Use of the long-term quality of life assessment in the decision to indicate surgery in patients with chronic rhinosinusitis
Introduction: Quality-of-life questionnaires have been used to support decision-making in patients with chronic rhinosinusitis in the past decade. The choice of treatment in practice, however, also considers the patient's decision. Objective: To assess the long-term quality of life of patients...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2019-07-01
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| Series: | Brazilian Journal of Otorhinolaryngology |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1808869418301253 |
| _version_ | 1818623169468039168 |
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| author | Pablo Pinillos Marambaia Manuela Garcia Lima Hélder Macário Amaury de Machado Gomes Leonado Marques Gomes Melina Pinillos Marambaia Otávio Marambaia dos Santos |
| author_facet | Pablo Pinillos Marambaia Manuela Garcia Lima Hélder Macário Amaury de Machado Gomes Leonado Marques Gomes Melina Pinillos Marambaia Otávio Marambaia dos Santos |
| author_sort | Pablo Pinillos Marambaia |
| collection | DOAJ |
| description | Introduction: Quality-of-life questionnaires have been used to support decision-making in patients with chronic rhinosinusitis in the past decade. The choice of treatment in practice, however, also considers the patient's decision. Objective: To assess the long-term quality of life of patients with chronic rhinosinusitis who decided to avoid surgery. Methods: This is a prospective longitudinal study with a group of patients with chronic rhinosinusitis, with and without indication for surgery, with application of the questionnaire SNOT-22 in two periods: between 2011 and 2012 and between June and August 2016, via email. Results: Data were collected from 42 patients, of which 13 presented indications for surgery and 29 were not indicated for surgery. The average quality of life score was 42.1 (±16.4) in the group with an indication for surgery and 40.6 (±23.4) in the group without this indication, p = 0.84. All the patients were assessed by a single doctor with blinding in relation to the initial score. No differences were detected between the groups. The impact of the chronic rhinosinusitis was reduced even among the patients with the indication for surgery. Both groups scored over 40. Conclusion: This study can help predict the impact of the chronic rhinosinusitis over time and better adjust expectations with non-surgical treatment. Resumo: Introdução: Questionários de qualidade de vida têm sido usados na última década para apoiar a tomada de decisão em pacientes com rinossinusite crônica. Entretanto, na prática, a escolha do tratamento também considera a decisão do paciente. Objetivo: Avaliar a qualidade de vida em longo prazo de pacientes com rinossinusite crônica que decidiram não se submeter à cirurgia. Método: Estudo longitudinal prospectivo com um grupo de pacientes com rinossinusite crônica, com e sem recomendação de cirurgia, com aplicação do questionário Sino-Nasal Outcome Test 22 (SNOT-22, teste de desfecho sinonasal) em dois períodos: entre 2011 e 2012 e entre junho e agosto de 2016, via e-mail. Resultados: Foram coletados dados de 42 pacientes, dos quais 13 tiveram recomendação para cirurgia e 29 não tiveram. O escore médio de qualidade de vida foi de 42,1 (± 16,4) no grupo com indicação de cirurgia e de 40,6 (± 23,4) no grupo sem essa indicação, p = 0,84. Todos os pacientes foram avaliados por um único médico, cegado para o escore inicial. Não foram detectadas diferenças entre os grupos. O impacto da rinossinusite crônica foi reduzido mesmo entre os pacientes com indicação de cirurgia. Ambos os grupos apresentaram um escore acima de 40. Conclusão: Este estudo pode ajudar a prever o impacto da rinossinusite crônica ao longo do tempo e ajustar de forma mais adequada as expectativas com o tratamento não cirúrgico. Keywords: Rhinosinusitis, Quality of life, Surgery, Palavras-chave: Rinossinusite, Qualidade de vida, Cirurgia |
| first_indexed | 2024-12-16T18:36:47Z |
| format | Article |
| id | doaj.art-9a92c256b8344741ba09b4e00fe32e2f |
| institution | Directory Open Access Journal |
| issn | 1808-8694 |
| language | English |
| last_indexed | 2024-12-16T18:36:47Z |
| publishDate | 2019-07-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Brazilian Journal of Otorhinolaryngology |
| spelling | doaj.art-9a92c256b8344741ba09b4e00fe32e2f2022-12-21T22:21:09ZengElsevierBrazilian Journal of Otorhinolaryngology1808-86942019-07-01854416421Use of the long-term quality of life assessment in the decision to indicate surgery in patients with chronic rhinosinusitisPablo Pinillos Marambaia0Manuela Garcia Lima1Hélder Macário2Amaury de Machado Gomes3Leonado Marques Gomes4Melina Pinillos Marambaia5Otávio Marambaia dos Santos6Instituto de Otorrinolaringologia Otorrinos Associados (INOOA), Salvador, BA, BrazilEscola Bahiana de Medicina e Saúde Pública, Salvador, BA, BrazilInstituto de Otorrinolaringologia Otorrinos Associados (INOOA), Salvador, BA, Brazil; Corresponding author.Instituto de Otorrinolaringologia Otorrinos Associados (INOOA), Salvador, BA, BrazilEscola Bahiana de Medicina e Saúde Pública, Salvador, BA, BrazilInstituto de Otorrinolaringologia Otorrinos Associados (INOOA), Salvador, BA, BrazilInstituto de Otorrinolaringologia Otorrinos Associados (INOOA), Salvador, BA, BrazilIntroduction: Quality-of-life questionnaires have been used to support decision-making in patients with chronic rhinosinusitis in the past decade. The choice of treatment in practice, however, also considers the patient's decision. Objective: To assess the long-term quality of life of patients with chronic rhinosinusitis who decided to avoid surgery. Methods: This is a prospective longitudinal study with a group of patients with chronic rhinosinusitis, with and without indication for surgery, with application of the questionnaire SNOT-22 in two periods: between 2011 and 2012 and between June and August 2016, via email. Results: Data were collected from 42 patients, of which 13 presented indications for surgery and 29 were not indicated for surgery. The average quality of life score was 42.1 (±16.4) in the group with an indication for surgery and 40.6 (±23.4) in the group without this indication, p = 0.84. All the patients were assessed by a single doctor with blinding in relation to the initial score. No differences were detected between the groups. The impact of the chronic rhinosinusitis was reduced even among the patients with the indication for surgery. Both groups scored over 40. Conclusion: This study can help predict the impact of the chronic rhinosinusitis over time and better adjust expectations with non-surgical treatment. Resumo: Introdução: Questionários de qualidade de vida têm sido usados na última década para apoiar a tomada de decisão em pacientes com rinossinusite crônica. Entretanto, na prática, a escolha do tratamento também considera a decisão do paciente. Objetivo: Avaliar a qualidade de vida em longo prazo de pacientes com rinossinusite crônica que decidiram não se submeter à cirurgia. Método: Estudo longitudinal prospectivo com um grupo de pacientes com rinossinusite crônica, com e sem recomendação de cirurgia, com aplicação do questionário Sino-Nasal Outcome Test 22 (SNOT-22, teste de desfecho sinonasal) em dois períodos: entre 2011 e 2012 e entre junho e agosto de 2016, via e-mail. Resultados: Foram coletados dados de 42 pacientes, dos quais 13 tiveram recomendação para cirurgia e 29 não tiveram. O escore médio de qualidade de vida foi de 42,1 (± 16,4) no grupo com indicação de cirurgia e de 40,6 (± 23,4) no grupo sem essa indicação, p = 0,84. Todos os pacientes foram avaliados por um único médico, cegado para o escore inicial. Não foram detectadas diferenças entre os grupos. O impacto da rinossinusite crônica foi reduzido mesmo entre os pacientes com indicação de cirurgia. Ambos os grupos apresentaram um escore acima de 40. Conclusão: Este estudo pode ajudar a prever o impacto da rinossinusite crônica ao longo do tempo e ajustar de forma mais adequada as expectativas com o tratamento não cirúrgico. Keywords: Rhinosinusitis, Quality of life, Surgery, Palavras-chave: Rinossinusite, Qualidade de vida, Cirurgiahttp://www.sciencedirect.com/science/article/pii/S1808869418301253 |
| spellingShingle | Pablo Pinillos Marambaia Manuela Garcia Lima Hélder Macário Amaury de Machado Gomes Leonado Marques Gomes Melina Pinillos Marambaia Otávio Marambaia dos Santos Use of the long-term quality of life assessment in the decision to indicate surgery in patients with chronic rhinosinusitis Brazilian Journal of Otorhinolaryngology |
| title | Use of the long-term quality of life assessment in the decision to indicate surgery in patients with chronic rhinosinusitis |
| title_full | Use of the long-term quality of life assessment in the decision to indicate surgery in patients with chronic rhinosinusitis |
| title_fullStr | Use of the long-term quality of life assessment in the decision to indicate surgery in patients with chronic rhinosinusitis |
| title_full_unstemmed | Use of the long-term quality of life assessment in the decision to indicate surgery in patients with chronic rhinosinusitis |
| title_short | Use of the long-term quality of life assessment in the decision to indicate surgery in patients with chronic rhinosinusitis |
| title_sort | use of the long term quality of life assessment in the decision to indicate surgery in patients with chronic rhinosinusitis |
| url | http://www.sciencedirect.com/science/article/pii/S1808869418301253 |
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