Socioeconomic Status Impacts the Prognosis of Chronic Rhinosinusitis Treated by Endoscopic Sinus Surgery: An Observational Cohort Study in Northeast China.
- Author:
Shuai HAO
1
;
Xue Yan ZHANG
1
;
Jiao GAO
1
;
Yan WANG
1
;
Ai Hui YAN
1
Author Information
- Publication Type:Journal Article
- Keywords: Chronic rhinosinusitis; Endoscopic sinus surgery; Socioeconomic status
- MeSH: Humans; Cohort Studies; Rhinosinusitis; Sinusitis/surgery*; Social Class; Endoscopy/methods*; Chronic Disease; Treatment Outcome
- From: Biomedical and Environmental Sciences 2023;36(11):1059-1067
- CountryChina
- Language:English
-
Abstract:
OBJECTIVE:To explore the association between socioeconomic status (SES) and postoperative outcomes in patients with chronic sinusitis (CRS) after functional endoscopic sinus surgery (ESS).
METHODS:We conducted an observational cohort study of 1,047 patients with CRS undergoing ESS. Discharged patients were followed up to 72 weeks for all-cause recurrence events. Baseline SES was established based on occupation, education level, and family income of the patients 1 year before the operation. Kaplan-Meier method was used to calculate the recovery rate after ESS, and Cox proportional hazards regression analysis was used to evaluate the relationship between SES and prognosis.
RESULTS:Patients of middle SES had lower unadjusted all-cause recurrence than those of low or high SES; 24-week overall recovery rate was 90.4% [95 % confidence interval ( CI): 89.6%-91.2%] in patients of middle SES, 13.5% (95 % CI: 12.8%-14.2%) in patients of low SES, and 31.7% (95 % CI: 30.7%-32.7%) in patients of high SES (both log-rank P < 0.001). After adjustment for covariates, hazard ratios ( HRs) were 7.69 (95 % CI: 6.17-9.71, P trend < 0.001) for all-cause recurrence for low SES versus middle SES, and 6.19 (95 % CI: 4.78-7.93, P trend < 0.001) for middle SES versus high SES.
CONCLUSION:Low SES and high SES were more associated with the worse prognosis of CRS patients after ESS than middle SES.
