articles evaluated for this report were identified using appropriate search terms and a Medline search. Two authors independently reviewed each article. Articles were assigned an evidence level based on accepted guidelines (level 1 = randomized trials; level 2 = prospective cohort studies with comparison group; level 3 = case-control studies; level 4 = retrospective case series; level 5 = expert opinion). Results: We identified 886 abstracts to review, retrieved 75 articles for full review, and included 45 articles in our report. The vast majority of articles represented level 4 evidence (n = 42) and two articles represented level 5 evidence. One article was identified that qualified for level 2 evidence. All of these articles generally supported the finding that ESS improves symptoms and/or QOL in adult patients with CRS. Conclusion: There is substantial level 4 evidence with supporting level 2 evidence that ESS is effective in improving symptoms and/or QOL in adult patients with CRS. Future research efforts should focus on prospective studies that include appropriate comparison groups in their design.

UR - http://www.scopus.com/inward/record.url?scp=30944462567&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=30944462567&partnerID=8YFLogxK

M3 - Article

C2 - 16402637

AN - SCOPUS:30944462567

VL - 19

SP - 537

EP - 543

JO - American Journal of Rhinology and Allergy

JF - American Journal of Rhinology and Allergy

SN - 1945-8924

IS - 6

ER -