The impact of comorbid gastroesophageal reflux disease on endoscopic sinus surgery quality-of-life outcomes

Adam S. Deconde, Jess C. Mace, Timothy Smith

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

Background: Chronic rhinosinusitis (CRS) and gastroesophageal reflux disease (GERD) are common entities that overlap in patient demographics. The pathophysiologic role of GERD has yet to be elucidated, but it is postulated that extraesophageal reflux may contribute to worsening symptoms of CRS. This study seeks to investigate whether patients with CRS with and without a history of GERD experience comparable quality-of-life (QOL) improvement after endoscopic sinus surgery (ESS). Methods: An adult cohort (n = 229) with medically refractory CRS was prospectively assessed following ESS using 3 disease-specific QOL constructs. A patient subset with a history of comorbid GERD was retrospectively identified (n = 72) and preoperative and postoperative QOL were compared to patients without GERD (n = 157). Results: Patients with comorbid GERD and CRS were comparable across all baseline patient characteristics (p > 0.050) with the exception of patients with a history of GERD; those patients were less likely to have undergone allergy testing (p <0.002) and were older (53.8 years vs 47.6; p <0.002). Similarly, baseline objective and subjective measures of disease were comparable between patients with CRS with and without GERD (p > 0.050). Both groups experienced significant QOL improvement across all QOL constructs (p ≤ 0.021), and no difference was detected in the magnitude of that improvement between patients with and without a history of GERD (p > 0.050). Similarly, patients on active medical therapy for GERD (n = 49) had QOL gaihttp://www.nytimes.com/2012/06/19/us/asians-surpass-hispanics-as-biggest-immigrant-wave.html?_r=0ns comparable to patients not reporting GERD medical therapy (p > 0.050). Conclusion: Patients electing ESS for CRS with and without comorbid GERD have comparable baseline characteristics and QOL outcomes following surgery.

Original languageEnglish (US)
Pages (from-to)663-669
Number of pages7
JournalInternational Forum of Allergy and Rhinology
Volume4
Issue number8
DOIs
StatePublished - 2014

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Gastroesophageal Reflux
Quality of Life
Quality Improvement
Hispanic Americans
Hypersensitivity
Demography

Keywords

  • Confounding factors
  • Endoscopy
  • Gastroesophageal reflux
  • Outcome assessment
  • Quality of life
  • Sinusitis

ASJC Scopus subject areas

  • Immunology and Allergy
  • Otorhinolaryngology
  • Medicine(all)

Cite this

The impact of comorbid gastroesophageal reflux disease on endoscopic sinus surgery quality-of-life outcomes. / Deconde, Adam S.; Mace, Jess C.; Smith, Timothy.

In: International Forum of Allergy and Rhinology, Vol. 4, No. 8, 2014, p. 663-669.

Research output: Contribution to journalArticle

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abstract = "Background: Chronic rhinosinusitis (CRS) and gastroesophageal reflux disease (GERD) are common entities that overlap in patient demographics. The pathophysiologic role of GERD has yet to be elucidated, but it is postulated that extraesophageal reflux may contribute to worsening symptoms of CRS. This study seeks to investigate whether patients with CRS with and without a history of GERD experience comparable quality-of-life (QOL) improvement after endoscopic sinus surgery (ESS). Methods: An adult cohort (n = 229) with medically refractory CRS was prospectively assessed following ESS using 3 disease-specific QOL constructs. A patient subset with a history of comorbid GERD was retrospectively identified (n = 72) and preoperative and postoperative QOL were compared to patients without GERD (n = 157). Results: Patients with comorbid GERD and CRS were comparable across all baseline patient characteristics (p > 0.050) with the exception of patients with a history of GERD; those patients were less likely to have undergone allergy testing (p <0.002) and were older (53.8 years vs 47.6; p <0.002). Similarly, baseline objective and subjective measures of disease were comparable between patients with CRS with and without GERD (p > 0.050). Both groups experienced significant QOL improvement across all QOL constructs (p ≤ 0.021), and no difference was detected in the magnitude of that improvement between patients with and without a history of GERD (p > 0.050). Similarly, patients on active medical therapy for GERD (n = 49) had QOL gaihttp://www.nytimes.com/2012/06/19/us/asians-surpass-hispanics-as-biggest-immigrant-wave.html?_r=0ns comparable to patients not reporting GERD medical therapy (p > 0.050). Conclusion: Patients electing ESS for CRS with and without comorbid GERD have comparable baseline characteristics and QOL outcomes following surgery.",
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