A multi-centre study on quality of life and absenteeism in patients with CRS referred for endoscopic surgery.

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.

[1]  D. Jarvis,et al.  Reliability of EP3OS symptom criteria and nasal endoscopy in the assessment of chronic rhinosinusitis – a GA2LEN study , 2011, Allergy.

[2]  T. Martinussen,et al.  The Sino-Nasal Outcome Test 22 validated for Danish patients. , 2011, Danish medical bulletin.

[3]  A. Hahn,et al.  Quality of life in patients with chronic rhinosinusitis: a validation of the Czech version of SNOT-22 questionnaire , 2010, European Archives of Oto-Rhino-Laryngology.

[4]  A. Cervin,et al.  Allergic rhinitis and the common cold – high cost to society , 2009, Allergy.

[5]  C. Hopkins,et al.  A pilot study of the SNOT 22 score in adults with no sinonasal disease , 2009, Clinical otolaryngology : official journal of ENT-UK ; official journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery.

[6]  V. Lund,et al.  Psychometric validity of the 22‐item Sinonasal Outcome Test , 2009, Clinical otolaryngology : official journal of ENT-UK ; official journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery.

[7]  A. McCarthy.  Quality of Life: The Assessment, Analysis and Interpretation of Patient-Reported Outcomes (2nd Ed.) , 2009, Research and Theory for Nursing Practice.

[8]  G. Scadding,et al.  The relationship between subjective assessment instruments in chronic rhinosinusitis. , 2007, Rhinology.

[9]  M. Sullivan,et al.  Gender and age differences in the relative burden of rhinitis and asthma on health-related quality of life--a Swedish population study. , 2007, Respiratory medicine.

[10]  V. Lund,et al.  The national comparative audit of surgery for nasal polyposis and chronic rhinosinusitis , 2006, Clinical otolaryngology : official journal of ENT-UK ; official journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery.

[11]  A D Morley,et al.  A review of sinonasal outcome scoring systems – which is best? , 2006, Clinical otolaryngology : official journal of ENT-UK ; official journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery.

[12]  C. Bachert,et al.  EAACI Position Paper on Rhinosinusitis and Nasal Polyps Executive Summary , 2005, Allergy.

[13]  N. Bhattacharyya,et al.  Chronic Recurrent Rhinosinusitis: Disease Severity and Clinical Characterization , 2005, The Laryngoscope.

[14]  Greg E. Davis,et al.  Psychiatric distress amplifies symptoms after surgery for chronic rhinosinusitis , 2004, Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery.

[15]  L. Påhlman,et al.  Health-Related Quality of Life and Psychological Distress in a Population-based Sample of Swedish Patients with Inflammatory Bowel Disease , 2002, Scandinavian journal of gastroenterology.

[16]  J. Piccirillo,et al.  Psychometric and Clinimetric Validity of the 20-Item Sino-Nasal Outcome Test (Snot-20) , 2002, Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery.

[17]  C. Dassa,et al.  Impact of rhinosinusitis in health care delivery: the Quebec experience. , 2001, The Journal of otolaryngology.

[18]  E. Hammerlid,et al.  Health-related quality of life in long-term head and neck cancer survivors: a comparison with general population norms , 2001, British Journal of Cancer.

[19]  S. Kaasa,et al.  A prospective multicentre study in Sweden and Norway of mental distress and psychiatric morbidity in head and neck cancer patients , 1999, British Journal of Cancer.

[20]  J. D. Osguthorpe.  Surgical Outcomes in Rhinosinusitis: What we Know , 1999, Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery.

[21]  R. Metson,et al.  Economic Implications of Chronic Sinusitis , 1998, Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery.

[22]  J. Lisspers,et al.  Hospital Anxiety and Depression Scale (HAD): some psychometric data for a Swedish sample , 1997, Acta psychiatrica Scandinavica.

[23]  D. Kennedy,et al.  Adult Rhinosinusitis Defined , 1997, Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery.

[24]  R. Metson,et al.  Effect of sinus surgery on quality of life , 1995, Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery.

[25]  R. Metson,et al.  The Health Impact of Chronic Sinusitis in Patients Seeking Otolaryngologic Care , 1995, Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery.

[26]  C. Schoenborn,et al.  Current estimates from the National Health Interview Survey. , 1988, Vital and health statistics. Series 10, Data from the National Health Survey.

[27]  Huston Gj,et al.  The Hospital Anxiety and Depression Scale. , 1987, The Journal of rheumatology.

[28]  Parsons Vl,et al.  Current estimates from the National Health Interview Survey. United States, 1985. , 1986, Vital and health statistics. Series 10, Data from the National Health Survey.

[29]  F. Qi,et al.  [Quality of life survey on patients with chronic rhinosinusitis by using Chinese version of the 22-item sinonasal outcome test (SNOT-22)]. , 2008, Zhonghua er bi yan hou tou jing wai ke za zhi = Chinese journal of otorhinolaryngology head and neck surgery.

[30]  W. Fokkens,et al.  European position paper on rhinosinusitis and nasal polyps 2007. , 2007, Rhinology. Supplement.

[31]  P. Fayers,et al.  Quality of Life: The assessment, analysis and interpretation of patient-reported outcomes , 2007 .

[32]  P. Plinkert,et al.  [Quality of life in patients with chronic rhinosinusitis: validation of the Sino-Nasal Outcome Test-20 German Adapted Version]. , 2007, HNO.

[33]  European position paper on rhinosinusitis and nasal polyps. , 2005, Rhinology. Supplement.

[34]  P. F. Adams,et al.  Current estimates from the National Health Interview Survey, 1996. , 1999, Vital and health statistics. Series 10, Data from the National Health Survey.