| Autor: |
Chen, Tiffany, Chidarala, Shreya, Young, Gabrielle, Jeong, Seth S., Nguyen, Shaun A., Edwards, Thomas S., Schlosser, Rodney J. |
| Zdroj: |
Otolaryngology-Head & Neck Surgery; Apr2023, Vol. 168 Issue 4, p628-634, 7p |
| Abstrakt: |
Objective: To perform a systematic review of proposed sinus computed tomography (CT) scoring systems and determine their association with patient‐reported outcome measures (PROMs). Data Sources: PubMed, CINAHL, Scopus, and Cochrane Library. Review Methods: A systematic search was conducted following the PRISMA guidelines (Preferred Reporting Items for Systematic Reviews and Meta‐analyses) for studies describing CT scores and PROMs in patients with chronic rhinosinusitis. Results: A total of 144 studies were included. Out of 20,741 patients, 53.6% were male and 55.5% had nasal polyposis. A meta‐analysis of correlations revealed a moderate correlation between Lund‐McKay (LM) and the 22‐item Sinonasal Outcome Test (SNOT‐22; r = 0.434, P <.001) and a weaker correlation between LM and the 20‐item Sinonasal Outcome Test (SNOT‐20; r = 0.257, P =.039). Meta‐regression also revealed a weak association between LM and SNOT‐20 (n = 25 studies) but no significant associations between Zinreich score and SNOT‐22 or LM scores and PROMs, including SNOT‐22 (n = 94 studies), Rhinosinusitis Disability Index (n = 25), nasal obstruction visual analog scale (n = 15), Chronic Sinusitis Survey (n = 12), Total Nasal Symptom Score (n = 4), Total Symptom Score (n = 3), and 12‐Item Short Form Health Survey (n = 3). Conclusion: There is essentially little association between radiologic grade and PROMs. CT grading systems with improved clinical utility are needed. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
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