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Management of patients with chronic rhinosinusitis with nasal polyps in Spain: learnings from a nationwide survey of otorhinolaryngologists.
Alobid, Isam; Liesa, Rafael Fernández; Aubá, Jose Miguel Villacampa; Moure, Abraham L; Sánchez-Herrero, M Guadalupe; Del Cuvillo Bernal, Alfonso.
Afiliación
  • Alobid I; Rhinology and Skull Base Unit, ENT Department, Hospital Clinic, University of Barcelona, Barcelona, Spain. isamalobid@gmail.com.
  • Liesa RF; Rhinology and Anterior Skull Base Unit, ENT Department, Hospital Universitario Miguel Servet, Zaragoza, Spain.
  • Aubá JMV; ENT and Cervicofacial Surgery Department, Fundación Jiménez Díaz, University Hospital, Madrid, Spain.
  • Moure AL; Specialty Care Medical Department, GSK, Madrid, Spain.
  • Sánchez-Herrero MG; Specialty Care Medical Department, GSK, Madrid, Spain.
  • Del Cuvillo Bernal A; Rhinology and Asthma Unit, ENT Department, University Hospital of Jerez, Jerez de La Frontera, Cadiz, Spain.
Eur Arch Otorhinolaryngol ; 281(1): 227-235, 2024 Jan.
Article en En | MEDLINE | ID: mdl-37658224
PURPOSE: To describe the self-reported practices on the diagnosis, treatment, and follow-up of patients with chronic rhinosinusitis with nasal polyps (CRSwNP) by ear, nose, and throat (ENT) specialists in Spain to identify potential areas for management optimization. METHODS: A cross-sectional online survey with 16 questions was carried out. Recruitment was performed by emailing registered ENT specialists in the Spanish Society of Otorhinolaryngology and Head and Neck Surgery (SEORL-CCC). RESULTS: In total, 127 ENT specialists completed the survey. Fifty-one percent of respondents combined clinical criteria and objective evidence of mucosal inflammation to diagnose CRSwNP. Patient interview and, to a lower degree, a visual analogue scale were the most employed diagnostic tools to quantify symptom severity. Less than half (45%) routinely used the 22-item sino-nasal outcomes test (SNOT-22) to assess the impact of CRSwNP disease in quality of life. The use of patient-reported outcomes and other clinical evaluation tools showed a larger uptake among ENT specialists that worked at an ENT department with an available rhinology unit. Almost all the specialists surveyed (95%) recommended biological treatment, particularly in patients with uncontrolled CRSwNP with respiratory comorbidities (76%), as well as in candidates for revision surgery (66%). CONCLUSION: Spanish otorhinolaryngologists showed a trend toward incorporating CRSwNP guideline recommendations in their clinical practice. The observed low uptake of patient-reported outcomes and objective clinical evaluation tools in routine clinical practise have been identified as areas for optimizing the management of patients with CRSwNP.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Sinusitis / Rinitis / Pólipos Nasales / Rinosinusitis Tipo de estudio: Guideline / Prognostic_studies / Qualitative_research Aspecto: Patient_preference Límite: Humans País/Región como asunto: Europa Idioma: En Revista: Eur Arch Otorhinolaryngol Asunto de la revista: OTORRINOLARINGOLOGIA Año: 2024 Tipo del documento: Article País de afiliación: España

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Sinusitis / Rinitis / Pólipos Nasales / Rinosinusitis Tipo de estudio: Guideline / Prognostic_studies / Qualitative_research Aspecto: Patient_preference Límite: Humans País/Región como asunto: Europa Idioma: En Revista: Eur Arch Otorhinolaryngol Asunto de la revista: OTORRINOLARINGOLOGIA Año: 2024 Tipo del documento: Article País de afiliación: España
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