Abstract
Background: Very few studies have comprehensively examined specific symptom outcomes of endoscopic sinus surgery (ESS). The purpose of this study was to define the individual symptoms of a cohort of patients with medically refractory chronic rhinosinusitis (CRS) using visual analog scale (VAS) scores as well as report symptom-based outcomes after ESS. Methods: Patients with medically refractory CRS presenting for surgical management were asked to evaluate baseline symptoms using 10-cm VAS measures. Participants were asked to rank their most debilitating symptoms in descending order. VAS scores were assessed postoperatively at 3, 6, 12, and 18 months. The Kruskal-Wallis test was used to assess improvement in mean symptom VAS scores at each of the postoperative time points. Results: Nasal congestion elicited the highest preoperative VAS score with an average of 6.5, followed by fatigue (6.0), headache (5.8), decreased sense of smell (5.5), nasal drainage (5.5), and facial pain-pressure (5.5). Headache was the most commonly reported disabling condition. Follow-up data after ESS was available for 207 patients. Average VAS scores for 6 of 7 symptoms showed significant and sustainable postoperative improvement at 3, 6, 12, and 18 months after surgery (p <0.001). Improvement in VAS score for headache was not statistically significant (p > 0.700). Conclusion: This study indicates that patients with medically refractory CRS presenting for surgery complain of associated symptoms with great frequency. ESS results in both statistically and clinically significant improvements in six of seven symptoms. Headache, which was the most highly ranked disabling symptom, did not show significant improvement from baseline.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 297-301 |
| Number of pages | 5 |
| Journal | American Journal of Rhinology |
| Volume | 22 |
| Issue number | 3 |
| DOIs | |
| State | Published - May 2008 |
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Keywords
- Chronic rhinosinusitis
- Endoscopic sinus surgery
- Facial pain
- Headache
- Outcomes
- Quality-of-life
- Sinusitis
- Symptoms
- Visual analog scales
ASJC Scopus subject areas
- Otorhinolaryngology
Cite this
Symptom-based presentation of chronic rhinosinusitis and symptom-specific outcomes after endoscopic sinus surgery. / Soler, Zachary M.; Mace, Jess; Smith, Timothy.
In: American Journal of Rhinology, Vol. 22, No. 3, 05.2008, p. 297-301.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Symptom-based presentation of chronic rhinosinusitis and symptom-specific outcomes after endoscopic sinus surgery
AU - Soler, Zachary M.
AU - Mace, Jess
AU - Smith, Timothy
PY - 2008/5
Y1 - 2008/5
N2 - Background: Very few studies have comprehensively examined specific symptom outcomes of endoscopic sinus surgery (ESS). The purpose of this study was to define the individual symptoms of a cohort of patients with medically refractory chronic rhinosinusitis (CRS) using visual analog scale (VAS) scores as well as report symptom-based outcomes after ESS. Methods: Patients with medically refractory CRS presenting for surgical management were asked to evaluate baseline symptoms using 10-cm VAS measures. Participants were asked to rank their most debilitating symptoms in descending order. VAS scores were assessed postoperatively at 3, 6, 12, and 18 months. The Kruskal-Wallis test was used to assess improvement in mean symptom VAS scores at each of the postoperative time points. Results: Nasal congestion elicited the highest preoperative VAS score with an average of 6.5, followed by fatigue (6.0), headache (5.8), decreased sense of smell (5.5), nasal drainage (5.5), and facial pain-pressure (5.5). Headache was the most commonly reported disabling condition. Follow-up data after ESS was available for 207 patients. Average VAS scores for 6 of 7 symptoms showed significant and sustainable postoperative improvement at 3, 6, 12, and 18 months after surgery (p <0.001). Improvement in VAS score for headache was not statistically significant (p > 0.700). Conclusion: This study indicates that patients with medically refractory CRS presenting for surgery complain of associated symptoms with great frequency. ESS results in both statistically and clinically significant improvements in six of seven symptoms. Headache, which was the most highly ranked disabling symptom, did not show significant improvement from baseline.
AB - Background: Very few studies have comprehensively examined specific symptom outcomes of endoscopic sinus surgery (ESS). The purpose of this study was to define the individual symptoms of a cohort of patients with medically refractory chronic rhinosinusitis (CRS) using visual analog scale (VAS) scores as well as report symptom-based outcomes after ESS. Methods: Patients with medically refractory CRS presenting for surgical management were asked to evaluate baseline symptoms using 10-cm VAS measures. Participants were asked to rank their most debilitating symptoms in descending order. VAS scores were assessed postoperatively at 3, 6, 12, and 18 months. The Kruskal-Wallis test was used to assess improvement in mean symptom VAS scores at each of the postoperative time points. Results: Nasal congestion elicited the highest preoperative VAS score with an average of 6.5, followed by fatigue (6.0), headache (5.8), decreased sense of smell (5.5), nasal drainage (5.5), and facial pain-pressure (5.5). Headache was the most commonly reported disabling condition. Follow-up data after ESS was available for 207 patients. Average VAS scores for 6 of 7 symptoms showed significant and sustainable postoperative improvement at 3, 6, 12, and 18 months after surgery (p <0.001). Improvement in VAS score for headache was not statistically significant (p > 0.700). Conclusion: This study indicates that patients with medically refractory CRS presenting for surgery complain of associated symptoms with great frequency. ESS results in both statistically and clinically significant improvements in six of seven symptoms. Headache, which was the most highly ranked disabling symptom, did not show significant improvement from baseline.
KW - Chronic rhinosinusitis
KW - Endoscopic sinus surgery
KW - Facial pain
KW - Headache
KW - Outcomes
KW - Quality-of-life
KW - Sinusitis
KW - Symptoms
KW - Visual analog scales
UR - http://www.scopus.com/inward/record.url?scp=45349109384&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=45349109384&partnerID=8YFLogxK
U2 - 10.2500/ajr.2008.22.3172
DO - 10.2500/ajr.2008.22.3172
M3 - Article
VL - 22
SP - 297
EP - 301
JO - American Journal of Rhinology and Allergy
JF - American Journal of Rhinology and Allergy
SN - 1945-8924
IS - 3
ER -