Assessment of quality of life of patients with Chronic Rhinosinusitis in a short and long-term after sinus surgery
DOI:
https://doi.org/10.34631/sporl.975Keywords:
Chronic rhinosinusitis, FESS, SNOT-22Abstract
Objective: The purpose of this study was to assess the long-term quality of life after treatment with Functional Endoscopic Sinus Surgery (FESS) in patients with Chronic Rhinosinusitis (CRS) and possible existence of clinical features that could influence that result.
Methods: In this retrospective study, were included 75 patients with CRS submitted to FESS, between May of 2013 and October of 2014 at a tertiary otorhinolaryngology center in Lisbon. Quality-of- life (QOL) outcomes were evaluated by performing SNOT-22 preoperatively and in 2 postoperative different times (average 11.2 and 89.2 months respectively).
Patient and disease specific data that could influence quality of life were collected and statistical analysis was performed.
Results: There was an improvement in the SNOT- 22 after surgical treatment both in the 1st (x= 19,43; σ= 17,60) and 2nd (x= 30,81; σ= 21,24) evaluation, compared to the preoperative period (x= 58,24; σ= 19,32) (p<0.001).
A positive correlation was found between SNOT-22 (QOL) before surgery and their absolute short and long-term improvement (p<0.05).
Any patient and disease-specific data were not found to influence the long-term QOL in patients with CRS after surgical treatment with FESS. Conclusion: Patients with a worse QOL and a high SNOT-22 result before surgery, will have better QOL in the long-term with CRS after FESS.
References
Fokkens WJ, Lund VJ, Hopkins C, Hellings PW, Kern R, Reitsma S. et al. European Position Paper on Rhinosinusitis and Nasal Polyps. Rhinology. 2020 Feb 20;58(Suppl S29):1-464. doi: 10.4193/Rhin20.600.
Soler ZM, Jones R, Le P, Rudmik L, Mattos JL, Nguyen SA. et al. Sino-nasal outcome test-22 outcomes after sinus surgery: a systematic review and meta-analysis. Laryngoscope. 2018 Mar;128(3):581-592. doi: 10.1002/lary.27008.
Bezerra TF, Piccirillo JF, Fornazieri MA, Pilan RR, Pinna FR, Padua FG. et al. Assessment of quality of life after endoscopic sinus surgery for chronic rhionosinusitis. Braz J Otorhinolaryngol. 2012 Apr;78(2):96-102. Braz J Otorhinolaryngol. 2012; pp. 96-102; DOI:10.1590/S1808-86942012000200015.
Kennedy JL, Hubbard MA, Huyett P, Patrie JT, Borish L, Payne SC. Sino-Nasal Outcome Test (SNOT-22): A predictor of post-surgical improvement in patients with chronic sinusitis. Ann Allergy Asthma Immunol. 2013 Oct;111(4):246-251.e2. doi: 10.1016/j.anai.2013.06.033.
Smith TL, Litvack JR, Hwang PH, Loehrl TA, Mace JC, Fong KJ. et al. Determinants of outcomes of sinus surgery: a multi-institutional prospective cohort study. Otolaryngol Head Neck Surg. 2010 Jan;142(1):55-63. doi: 10.1016/j.otohns.2009.10.009.
Browne JP, Hopkins C, Slack R, Cano SJ. The Sino-Nasal Outcome Test (SNOT): Can we make it more clinically meningful? Otolaryngol Head Neck Surg. 2007 May;136(5):736-41. doi: 10.1016/j.otohns.2007.01.024.
Hopkins C, Browne JP, Slack R, Lund V, Brown P. The Lund-Mackay staging system for chronic rhinossinusitis: How it is used and what does it predict? Otolaryngol Head Neck Surg. 2007 Oct;137(4):555-61. doi: 10.1016/j.otohns.2007.02.004.
Poetker DM, Smith TL. Adult chronic rhinosinusitis: surgical outcomes and the role of endoscopic sinus surgery. Curr Opin Otolaryngol Head Neck Surg. 2007 Feb;15(1):6-9. doi: 10.1097/MOO.0b013e328011bc8c.
Smith TL, Mendolia-Loffredo S, Loehrl TA, Sparapani R, Laud PW, Nattinger AB. Predictive factors and outcomes in endoscopic sinus surgery for chronic rhinosinusitis. Laryngoscope. 2005 Dec;115(12):2199-205. doi: 10.1097/01.mlg.0000182825.82910.80.
Barros E, Monteiro L, Prata JB, Vieira AS, et al. Avaliação da prevalência e caracterização da rinossinusite em Portugal – estudo epidemiológico. Revista Portuguesa de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço 2008;46(4):243-50. doi.org/10.34631/sporl.412
Hopkins C, Slack R, Lund V, Brown P, Copley L, Browne J. Long-term outcomes from the English national comparative audit of surgery for nasal polyposis and chronic rhinosinusitis. Laryngoscope. 2009 Dec;119(12):2459-65. doi: 10.1002/lary.20653.
Smith TL, Schlosser RJ, Mace JC, Alt JA, Beswick DM, DeConde AS. et al. Long-term outcomes of endoscopic sinus surgery in the management of adult chronic rhinosinusitis. Int Forum Allergy Rhinol. 2019 Aug;9(8):831-841. doi: 10.1002/alr.22369.
Bhattacharyya N. Assessing the additional disease burden of polyps in chronic rhinosinusitis. Ann Otol Rhinol Laryngol. 2009 Mar;118(3):185-9. doi: 10.1177/000348940911800305.
Cabral RM, Donato M, Santos R, Cruz F, Silva D, Escada P. Factores preditos de sucesso e resultados cirúrgicos na rinossinusite crónica. Poster apresentado no 62º Congresso da Sociedade Portuguesa de Otorrinolaringologia e Cirurgia Cervico-Facial; 8º Congresso Luso-brasileiro de ORL e IX Reunião Luso-Galaica de ORL – SPORL 2015, Porto, Portugal.
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