An International Journal Clinical Rhinology

Register      Login

VOLUME 7 , ISSUE 3 ( September-December, 2014 ) > List of Articles

RESEARCH ARTICLE

Assessment of Quality of Life in Patients of Chronic Rhinosinusitis

SS Bist, Sarita Mishra, Vinish Agrawal, Priyanka Gairola

Keywords : Rhinosinusitis,Quality of life,Sinus surgery

Citation Information : Bist S, Mishra S, Agrawal V, Gairola P. Assessment of Quality of Life in Patients of Chronic Rhinosinusitis. Clin Rhinol An Int J 2014; 7 (3):96-99.

DOI: 10.5005/jp-journals-10013-1206

Published Online: 01-12-2014

Copyright Statement:  Copyright © 2014; The Author(s).


Abstract

Introduction

Chronic rhinosinusitis (CRS) is a global health problem affecting approximately 14% of the population of all age groups. CRS has a significant adverse impact on quality of life of the patients.

Objective

The aim of this study was to compare the quality of life of patients suffering from CRS with that of normal population and to assess the association between objective nasal endoscopic score, self-rated symptom score and quality of life (QoL) score.

Methodology

This was a prospective study conducted over a period of 12 months. A total of 110 cases of CRS and 50 normal subjects taken as controls were recruited from out patients department. Patients diagnosed as a case CRS were subjected to rhinosinusitis disability index (RSDI), subjective QoL questionnaires and self-rated symptom score in their vernacular language followed by diagnostic nasal endoscopy, using 0° rigid endoscope (4 mm).

Results

This study revealed that the mean ± SD total QoL score in the patients was 50.2 ± 14.9 (15-94) which was significantly affected as compared to control group where it was only 18.2 ± 9.15 (3-47). The mean ± SD of the functional, emotional and physical domains were 17.6 ± 5.46 (4-34), 16.5 ± 8.29 (5-88) and 16.5 ± 5.84 (2-35) respectively. There was no correlation between endoscopic score and the patient's self-rated symptom score or RSDI score. The correlation between the self-rated symptom score and total QoL score was significant (p = 0.02).

Conclusion

On comparing the QoL in the patients of CRS with the controls, it was observed that QoL was affected more in the patients of CRS in the physical, functional and emotional domain of their life. CRS has considerable adverse impact on QoL of patients and RSDI is a valuable tool in assessing the QoL in patients of CRS.

How to cite this article

Gairola P, Bist SS, Mishra S, Agrawal V. Assessment of Quality of Life in Patients of Chronic Rhinosinusitis. Clin Rhinol An Int J 2014;7(3):96-99.


PDF Share
  1. Anatomy of nose and paranasal sinuses. In: Michael Gleeson, editor. Scott-Brown's Otolaryngology, Head and Neck Surgery. 7th ed. Great Britain: Hodder Arnold; 2008. p. 1439-1448.
  2. EPOS 2012: Eurpoean position paper on rhinosinusitis and nasal polyposis 2012. A summary for otorhinolaryngologists. Rhinology 2012 Mar;50(1):5-7.
  3. The health impact of chronic sinusitis in patients seeking otolaryngologic care. Otolaryngol Head Neck Surg 1995 Jul;113(1):104-109.
  4. Quantification for staging sinusitis. The Staging and Therapy Group. Ann Otol Rhinol Laryngol Suppl 1995 Oct;167:17-21.
  5. Assessing the quality of life for patients with chronic rhinosinusitis using the ‘Rhinosinusitis Disability Index’. Rhinology 2001 Dec;39(4):191-196.
  6. The relationship between subjective assessment instruments in chronic rhinosinusitis. Rhinology 2007 Jun;45(2):144-147.
  7. The development of the rhinosinusitis disability index. Arch Otolaryngol Head Neck Surg 1997 Nov;123(11):1175-1179.
  8. Reliability, validity and responsiveness of a Norwegian version of the chronic sinusitis survey. BMC Ear Nose Throat Disord 2006 May 5;6:9.
  9. Correlations and comparison between repeat computed tomography scores, endoscopy scores and symptomatic improvement before and after endoscopic sinus surgery: A pilot study. Clin Rhinol An Int J 2013;6(1):32-40.
  10. Evaluating change in health-related quality of life in adult rhinitis: responsiveness of the rhinosinusitis disability index. Health Qual Life Outcomes 2005 Nov 8;3:68.
  11. Association between clinical symptoms and CT findings in chronic rhinosinusitis. Iran J Radiol 2008;5(3):145-150.
  12. Chronic rhinosinusitis assessment using the Adelaide disease severity score. J Laryngol Otol 2013 Jul;12(Suppl 2):S24-S28.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.