SNOT‐22 score patterns strongly negatively predict chronic rhinosinusitis in patients with headache (original) (raw)
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International Journal of Otorhinolaryngology, 2019
Chronic rhinosinusitis is an inflammatory process involving the sinonasal mucosa, lasting 12 weeks or longer. It is often characterized by a complex of debilitating symptoms usually classified into minor and major symptoms. Estimating symptom/ disease severity using structured questionnaires can be challenging. This is especially so in rural areas where a combination of low literacy levels and language barrier may present communication difficulties. In view of the aforementioned challenges, it has become imperative to explore the correlation between the 22-item sino-nasal outcome test (SNOT-22) and a simpler means of evaluating symptom severity in chronic rhinosinusitis; hence this study. To determine the correlation between SNOT-22 and visual analogue scale (VAS) questionnaire scoring of symptom severity in chronic rhinosinusitis. This was a twelve month prospective cross sectional study of fifty-two consecutive newly diagnosed adult patients with chronic rhinosinusitis. Age of patients ranged from 19-91 years. Male to female ratio was 1: 1.26. There was a significant positive correlation between VAS and SNOT-22 in moderate and high symptom severity in patients with CRS. This study found a positive correlation between SNOT-22 and VAS scoring of disease severity in moderate and severe diseases and an insignificant correlation between these two instruments in mild disease. VAS can be used as a guide to symptom severity in the pre-treatment patients with CRS.
Comparison of Sino-Nasal Outcome Test 22 Symptom Scores in Rhinogenic and Odontogenic Sinusitis
American Journal of Rhinology & Allergy
Background Odontogenic maxillary sinusitis (OMS) and rhinogenic sinusitis (RS) are the main types of chronic rhinosinusitis (CRS) and have a significant impact on health-related quality of life (HRQL), but the difference in HRQL and symptom presentation between them has not been specifically evaluated to date. Obejctive: Our aim was to compare patterns of symptoms and HRQL disease-specific domains in patients affected with these 2 types of CRS. Methods A group of 201 patients with CRS (99 with rhinogenic and 102 with odontogenic origin) completed the Sino-Nasal Outcome Test 22 (SNOT-22) questionnaire before treatment. Data sets were analyzed by using principal component analysis (PCA) to identify a set of symptom components together with the items excluded from PCA, which were then analyzed for differences between patients with OMS and RS. Results PCA of SNOT-22 items identified 5 components: “rhinologic,” “extranasal rhinologic,” “ear/facial,” “sleep and functional disturbance,” an...
Brazilian Journal of Otorhinolaryngology, 2017
Introduction: Chronic rhinosinusitis is a prevalent disease that has a negative impact on the lives of sufferers. SNOT-22 is considered the most appropriate questionnaire for assessing the quality of life of these patients and a very effective method of evaluating therapeutic interventions; however it is not used as a tool for decision-making. Objective: To test the hypothesis that the SNOT-22 score can predict the outcome of surgical treatment. Methods: A retrospective, longitudinal and analytical study. We evaluated the medical records of patients with chronic rhinosinusitis that completed the SNOT-22 at the time of diagnosis. All the patients were consecutively receiving care at an otolaryngology service in Salvador, Bahia from August 2011 to June 2012. The outcomes of the surgical treatment of these patients were obtained from their medical records. The initial score was compared to a group of patients who were not referred for surgery. All the patients completed and signed a consent form. ଝ Please cite this article as: Marambaia PP, Lima MG, Guimarães MB, Gomes AM, Marambaia MP, Santos OM, et al. Can we use the questionnaire SNOT-22 as a predictor for the indication of surgical treatment in chronic rhinosinusitis?
International Journal of Medical Arts
Article information Background: CT scan and Diagnostic nasal endoscopy [DNE] can both be used in diagnosis and management of Chronic rhinosinusitis [CRS]; however, it has been a matter of debate as to which of these two modalities is effective in terms of cost, ease off doing and better correlation Aim of the work: This study intends to correlate the severity of the symptoms of CRS with DNE and CT scan findings visa -vis correlating the scores between the two diagnostic modalities and concluding as to which off them is more effective. Materials and Methods: This was a prospective observational study done at a tertiary teaching hospital. Patients satisfying the diagnostic criteria of CRS by American Academy of Otolaryngology-Head and Neck Surgery were shortlisted for study. The duration of symptoms and severity score of all patients was recorded. All participants were then subjected to CT scan and DNE. The Qualitative and quantitative variables were compared with help of Spearman Rank correlation coefficient test. A p-value of < 0.05 was taken as statistically significant. SPSS version 19.0 was used for analysis. Results: A total of 128 patients diagnosed with CRS participated in the study. There were 56 [43.7%] males and 73 [57.03%] females. Correlation was between all the parameters such as severity score and CT Scan scores, severity score and DNE scores, CT scan scores and DNE scores [right side, left side and bilateral combined] were statistically significant. Conclusion: In the patients who meet the symptoms criteria for diagnosis of CRS had high-level of diagnostic accuracy with both CT scan and DNE. Since both the test and symptoms severity correlates well, doing either one of them will suffice in diagnosis. DNE being readily available in Otolaryngology department can be chosen over CT scan thereby reducing cost and radiation exposure to patient.
BMC ear, nose, and throat disorders, 2017
Chronic rhinosinusitis (CRS) is one of common health conditions that affects patients' health-related quality of life. Our purpose is to assess the reliability and validity of Thai-version of Sino-Nasal Outcome Test 22 in chronic rhinosinusitis. Permission for translation of SNOT-22 from English language to Thai language was obtained from the developer. The translation process was done based on the international standard of translation method. A total of 80 subjects were recruited into the study and divided into two groups comprising of 50 patients with chronic rhinosinusitis and 30 healthy volunteers. Cronbach's α and Intraclass correlation coefficient were evaluated for its reliability. Validity test was evaluated against VAS score, SF-36 (Thai version) questionnaire and CT scan (based on Lund-Mackay score). Responsiveness was assessed between pre-operative and post-operative scores in 34 patients. The Thai version of SNOT-22 showed good reliability according to high value...
American journal of rhinology & allergy, 2016
Chronic rhinosinusitis (CRS) with and without polyps has a high impact on health-related quality of life (HRQL), but the difference in HRQL and symptom presentation between two clinical phenotypes of CRS has not been specifically evaluated before now. To evaluate patterns of symptoms and HRQL disease-specific domains affected in patients with CRS by comparing differences between two clinical phenotypes, adjusted for demographics, major risk factors, comorbidities, current medical treatment, and previous surgery. A group of 251 patients with CRS completed the visual analog scale (VAS) symptom severity score and the Sino-Nasal Outcome Test 22 (SNOT-22) questionnaire. Data sets were analyzed by using principal component analysis (PCA) to identify a set of symptom components, together with the items excluded from PCA, which were then analyzed for differences between patients with CRS with nasal polyps (CRSwNP) and patients with CRS without nasal polyps (CRSsNP). PCA of SNOT-22 items ide...
The accuracy of symptom-based definition of chronic rhinosinusitis
Allergy, 2007
Chronic rhinosinusitis (CRS) is a common prevalent disease in which many factors may contribute. Diagnosing CRS is based primarily on major symptoms and signs of the disease. In primary care centers, CRS is diagnosed primarily using major symptom scales. This symptom-based definition should also be supported by objective signs such as nasal endoscopy and computed tomography (CT) (1). However, there may be a discrepancy between the subjective information and the objective data from nasal endoscopy and CT scans results. The aim of this study was to investigate the diagnostic value of symptom scales (VAS) by examining patients diagnosed as having sinusitis in primary care centers. The association of allergic rhinitis and CRS is well-known. A nasal allergy may block the ostia and delay mucociliary clearance in several ways, thereby increasing CRS pathogenesis (2). We divided patients with CRS into two groups as either allergic or nonallergic and then enrolled them in this study. Patients with allergic rhinitis were included as CRS symptoms in these patients may become considerably more severe than in nonallergic patients.
The Sino-Nasal Outcome Test (SNOT): Can we make it more clinically meaningful
Otolaryngology-head and Neck Surgery, 2007
To test whether subscales should be used when analyzing the Sino-Nasal Outcome Test (SNOT). STUDY DESIGN AND SETTING: Prospective cohort study involved 87 acute NHS hospitals in England and Wales. RESULTS: With the use of exploratory factor analysis we found evidence for the existence of four unique constructs within the SNOT. Two constructs address symptoms (rhinologic and ear/ facial) and two address aspects of health-related quality of life (psychological issues and sleep function). Subscales of the SNOT that correspond to these constructs provided clinically meaningful information over and above that provided by the SNOT total score on the type of surgical benefits gained by patients with different sino-nasal conditions. CONCLUSION: The SNOT is not unidimensional and a SNOT total score will mask variation in the true underlying constructs. SIGNIFICANCE: The SNOT would have greatly improved clinical use if it was scored with appropriate subscales. Such a measure would allow us to tease out the differential impact of sino-nasal conditions, in addition to allowing greater understanding of treatment effects.