5-Item sino-nasal outcome test and 22-item sino-nasal outcome test relationship with endoscopic and radiologic scores in chronic rhinosinusitis with nasal polyps

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dc.contributor.authorMisirovs, Rašads
dc.contributor.authorChan, Rory
dc.contributor.authorLipworth, Brian
dc.contributor.institutionRīga Stradiņš University
dc.date.accessioned2024-07-17T14:55:01Z
dc.date.available2024-07-17T14:55:01Z
dc.date.issued2024-03
dc.descriptionPublisher Copyright: © 2023 The Authors
dc.description.abstractBackground: The 22-item sino-nasal outcome test (SNOT-22) is a frequently used patient-recorded outcome measure in patients with chronic rhinosinusitis with nasal polyps (CRSwNPs). Objective findings of nasal polyps and paranasal sinus inflammation are frequently graded using nasal polyp score (NPS) and Lund-Mackay Score (LMS), respectively. Objective: To evaluate a novel, abbreviated, rhinology-focused, five-domain SNOT-5 questionnaire because we had anecdotally noticed a relative disconnect between SNOT-22 and endoscopy and imaging scores. Methods: We performed a retrospective, cross-sectional, single-center review of patients with CRSwNPs who had filled out a SNOT-22, along with post hoc–derived SNOT-5 scores, which were then assessed in relation to NPS and LMS. Results: A total of 129 patients were included in the analysis. SNOT-5 but not SNOT-22 scores significantly correlated vs either NPS (P < .005) and LMS (P < .001), whereas only SNOT-5 differed significantly when comparing the cohort's lowest and highest tertiles for mean LMS: 11.8 vs 16.8 (95% CI, 1.5-8.4; P < .01) and for mean NPS 12.4 vs 15.6 (95% CI, 0.5-5.9; P < .05). Conclusion: In a retrospective, real-life cohort study of CRSwNP, there was a relative disconnect between the significant association of SNOT-5 but not SNOT-22 in relation to objective endoscopy and imaging measures. We, therefore, propose that further prospective intervention studies are indicated in CRSwNP to evaluate the SNOT-5 score including establishing the minimal clinically important difference.en
dc.description.statusPeer reviewed
dc.format.extent5
dc.format.extent548271
dc.identifier.citationMisirovs, R, Chan, R & Lipworth, B 2024, '5-Item sino-nasal outcome test and 22-item sino-nasal outcome test relationship with endoscopic and radiologic scores in chronic rhinosinusitis with nasal polyps', Annals of Allergy, Asthma and Immunology, vol. 132, no. 3, pp. 363-367. https://doi.org/10.1016/j.anai.2023.11.011
dc.identifier.doi10.1016/j.anai.2023.11.011
dc.identifier.issn1081-1206
dc.identifier.urihttps://dspace.rsu.lv/jspui/handle/123456789/16466
dc.identifier.urlhttp://www.scopus.com/inward/record.url?scp=85179478526&partnerID=8YFLogxK
dc.language.isoeng
dc.relation.ispartofAnnals of Allergy, Asthma and Immunology
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subject3.2 Clinical medicine
dc.subject3.1 Basic medicine
dc.subject1.1. Scientific article indexed in Web of Science and/or Scopus database
dc.subjectImmunology and Allergy
dc.subjectImmunology
dc.subjectPulmonary and Respiratory Medicine
dc.title5-Item sino-nasal outcome test and 22-item sino-nasal outcome test relationship with endoscopic and radiologic scores in chronic rhinosinusitis with nasal polypsen
dc.type/dk/atira/pure/researchoutput/researchoutputtypes/contributiontojournal/article

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