[en] Aims: SNOT-22 was initially designed for rhinosinusitis, but was recenty validated in various nose conditions. Nose or sinus complaint is a common cause of consultation in primary care or ENT clinic. Therefore we sought to optimize the simple and versatile instrument SNOT-22. Our aim was to determine the outcome of patients and healthy volunteers solely based on the pattern of the baseline SNOT-22 in a multi-centre study.
Methods: Sixty-six healthy volunteers and 383 patients presenting to the rhinology clinic of the ENT academic departments of Godinne, Liege and Brussels participated in this study. SNOT-22 from all participants were collected blindly prior to diagnosis. Participants were then categorized in 5 groups according to their outcome: control, medical rhinologic condition, sinus surgery, functional nose surgery. SNOT-22 items relevant to each group were determined by multinomial logistic regression.
Results: Control subjects showed the lowest SNOT-22 scores for all items. Medical rhinologic patients had lower scores than surgical patients. Patients requiring sinus surgery and those listed for nose surgery exhibited a specific pattern of SNOT-22 score. Most relevant items were #1 need to blow nose, #5 post-nasal discharge, #6 thick nasal discharge, #10 facial pain and #21 sense of smell.
Conclusions: Distinct SNOT-22 patterns were correlated to subjects outcome. SNOT-22 was able to differentiate patients from controls, to score severity, and could further provide an accurate description of pathology. Baseline SNOT-22 could localize pathology in the sinus or in the nose and predict the need for surgical treatment.
Disciplines :
Otolaryngology
Author, co-author :
ROGISTER, Florence ; Centre Hospitalier Universitaire de Liège - CHU > Service d'ORL, d'audiophonologie et de chir. cervico-faciale
DE DORLODOT, Clotilde; CHU Dinant-Godinne UCL > ENT
ANSARI, Edward
HOROI, Mihaela; Centre Hospitalier Universitaire Saint-Pierre (Bruxelles) - CHU St-Pierre > ENT
LEFEBVRE, Philippe ; Centre Hospitalier Universitaire de Liège - CHU > Service d'ORL, d'audiophonologie et de chir. cervico-faciale
ELOY, Philippe; CHU Dinant-Godinne UCL > ENT
POIRRIER, Anne-Lise ; Centre Hospitalier Universitaire de Liège - CHU > Service d'ORL, d'audiophonologie et de chir. cervico-faciale
Language :
English
Title :
Baseline SNOT-22 as Outcome Predictor: a Powerful Tool just at Hand