ArticleInternational forum of allergy & rhinology2016
A diagnostic dilemma: chronic sinusitis diagnosed by non-otolaryngologists.
Article in International forum of allergy & rhinology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 36 citations in OpenAlex.
- Telemedicine, Patient Satisfaction, and Chronic Rhinosinusitis Care in the Era of COVID-19.American journal of rhinology & allergy · 2021Article
- A pathway to value-based care of chronic rhinosinusitis using a claims database.Laryngoscope investigative otolaryngology · 2019Article
- Prevalence of pain due to rhinosinusitis: a review.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2018Review
- A contemporary analysis of clinical and demographic factors of chronic rhinosinusitis patients and their association with disease severity.Irish journal of medical science · 2018Article
- Chronicity of Voice-Related Health Care Utilization in the General Medicine Community.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2017Article
- Economics of Chronic Rhinosinusitis.Current allergy and asthma reports · 2017Review
- The role of infection and antibiotics in chronic rhinosinusitis.Laryngoscope investigative otolaryngology · 2017Review
- Academic institution pilot study shows far fewer diagnoses of sinusitis than reported nationally.Laryngoscope investigative otolaryngology · 2016Article
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Authors and funding
6 authors at 5 institutions in 1 country.
Funding
Abstract
backgroundAmbulatory care visits for chronic sinusitis outnumber visits for acute sinusitis. The majority of these visits are with non-otolaryngologists. In order to better understand patients diagnosed with chronic sinusitis by non-otolaryngologists, we sought to determine if incident cases of chronic sinusitis diagnosed by primary care (PC) or emergency medicine (EM) providers meet diagnostic criteria.
methodsThis was a retrospective cohort study. Patients were identified using administrative data from 2005 to 2006. The dataset was then clinically annotated based on chart review. We excluded prevalent cases.
resultsWe identified 114 patients with newly diagnosed chronic sinusitis in EM (75) or PC settings (39). Rhinorrhea (EM 61%, PC 59%) and nasal obstruction (EM 67%, PC 64%) were common in both settings but facial fullness (EM 80%, PC 39%) and pain (EM 40%, PC 18%) were more common in the EM setting. Few patients reported symptoms of 90 days or longer (EM 6.0%, PC 24%) and no patient had evidence of inflammation on physical examination. A minority of patients received a sinus computed tomography (CT) scan (22.8%) or nasal endoscopy (1.8%). In total, only 1 patient diagnosed with chronic sinusitis met the diagnostic criteria.
conclusionMost patients diagnosed with chronic sinusitis by non-otolaryngologists do not have the condition. Caution should be used in studying chronic sinusitis using administrative data from non-otolaryngology providers because a large proportion of the patients may not actually have the disease.
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