Baseline clinical characteristics predict follow-up clinic attendance in patients undergoing endoscopic sinus surgery for chronic rhinosinusitis

Autor:	Yu Hui Chang, Matthew A. Rank, Devyani Lal, Kimberly B. Golisch
Rok vydání:	2016
Předmět:	medicine.medical_specialty Chronic rhinosinusitis business.industry Respiratory disease Chronic sinusitis Attendance medicine.disease Surgery 03 medical and health sciences Endoscopic sinus surgery 0302 clinical medicine Otorhinolaryngology 030220 oncology & carcinogenesis Internal medicine medicine Immunology and Allergy Nasal polyps 030223 otorhinolaryngology Granulomatosis with polyangiitis business Asthma
Zdroj:	International Forum of Allergy & Rhinology. 6:508-513
ISSN:	2042-6976
DOI:	10.1002/alr.21701
Popis:	Background The objective of this work was to describe the association between baseline clinical characteristics and attendance at follow-up visits after endoscopic sinus surgery (ESS). Methods A retrospective review of chronic rhinosinusitis (CRS) patients electing ESS at a tertiary-care center (2011-2013) was conducted. Baseline characteristics were studied for association with clinic attendance at 3, 6, 12, and 24 months post-ESS. Results We identified 268 patients. Significant decline occurred in the number of patients following up after ESS (3 months: 246 patients [92%]; 6 months: 145 [54%]; 12 months: 94 [35%]; and 24 months: 90 [34%]). Older patients were more likely to follow up at 3 months (mean age 55.7 vs 48.4 years, p = 0.04) and 6 months (57.5 vs 52.3 years; p = 0.01) post-ESS. Those with higher preoperative sinus computed tomography (CT) (Lund-Mackay) scores were more likely to follow at 6 months (11.8 vs 10.3, p = 0.01), 12 months (12.6 vs 10.3, p < 0.001), and 24 months (12.2 vs 10.5, p = 0.01). At 12 months having asthma (p = 0.03), previous ESS (p = 0.04), nasal polyps (p < 0.0001), allergic fungal sinusitis (AFS) (p = 0.002), and granulomatosis with polyangiitis (GPA) (p = 0.01) were associated with clinic attendance. At 24 months asthma status (p = 0.003), previous ESS (p = 0.002), AFS (p = 0.04), GPA (p = 0.001), and aspirin-exacerbated respiratory disease (AERD) (p = 0.006) were associated with higher attendance. Geographical proximity did not impact attendance. Conclusion The sharpest decline in patient follow-up occurred between 3–6 months after ESS. Higher preoperative sinus CT scores, previous ESS, presence of asthma, and diagnosis of recalcitrant CRS subtype (nasal polyps, AERD, AFS, GPA) were factors associated with increased long-term attendance.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::49ae8de2d0983d533fc38b9a806fc497 https://doi.org/10.1002/alr.21701 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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