Are differences in quality-of-life (QOL) outcomes detectable in patients treated for chronic rhinosinusitis (CRS) by endoscopic sinus surgery (ESS) at different medical centers?
Bottom line: Comparison of surgeon outcomes of ESS is feasible, but must take into account a number of baseline patient characteristics including baseline QOL, septal deviation, and steroid-dependent illnesses.
Explore this issue:January 2017
Background: Numerous systems of collecting and describing patient-reported outcome measures (PROMs) can be used to measure processes of care, health service delivery, and institutional performance. For ESS for CRS, a change or improvement in disease-specific QOL has been adopted as a primary PROM of interest. A comparison of ESS outcomes for CRS between institutions is, however, currently lacking.
Study design: Prospective, multicenter, observational cohort of 228 patients selecting ESS for CRS randomly selected in equal numbers (76 from each site) from three academic clinical practices in North America between April 2011 and May 2015.