Severity of Rhinosinusitis: Comparison Between Visual Analog Scale Given by Patients and Otorhinolaryngologists
Severity of Rhinosinusitis: Comparison Between Visual Analog Scale Given by Patients and Otorhinolaryngologists
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鼻窦炎的严重程度：患者和耳鼻喉科医生给出的视觉模拟量表的比较
DOI：
10.1177/1945892420923934
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发表时间：
2020-05
影响因子：
2.6
通讯作者：
Wang De Yun
中科院分区：
文献类型：
--
作者：
Zhao Li;Yu Ke Na;Tan Jian Li;Zhang Hai Ling;Jin Peng;Zi Xiao Xue;Tu Yan Yi;Li Tao;Zhou Xiang Min;Shi Li;Wang De Yun
研究背景视觉模拟评分(VAS)是2012年欧洲鼻窦炎和鼻息肉意见书推荐的一种评估慢性鼻窦炎(CRS)患者症状严重程度的方法。目的探讨耳鼻咽喉科医生的评估结果与CRS患者常用系统的相关性。方法对110例CRS合并鼻息肉(CRSwNPs，n=61)和非鼻息肉(CRSsNPs，n=49)的CRS患者进行VAS评分和鼻-鼻结局测试-20(SNOT-20)中文版评分，并与Lund-Kennedy鼻内窥镜分期系统、Lund-Mackay CT分期系统和3名耳鼻咽喉科主治医师的VAS评分进行比较。结果3名耳鼻咽喉科医生的VAS值中位数(6.0分；4.2 5~7.5分)与3名耳鼻咽喉科医生的VAS分(5.5分；4.83~6.5分)无显著相关性，相关系数为0.2 18(-0.146~0.466)。CRS患者VAS评分与SNOT-20评分呈中度相关(r=0.37)，CRSwNP与CRSsNP、单侧鼻息肉与双侧鼻息肉之间VAS评分无显著差异。对于耳鼻咽喉科医生，CRSwNP(6.0；5.17-7.0)的VAS评分中位数较高，尤其是在双侧(6.0；5.0-7.08)和翻修手术(6.08；5.33-7.63)。耳鼻咽喉科医生的VAS评分与Lund-Mackay CT评分(r=.7536)和Lund-Kennedy内窥镜分期(r=.5947)显著相关。结论在本研究中，患者和医生之间的VAS评分没有显著相关性，但它们属于相同的治疗范围，不会改变患者的临床管理。
Background Visual Analog Scale (VAS) as determined by the patient is recommended by the European Position Paper on Rhinosinusitis and Nasal Polyps 2012 in evaluation of the total severity of the chronic rhinosinusitis (CRS) patients' symptoms. Objective To evaluate the correlation between evaluations performed by otorhinolaryngologists and CRS patients with commonly used systems. Methods Scores of VAS and Sino-Nasal Outcome Test-20 (SNOT-20) Chinese version were obtained from 110 CRS patients with nasal polyps (CRSwNPs, n = 61) and without nasal polyps (CRSsNPs, n = 49) before surgery, which were compared with scores of Lund-Kennedy endoscopic staging system, the Lund-Mackay computed tomography (CT) staging system, and VAS from 3 attending otorhinolaryngologists. Results The median VAS scores given by CRS patients (6.0; 4.25-7.5) do not correlate significantly with the VAS scores by the 3 otorhinolaryngologists (5.5; 4.83-6.5) with a correlation coefficient of .218 (-0.146 to 0.466). For CRS patients, there was only a moderate correlation between scores of VAS and the SNOT-20 (r = .37), and no significant difference of VAS scores between CRSwNP and CRSsNP, and between unilateral and bilateral nasal polys. For otorhinolaryngologists, a higher median VAS score was found in CRSwNP (6.0; 5.17-7.0), especially in bilateral (6.0; 5.0-7.08) and revision surgery (6.08; 5.33-7.63). The VAS scores of otorhinolaryngologists correlated significantly with the Lund-Mackay CT score (r = .7536) and Lund-Kennedy endoscopic staging (r = .5947). Conclusions VAS scores between patients and physicians are not correlated significantly in this study, but they fall within the same therapeutic range and do not change the clinical management of the patients.
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