Impact of rhinosinusitis in health care delivery: The Quebec experience
Impact of rhinosinusitis in health care delivery: The Quebec experience
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DOI：
10.2310/7070.2001.20813
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发表时间：
2001-04-01
期刊：
影响因子：
--
通讯作者：
Dassa, C
中科院分区：
文献类型：
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作者：
Durr, DG;Desrosiers, MY;Dassa, C
目的：鼻窦炎是一种常见病，每1000人中有135人患病。这种疾病的成本和对生活质量的影响是相当大的。通过疾病对健康的影响、治疗结果及其费用来评估特定疾病的卫生保健服务。本文回顾了我们治疗鼻窦炎的经验及其对健康的影响，使用一种通用的生活质量工具，即医学结局研究36项简短健康调查（SF-36），在选定的患者群体中进行测量。将介绍治疗的结果，并讨论基于美国研究的慢性鼻窦炎的经济影响。材料与方法：110例患者（分为复发性急性鼻窦炎、慢性鼻窦炎和鼻息肉病3个亚组）于诊断就诊当天在两家医院鼻窦门诊完成SF-36调查。结果：将慢性鼻窦炎患者的SF-36评分与美国健康人群的正常值进行比较，结果显示8个领域中有7个领域存在统计学差异。慢性鼻窦炎的评分与美国的一项慢性鼻窦炎研究的比较显示，在8个领域中的5个领域存在统计学上的显著差异。三个诊断亚组的评分比较显示，在两个领域有统计学意义：身体疼痛和活力在复发性急性和慢性鼻窦炎中更受影响。结论：慢性鼻窦炎影响鼻窦炎患者的生活质量，是一种重要的健康负担。注意到美国慢性鼻窦炎人群的一些差异。反复发作的急性和慢性鼻窦炎似乎比鼻息肉病对活力和身体疼痛的影响更大。
Objective: Rhinosinusitis is a common disease affecting 135 per 1000 population. The cost and the impact on quality of life of this disease are considerable. Health care delivery for a particular disease is evaluated through the health impact of the disease, outcomes of treatments, and their costs. This article reviews our experience with rhinosinusitis and its impact on health, as measured using a generic quality of life instrument, the Medical Outcome Study 36-Item Short-Form Health Survey (SF-36), in a selected patient population. Outcomes of treatments will be introduced, and the economic impact of chronic rhinosinusitis based on a U.S. study will be discussed.Material and Methods: One hundred and ten patients (divided into three subgroups: recurrent acute rhinosinusitis, chronic rhinosinusitis, and nasal polyposis) completed the SF-36 survey on the day of the diagnostic visit in the outpatient sinus clinics of two hospitals.Results: The scores of the SF-36, in chronic rhinosinusitis, are compared with the normative values of a healthy U.S. population showing statistically significant differences in seven of eight domains. A comparison of the scores of chronic rhinosinusitis with a U.S. study on chronic rhinosinusitis shows statistically significant differences in five of eight domains. A comparison of the scores in the three diagnostic subgroups shows a statistical significance in two domains: bodily pain and vitality are more affected in recurrent acute and chronic rhinosinusitis.Conclusions: Chronic rhinosinusitis affects the quality of life of patients with rhinosinusitis and represents an important health burden. Some differences are noted with the U.S. chronic rhinosinusitis population. Recurrent acute and chronic rhinosinusitis seem to have more impact on vitality and bodily pain than nasal polyposis.