Correlation between patient-based questionnaires and computer tomography staging in chronic rhinosinusitis
10.3760/cma.j.issn.1673-0860.2011.04.010
- VernacularTitle:慢性鼻-鼻窦炎主观调查量表与CT评估相关性分析
- Author:
Yong-Bo ZHENG
1
;
Yu ZHAO
;
Dan L(U)
;
Ya-Feng LIU
;
Xiao-Ming QIAO
;
Ping AN
;
De-Yun WANG
Author Information
1. 四川大学华西医院
- Keywords:
Sinusitis;
Tomography,X-ray computed;
Quality of life;
Nasal polyps
- From:
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
2011;46(4):303-307
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the relationship between the patient-based questionnaires and the computed tomography (CT) staging in patients with chronic rhinosinusitis (CRS). Methods Quantitative data of 121 preoperative recruits with CRS were collected by using the Lund-Mackay CT staging system, a visual analogue scale ( VAS), sino-nasal outcome test-20 ( SNOT-20), and the medical outcome study short-form 36 items (SF-36). The patients were classified into several subgroups according to whether CRS was associated with nasal polyps (NP) or not, sex, duration of disease, and educational background.Correlation between the patient-based questionnaires and the CT staging were analyzed in the total cohort patients and subgroups. Results In the total cohort patients, there were significant correlations between SNOT-20 and SF-36 ( r = -0. 561, P ＜ 0. 01 ), SNOT-20 and VAS ( r = 0. 743, P ＜ 0. 0l ), and SF-36 and VAS ( r = - 0. 504, P ＜ 0. 01 ), however, the CT staging did not correlate with the patient-based questionnaires (P ＞ 0. 05 ). Significant but weak correlations were found between the CT staging and the patient-based questionnaires in the C RS with NP subgroup (CT vs SNOT-20, r = 0. 318, P = 0. 005; CT vs SF-36, r = - 0. 358, P = 0. 002; CT vs VAS, r = 0. 358, P = 0. 002). Compared between CRS with NP and without NP subgroup, there were statistic differences on the Lund-Mackay CT stage and the SNOT-20 and VAS scores (t value was 3.249, -2.409, -2.957, respectively, all P＜0.05). Conclusions The patient-based questionnaires correlate well with each other, but CT staging correlated significantly but weakly with the patient-based questionnaires only in the CRS with NP subgroup. Nasal polyps do not appear to be responsible for the adverse effects of CRS on quality of life.
