Assessment of quality of life after endoscopic sinus surgery for chronic rhinosinusitis

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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorBEZERRA, Thiago Freire Pinto
dc.contributor.authorPICCIRILLO, Jay F.
dc.contributor.authorFORNAZIERI, Marco Aurelio
dc.contributor.authorPILAN, Renata Ribeiro de Mendonca
dc.contributor.authorPINNA, Fabio de Rezende
dc.contributor.authorPADUA, Francini Grecco de Melo
dc.contributor.authorVOEGELS, Richard Louis
dc.date.accessioned2013-07-30T15:14:12Z
dc.date.available2013-07-30T15:14:12Z
dc.date.issued2012
dc.description.abstractChronic rhinosinusitis is a disease of undefined etiology that significantly impacts the quality of life of its patients. Various studies carried out in countries other than Brazil have shown endoscopic sinus surgery as an effective means of treating this condition. Objective: This study aims to analyze, with the aid of SNOT-20, the association between endoscopic sinus surgery and disease-specific quality of life of Brazilian patients treated for chronic rhinosinusitis accompanied or not by nasal polyps. Materials and Methods: This prospective study enrolled patients submitted to endoscopic sinus surgery after drug therapy failed to improve their symptoms. They were assessed based on questionnaire SNOT-20p before and 12 months after surgery. Improvement on total scores and on the five items deemed more important by each patient were assessed. The study also looked into the correlation between preoperative scores and postoperative improvement and if there were any gender-related improvement differences. Results: Forty-three patients aged 44 (19), md (IQR), 65% of whom (26/43) were males. Statistically significant improvement was seen on SNOT-20 and SNOT-20(5+) and a correlation was established between preoperative scores and postoperative improved scores (p<0.001). No gender-related differences were observed in quality of life. Conclusion: Endoscopic sinus surgery in patients with chronic rhinosinusitis is associated with statistically significant improvements in disease-specific quality of life.
dc.description.abstractA rinossinusite crônica é uma doença de etiologia não definida que impacta significativamente a qualidade de vida dos pacientes. A sinusectomia endoscópica foi demonstrada como um tratamento eficaz em melhorar a qualidade de vida dos pacientes em outros países; contudo, não existem estudos nacionais. Objetivo: Avaliar a associação cirurgia endoscópica nasossinusal com a qualidade de vida doença-específica dos pacientes com rinossinusite crônica com e sem polipose nasossinusal pelo SNOT-20. Desenho: Estudo prospectivo. Pacientes e Métodos: Pacientes submetidos à sinusectomia endoscópica após ausência de melhora ao tratamento medicamentoso foram avaliados pelo questionário SNOT-20p antes e 12 meses após a cirurgia. Avaliou-se a melhora na pontuação total e nos cinco itens considerados mais importantes por cada paciente. Avaliamos também a presença de correlação entre a pontuação pré-operatória e a melhora pós-operatória e se havia diferença entre a melhora segundo sexo. Resultados: Incluímos 43 pacientes com idade de 44 (19), md (IIQ); e 60,5% (26/43) do sexo masculino. Os pacientes apresentaram melhora estatisticamente significativa no SNOT-20 e SNOT-20 (5+), e correlação entre a pontuação pré-operatória e a melhora da pontuação (p<0.001). Não houve diferença entre melhora da pontuação na qualidade de vida segundo o sexo. Conclusão: A sinusectomia endoscópica em pacientes com rinossinusite crônica apresenta associação com melhora da QV doença-específica estatisticamente significativa.
dc.description.indexMEDLINE
dc.identifier.citationBRAZILIAN JOURNAL OF OTORHINOLARYNGOLOGY, v.78, n.2, p.96-102, 2012
dc.identifier.doi10.1590/S1808-86942012000200015
dc.identifier.issn1808-8694
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/899
dc.language.isoeng
dc.language.isopor
dc.publisherASSOC BRASILEIRA OTORRINOLARINGOLOGIA & CIRURGIA CERVICOFACIAL
dc.relation.ispartofBrazilian Journal of Otorhinolaryngology
dc.rightsopenAccess
dc.rights.holderCopyright ASSOC BRASILEIRA OTORRINOLARINGOLOGIA & CIRURGIA CERVICOFACIAL
dc.subjectchronic disease
dc.subjectindicators of quality of life
dc.subjectquality of life
dc.subjectsinusitis
dc.subjectDoença crônica
dc.subjectIndicadores de qualidade de vida
dc.subjectQualidade de vida
dc.subjectSinusite
dc.subject.otheradult chronic rhinosinusitis
dc.subject.othercross-cultural adaptation
dc.subject.othersinonasal outcome test
dc.subject.otherclinimetric validity
dc.subject.otherself-report
dc.subject.othervalidation
dc.subject.othermanagement
dc.subject.otherdiagnosis
dc.subject.wosOtorhinolaryngology
dc.titleAssessment of quality of life after endoscopic sinus surgery for chronic rhinosinusitis
dc.title.alternativeAvaliação da qualidade de vida após sinusectomia endoscópica para rinossinusite crônica
dc.typearticle
dc.type.categoryoriginal article
dc.type.versionpublishedVersion
dspace.entity.typePublication
hcfmusp.affiliation.countryEstados Unidos
hcfmusp.affiliation.countryisous
hcfmusp.author.externalPICCIRILLO, Jay F.:Washington Univ, Sch Med, Div Clin Outcomes Res, Dept Otolaryngol Head & Neck Surg, St Louis, MO 63110 USA
hcfmusp.citation.scopus8
hcfmusp.contributor.author-fmusphcTHIAGO FREIRE PINTO BEZERRA
hcfmusp.contributor.author-fmusphcMARCO AURELIO FORNAZIERI
hcfmusp.contributor.author-fmusphcRENATA RIBEIRO DE MENDONCA PILAN
hcfmusp.contributor.author-fmusphcFABIO DE REZENDE PINNA
hcfmusp.contributor.author-fmusphcRICHARD LOUIS VOEGELS
hcfmusp.description.beginpage96
hcfmusp.description.endpage102
hcfmusp.description.issue2
hcfmusp.description.volume78
hcfmusp.lim.ref2012
hcfmusp.origemWOS
hcfmusp.origem.pubmed22499376
hcfmusp.origem.scieloSCIELO:S1808-86942012000200015
hcfmusp.origem.scopus2-s2.0-84859759304
hcfmusp.origem.wosWOS:000302843100015
hcfmusp.publisher.citySAO PAULO
hcfmusp.publisher.countryBRAZIL
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hcfmusp.scopus.lastupdate2024-05-17
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