Impact of odontogenic chronic rhinosinusitis on general health-related quality of life
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Impact of odontogenic chronic rhinosinusitis on general health-related quality of life. / Gaudin, Robert A; Hoehle, Lloyd P; Smeets, Ralf; Heiland, Max; Caradonna, David S; Gray, Stacey T; Sedaghat, Ahmad R.
in: EUR ARCH OTO-RHINO-L, Jahrgang 275, Nr. 6, 06.2018, S. 1477-1482.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Impact of odontogenic chronic rhinosinusitis on general health-related quality of life
AU - Gaudin, Robert A
AU - Hoehle, Lloyd P
AU - Smeets, Ralf
AU - Heiland, Max
AU - Caradonna, David S
AU - Gray, Stacey T
AU - Sedaghat, Ahmad R
PY - 2018/6
Y1 - 2018/6
N2 - Chronic rhinosinusitis (CRS) may arise due to odontogenic etiologies. However, it is unknown whether odontogenic CRS has a differential impact on patients' quality of life (QOL) compared to standard, inflammatory (but non-odontogenic) CRS. The objective of this study was to determine whether there is a difference in the impact of sinonasal symptomatology on general health-related QOL in odontogenic CRS compared to non-odontogenic CRS. This was a retrospective review of 21 odontogenic CRS patients who visited our tertiary care center. The severity of sinonasal symptomatology and CRS-specific QOL detriment was measured using the 22-item Sinonasal Outcomes Test (SNOT-22) and general health-related QOL was measured using the health utility index from the 5-item EuroQol survey (EQ-5D HUV). Compared to non-odontogenic CRS, odontogenic CRS was not associated with a difference in SNOT-22 score [linear regression coefficient (β) = - 1.57, 95% CI - 12.47 to 9.32, p = 0.777] but was significantly associated with decreased EQ-5D HUV (β = - 0.10, 95% CI - 0.17 to - 0.03, p = 0.008). We also found that the magnitude of association (β) between SNOT-22 and EQ5D-HUV was greater for odontogenic CRS patients compared to non-odontogenic CRS patients (p = 0.045). Our findings suggest sinonasal symptoms may have a greater impact on general QOL in odontogenic CRS compared to non-odontogenic CRS. The reason for this remains unknown, but deserves further study.
AB - Chronic rhinosinusitis (CRS) may arise due to odontogenic etiologies. However, it is unknown whether odontogenic CRS has a differential impact on patients' quality of life (QOL) compared to standard, inflammatory (but non-odontogenic) CRS. The objective of this study was to determine whether there is a difference in the impact of sinonasal symptomatology on general health-related QOL in odontogenic CRS compared to non-odontogenic CRS. This was a retrospective review of 21 odontogenic CRS patients who visited our tertiary care center. The severity of sinonasal symptomatology and CRS-specific QOL detriment was measured using the 22-item Sinonasal Outcomes Test (SNOT-22) and general health-related QOL was measured using the health utility index from the 5-item EuroQol survey (EQ-5D HUV). Compared to non-odontogenic CRS, odontogenic CRS was not associated with a difference in SNOT-22 score [linear regression coefficient (β) = - 1.57, 95% CI - 12.47 to 9.32, p = 0.777] but was significantly associated with decreased EQ-5D HUV (β = - 0.10, 95% CI - 0.17 to - 0.03, p = 0.008). We also found that the magnitude of association (β) between SNOT-22 and EQ5D-HUV was greater for odontogenic CRS patients compared to non-odontogenic CRS patients (p = 0.045). Our findings suggest sinonasal symptoms may have a greater impact on general QOL in odontogenic CRS compared to non-odontogenic CRS. The reason for this remains unknown, but deserves further study.
KW - Adult
KW - Aged
KW - Chronic Disease
KW - Female
KW - Humans
KW - Male
KW - Middle Aged
KW - Periapical Abscess
KW - Postoperative Complications
KW - Prospective Studies
KW - Quality of Life
KW - Retrospective Studies
KW - Rhinitis
KW - Sinusitis
KW - Surveys and Questionnaires
KW - Tooth
KW - Tooth Diseases
KW - Comparative Study
KW - Journal Article
U2 - 10.1007/s00405-018-4977-5
DO - 10.1007/s00405-018-4977-5
M3 - SCORING: Journal article
C2 - 29663114
VL - 275
SP - 1477
EP - 1482
JO - EUR ARCH OTO-RHINO-L
JF - EUR ARCH OTO-RHINO-L
SN - 0937-4477
IS - 6
ER -