A systematic review to examine the relationship between objective and patient‐reported outcome measures in sinonasal disorders: recommendations for use in research and clinical practice
Autor: | Carl Philpott, Jack Gao, Ngan Hong Ta |
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Jazyk: | angličtina |
Rok vydání: | 2021 |
Předmět: |
medicine.medical_specialty
Chronic rhinosinusitis MEDLINE Review Article 03 medical and health sciences 0302 clinical medicine Acoustic rhinometry rhinitis Surveys and Questionnaires Paranasal Sinuses Immunology and Allergy Medicine mucociliary clearance Humans Patient Reported Outcome Measures patient‐reported outcome measures Sinusitis 030223 otorhinolaryngology Review Articles rhinorrhea allergic rhinitis medicine.diagnostic_test business.industry chronic rhinosinusitis female genital diseases and pregnancy complications SNOT‐22 Clinical Practice Deviated nasal septum 030228 respiratory system Otorhinolaryngology olfactory test Chronic Disease Physical therapy Patient-reported outcome Rhinomanometry medicine.symptom business |
Zdroj: | International Forum of Allergy & Rhinology |
ISSN: | 2042-6984 2042-6976 |
Popis: | Background: Common sinonasal disorders include chronic rhinosinusitis (CRS), allergic rhinitis (AR), and a deviated nasal septum (DNS), which often coexist with shared common symptoms including nasal obstruction, olfactory dysfunction, and rhinorrhea. Various objective outcome measures and patient-reported outcome measures (PROMs) are used to assess disease severity; however, there is limited evidence in the literature on the correlation between them. This systematic review aims to examine the relationship between them and provide recommendations. Methods: A search of MEDLINE and EMBASE identified studies quantifying correlations between objective outcome measures and PROMs for the sinonasal conditions using a narrative synthesis. Results: In total, 59 studies met inclusion criteria. For nasal obstruction, rhinomanometry shows a lack of correlation whereas peak nasal inspiratory flow (PNIF) shows the strongest correlation with PROMs (r > 0.5). The Sniffin’ Stick test shows a stronger correlation with PROMs (r > 0.5) than the University of Pennsylvania Smell Identification Test (UPSIT) (r < 0.5). Computed tomography (CT) sinus scores show little evidence of correlation with PROMs and nasal endoscopic ratings (weak correlation, r < 0.5). Conclusion: Overall, objective outcome measures and PROMs assessing sinonasal symptoms are poorly correlated, and we recommend that objective outcome measures be used with validated PROMs depending on the setting. PNIF should be used in routine clinical practice for nasal obstruction; rhinomanometry and acoustic rhinometry may be useful in research. The Sniffin’ Sticks test is recommended for olfactory dysfunction with UPSIT as an alternative. CT scores should be excluded as a routine CRS outcome measure, and endoscopic scores should be used in combination with PROMs until further research is conducted. |
Databáze: | OpenAIRE |
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