scholarly journals Health utility outcomes in patients undergoing medical management for chronic rhinosinusitis: a prospective multiinstitutional study

2015 ◽  
Vol 5 (11) ◽  
pp. 1018-1027 ◽  
Author(s):  
Lauren J. Luk ◽  
Toby O. Steele ◽  
Jess C. Mace ◽  
Zachary M. Soler ◽  
Luke Rudmik ◽  
...  
Keyword(s):  
Chronic Rhinosinusitis ◽  
Medical Management ◽  
Health Utility

scholarly journals Risk of COVID-19 Infection Among Chronic Rhinosinusitis Patients Receiving Oral Corticosteroids

2021 ◽  
pp. 019459982110069
Author(s):  
Lauren E. Miller ◽  
Neil Bhattacharyya
Keyword(s):  
Conservative Treatment ◽  
Chronic Rhinosinusitis ◽  
Treatment Regimen ◽  
Medical Management ◽  
Steroid Use ◽  
Positive Diagnosis ◽  
Increased Risk ◽  
Significant Difference ◽  
Oral Corticosteroids

Chronic rhinosinusitis (CRS) management frequently comprises conservative treatment, including a combination of topical and oral corticosteroids (OCSs). However, in the midst of the coronavirus disease 2019 (COVID-19) pandemic, providers may have been reluctant to prescribe OCSs out of possible concern for an increased risk of contracting COVID-19 or developing more severe COVID-19 symptoms. This study thus sought to explore the association between the use of OCSs and the development of COVID-19 in patients with CRS. We found no statistically significant difference in the rates of patients with a positive diagnosis of COVID-19 who underwent an OCS treatment regimen compared to those who did not, both within 28 days ( P = .389) and 14 days ( P = .676) prior to the COVID-19 test. Given OCSs are often a major component of medical management of CRS, this study proves helpful in counseling patients on risks of steroid use in CRS treatment during the COVID-19 pandemic.

scholarly journals Socioeconomic status impacts postoperative productivity loss and health utility changes in refractory chronic rhinosinusitis

2019 ◽  
Vol 9 (9) ◽  
pp. 1000-1009
Author(s):  
Daniel M. Beswick ◽  
Jess C. Mace ◽  
Zachary M. Soler ◽  
Luke Rudmik ◽  
Jeremiah A. Alt ◽  
...  
Keyword(s):  
Socioeconomic Status ◽  
Chronic Rhinosinusitis ◽  
Productivity Loss ◽  
Health Utility

EQ-5D-derived health utility values in patients undergoing surgery for chronic rhinosinusitis

2014 ◽  
Vol 125 (5) ◽  
pp. 1056-1061 ◽  
Author(s):  
Aaron K. Remenschneider ◽  
George Scangas ◽  
Josh C. Meier ◽  
Stacey T. Gray ◽  
Eric H. Holbrook ◽  
...  
Keyword(s):  
Chronic Rhinosinusitis ◽  
Health Utility ◽  
Utility Values

scholarly journals Oral Corticosteroid Regimens in the Management of Chronic Rhinosinusitis

2020 ◽  
pp. 014556131987690
Author(s):  
Ahmed Mansi ◽  
Roger Bui ◽  
Mohamad R. Chaaban
Keyword(s):  
Side Effects ◽  
Chronic Rhinosinusitis ◽  
Medical Management ◽  
Oral Corticosteroid ◽  
Surgical Intervention ◽  
Controlled Trials ◽  
Level Of Evidence ◽  
Randomized Controlled ◽  
Before And After ◽  
Oral Corticosteroids

Background: Oral corticosteroids are often used in the medical management of chronic rhinosinusitis (CRS) with and without polyps. The purpose of our study is to review the literature for studies reporting the dosage of oral corticosteroids as part of the appropriate medical management prior to, immediately before, and after surgical intervention. Methods: We reviewed the literature for oral corticosteroid regimens given to patients with CRS from March 2012 to September 2018. Studies that did not disclose the exact doses of the regimen were excluded from our analysis. Results: Our search resulted in 7 articles with 4 studies of Level of Evidence (LOE) 1b, 2 studies with LOE III, and 1 study with LOE IV. The daily doses varied from 15 mg to 1 mg/kg, and with total doses ranging from 150 to 352 mg. In addition, several studies gave the same regimen to both subtypes of CRS. There was no mention of side effects in most of the studies. Conclusion: There is a wide variation in the steroid doses given to patients with CRS and prospective or randomized controlled trials are needed to provide better improved evidence.

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