Patient-centered decision making in the treatment of chronic rhinosinusitis.

ABSTRACT:

Objectives/hypothesis

To explore possible factors that might impact a patient's choice to pursue endoscopic sinus surgery (ESS) or continue with medical management for treatment of refractory chronic rhinosinusitis (CRS).

Study design

Cross-sectional evaluation of a multicenter prospective cohort.

Methods

Two hundred forty-two subjects with CRS were prospectively enrolled within four academic tertiary care centers across North America with ongoing symptoms despite prior medical treatment. Subjects either self-selected continued medical management (n = 62) or ESS (n = 180) for treatment of sinonasal symptoms. Differences in demographics, comorbid conditions, and clinical measures of disease severity between subject groups were compared. Validated metrics of social supp

SUBMITTER: Soler ZM 

PROVIDER: S-EPMC3788096 | biostudies-literature | 2013 Oct

REPOSITORIES: biostudies-literature