Appropriateness criteria predict outcomes for sinus surgery and may aid in future patient selection.

ABSTRACT: OBJECTIVES:Appropriateness criteria to determine surgical candidacy for chronic rhinosinusitis (CRS) have recently been described. This study stratified patients who underwent endoscopic sinus surgery (ESS) according to these new appropriateness criteria and evaluated postoperative improvements among appropriateness categories. METHODS:Adult patients with uncomplicated CRS electing ESS were prospectively enrolled in a multi-institutional cohort study between March 2011 and June 2015 to assess outcomes. Subsequently, appropriateness criteria that consider preoperative medical therapy, 22-item SinoNasal Outcome Test (SNOT-22) scores, and Lund-Mackay computed tomography scores were retrospectively applied. RESULTS:A total of 92.6% (436 of 471) were categorized as "appropriate" ESS candidates,

SUBMITTER: Beswick DM 

PROVIDER: S-EPMC6235736 | biostudies-literature | 2018 Nov

REPOSITORIES: biostudies-literature