CORRELATION BETWEEN 22‐ITEM SINONASAL OUTCOME TEST AND HEALTH UTILITY SCORE IN PATIENTS WITH CHRONIC RHINOSINUSITIS
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Tóm tắt
Background: Chronic rhinosinusitis (CRS) is a widespread inflammatory condition with significant health and economic impacts. The health utility score (HUS) is used to evaluate patients' perceptions of their overall health; however, data on the HUS specifically for CRS is still limited.
Materials and methods: A prospective study was conducted with 57 patients with CRS scheduled for endoscopic sinus surgery (ESS). The preoperative (baseline) demographics, 22-item sinonasal outcome test (SNOT-22), and endoscopic and CT scores were recorded.
The HUS was assessed through four methods: the EuroQoL-5 Dimension-5 level (EQ-5D- 5L), Visual Analog Scale (VAS), and Short Form Health Survey-6-Dimension(SF-6D), conducted at baseline and three months following surgery.
Results: The mean baseline HUS scores by EQ-5D-5L, VAS, and SF-6D were 0.77, 0.67, and 0.71, respectively. The postoperative HUS significantly improved to 0.94, 0.89, and 0.92 at three months. The overall improvement in HUS scores ranged from 0.14 to 0.22 after the operation. VAS consistently recorded the lowest HUS values across all time points among the three methods. There were moderate correlations between SNOT-22 and HUS values assessed by EQ-5D-5L, VAS, and SF-6D. The coefficients were -0.60, -0.57, and -0.56, respectively.
Conclusion: The HUS of patients with CRS improved significantly after receiving ESS. The SNOT-22 consistently correlated strongly with HUS, regardless of the method used.
Từ khóa
Chronic rhinosinusitis, quality of life, health utility, cost-effectiveness, EQ-5D
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Tài liệu tham khảo
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