Patient-centered decision making in the treatment of chronic rhinosinusitis

Zachary M. Soler, Luke Rudmik, Peter H. Hwang, Jess C. Mace, Rodney J. Schlosser, Timothy Smith

Research output: Contribution to journalArticle

54 Citations (Scopus)

Abstract

Objectives/Hypothesis To explore possible factors that might impact a patient's choice to pursue endoscopic sinus surgery (ESS) or continue with medical management for treatment of refractory chronic rhinosinusitis (CRS). Study Design Cross-sectional evaluation of a multicenter prospective cohort. Methods Two hundred forty-two subjects with CRS were prospectively enrolled within four academic tertiary care centers across North America with ongoing symptoms despite prior medical treatment. Subjects either self-selected continued medical management (n = 62) or ESS (n = 180) for treatment of sinonasal symptoms. Differences in demographics, comorbid conditions, and clinical measures of disease severity between subject groups were compared. Validated metrics of social support, personality, risk aversion, and physician-patient relationships were compared using bivariate analyses, predicted probabilities, and receiver operating characteristic curves at the 0.05 alpha level. Results No significant differences were found between treatment groups for any demographic characteristic, clinical cofactor, or measure of social support, personality, or the physician-patient relationship. Subjects electing to pursue sinus surgery did report significantly worse average quality-of-life (QOL) scores on the 22-item Sinonasal Outcome Test (SNOT-22; P

Original languageEnglish (US)
Pages (from-to)2341-2346
Number of pages6
JournalLaryngoscope
Volume123
Issue number10
DOIs
StatePublished - Oct 2013

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Decision Making
Physician-Patient Relations
Social Support
Personality
Demography
Therapeutics
North America
Tertiary Care Centers
ROC Curve
Cross-Sectional Studies
Quality of Life

Keywords

  • Chronic disease
  • decision making
  • drug therapy
  • general surgery
  • sinusitis
  • therapeutics

ASJC Scopus subject areas

  • Otorhinolaryngology

Cite this

Soler, Z. M., Rudmik, L., Hwang, P. H., Mace, J. C., Schlosser, R. J., & Smith, T. (2013). Patient-centered decision making in the treatment of chronic rhinosinusitis. Laryngoscope, 123(10), 2341-2346. https://doi.org/10.1002/lary.24027

Patient-centered decision making in the treatment of chronic rhinosinusitis. / Soler, Zachary M.; Rudmik, Luke; Hwang, Peter H.; Mace, Jess C.; Schlosser, Rodney J.; Smith, Timothy.

In: Laryngoscope, Vol. 123, No. 10, 10.2013, p. 2341-2346.

Research output: Contribution to journalArticle

Soler, ZM, Rudmik, L, Hwang, PH, Mace, JC, Schlosser, RJ & Smith, T 2013, 'Patient-centered decision making in the treatment of chronic rhinosinusitis', Laryngoscope, vol. 123, no. 10, pp. 2341-2346. https://doi.org/10.1002/lary.24027
Soler, Zachary M. ; Rudmik, Luke ; Hwang, Peter H. ; Mace, Jess C. ; Schlosser, Rodney J. ; Smith, Timothy. / Patient-centered decision making in the treatment of chronic rhinosinusitis. In: Laryngoscope. 2013 ; Vol. 123, No. 10. pp. 2341-2346.
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