ArticleInternational forum of allergy & rhinology2019
Socioeconomic factors impact quality of life outcomes and olfactory measures in chronic rhinosinusitis.
Article in International forum of allergy & rhinology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it, 37 citations in OpenAlex.
- Impact of Life-Context Factors on Chronic Rhinosinusitis 22-Item Sinonasal Outcomes Test: Systematic Review + Meta-Analysis.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2026Pooled it
- Neighborhood Deprivation and Voice and Reflux Symptom Burden in a Tertiary Laryngology Cohort.The Laryngoscope · 2026Article
- Medicaid Coverage and Utilization for Novel Therapies for Chronic Rhinosinusitis With Nasal Polyposis.International forum of allergy & rhinology · 2026Article
- Health Disparities in Rhinology-A Scoping Review.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2025Article
- Observational
- Sex and gender in rhinosinusitis: a review.Future microbiology · 2025Review
- Impact of sociodemographic status and sex on chronic rhinosinusitis and olfaction in people with cystic fibrosis.International forum of allergy & rhinology · 2024Article
- Health care disparities and chronic rhinosinusitis: Does neighborhood disadvantage impact outcomes in sinonasal disease?International forum of allergy & rhinology · 2024Article
- Disparities in access to health care: A survey-based, pilot investigation of sinonasal complaints in the community care setting.International forum of allergy & rhinology · 2023Article
- Demographic Factors and Comorbid Conditions Related to Health Care Presentation Among Patients With Sinusitis.American journal of rhinology & allergy · 2022Review
- Healthcare Resource Utilization for Chronic Rhinosinusitis in Older Adults.Healthcare (Basel, Switzerland) · 2021Article
- Ethmoid-to-maxillary opacification ratio: a predictor of postoperative olfaction and outcomes in nasal polyposis?International forum of allergy & rhinology · 2021Observational
- Patient reported outcomes measures in gynecologic oncology: A primer for clinical use, part I.Gynecologic oncology · 2020Article
- Socioeconomic status impacts postoperative productivity loss and health utility changes in refractory chronic rhinosinusitis.International forum of allergy & rhinology · 2019Article
- Review
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Authors and funding
8 authors at 6 institutions in 2 countries.
Funding
Abstract
backgroundHealthcare disparities related to socioeconomic factors may adversely impact disease states and treatment outcomes. Among patients with chronic rhinosinusitis (CRS), the impact of socioeconomic factors on outcomes following endoscopic sinus surgery (ESS) remains uncertain.
methodsAdult patients with refractory CRS were prospectively enrolled into an observational, multi-institutional cohort study between March 2011 and June 2015. Socioeconomic factors analyzed included household income, insurance status, years of education completed, race, age, and ethnicity. Income was stratified according to the Thompson and Hickey model. The 22-item Sino-Nasal Outcome Test (SNOT-22) and Brief Smell Identification Test (BSIT) were completed preoperatively and postoperatively.
resultsA total of 392 patients met inclusion criteria. Higher age and male gender were associated with better mean preoperative SNOT-22 scores (both p < 0.02), whereas Medicare insurance status and male gender were associated with worse preoperative mean BSIT scores (both p < 0.02). Postoperatively, higher household income ($100,001+/year) and lower age were associated with a greater likelihood of improving at least 1 minimal clinically important difference (MCID) on SNOT-22 scores (OR = 2.40 and 1.03, respectively, both p < 0.05), while no factors were associated with increased odds of achieving a MCID on BSIT scores.
conclusionsPreoperative olfactory function and postoperative quality of life (QOL) improvement were associated with metrics of socioeconomic status in patients with CRS electing ESS. The odds of experiencing a clinically meaningful QOL improvement were more than twice as likely for patients with the highest household income level compared to other income tiers. Further investigation is warranted to identify barriers to postoperative improvement.
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