A multi-centre study on quality of life and absenteeism in patients with CRS referred for endoscopic surgery
Author
Summary, in English
Aims: This study summarises the health-related quality of life (HRQOL) scores and absenteeism caused by sinus problems in patients awaiting surgery with the diagnoses recurrent acute rhinosinusitis (RARS), chronic rhinosinusitis with nasal polyps (CRS+NP) or
CRS without nasal polyps (CRS-NP), in a prospective multi-centre study.
Methodology: Two hundred and seven patients with RARS, CRS+NP or CRS-NP were enrolled. EP3OS definitions of CRS and NP were used. The patients completed the 22 Sinonasal Outcome Test (SNOT-22), the short-form 36-item questionnaire (SF-36), the Hospital Anxiety and Depression Scale (HAD) and a total Visual Analogue Scale (VAS)
regarding rhinosinusitis symptoms.
Results: SNOT-22 and VAS scores indicated severe disease. Comparison of the HRQOL scores in the three rhinosinusitis subgroups showed statistical differences in nine of the SNOT-22 items and in the SF-36 subscale of bodily pain. Mean scores of SF-36 were significantly
lower than that of the normal Swedish population. According to the HAD scores, 28% of the patients had probable or possible anxiety or depression disorder. Fifty-seven percent of the patients reported absenteeism from work due to sinus problems.
Conclusions: RARS, CRS+NP and CRS-NP significantly decrease HRQOL. Some statistically significant differences in HRQOL were found between the three rhinosinusitis subgroups. Absenteeism due to chronic sinus conditions is considerable.
CRS without nasal polyps (CRS-NP), in a prospective multi-centre study.
Methodology: Two hundred and seven patients with RARS, CRS+NP or CRS-NP were enrolled. EP3OS definitions of CRS and NP were used. The patients completed the 22 Sinonasal Outcome Test (SNOT-22), the short-form 36-item questionnaire (SF-36), the Hospital Anxiety and Depression Scale (HAD) and a total Visual Analogue Scale (VAS)
regarding rhinosinusitis symptoms.
Results: SNOT-22 and VAS scores indicated severe disease. Comparison of the HRQOL scores in the three rhinosinusitis subgroups showed statistical differences in nine of the SNOT-22 items and in the SF-36 subscale of bodily pain. Mean scores of SF-36 were significantly
lower than that of the normal Swedish population. According to the HAD scores, 28% of the patients had probable or possible anxiety or depression disorder. Fifty-seven percent of the patients reported absenteeism from work due to sinus problems.
Conclusions: RARS, CRS+NP and CRS-NP significantly decrease HRQOL. Some statistically significant differences in HRQOL were found between the three rhinosinusitis subgroups. Absenteeism due to chronic sinus conditions is considerable.
Department/s
- Laryngoesophagology, Allergy and Life Quality
- Chronic Inflammatory and Degenerative Diseases Research Unit
- Internal Medicine - Epidemiology
- Department of Clinical Sciences, Malmö
Publishing year
2011
Language
English
Pages
420-428
Publication/Series
Rhinology
Volume
49
Issue
4
Full text
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Links
Document type
Journal article
Publisher
International Rhinologic Society
Topic
- Otorhinolaryngology
Keywords
- Key words: chronic rhinosinusitis
- nasal polyps
- recurrent acute rhinosinusitis
- health-related quality of life
- absenteeism
Status
Published
Research group
- Laryngoesophagology, Allergy and Life Quality
- Chronic Inflammatory and Degenerative Diseases Research Unit
- Internal Medicine - Epidemiology
ISBN/ISSN/Other
- ISSN: 0300-0729