Evidence map›Paper›PMID 31015263›Full record

ArticleBMJ open2019

Chronic rhinosinusitis: a qualitative study of patient views and experiences of current management in primary and secondary care.

Jane Vennik, Caroline Eyles, Mike Thomas, Claire Hopkins, Paul Little, Helen Blackshaw, Anne Schilder, Imogen Savage, Carl M Philpott

Abstract readComparative Study
PubMed Full text at PMC Publisher
In one paragraph

Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

38 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  9. A patient-centric approach to chronic rhinosinusitis with nasal polyps (CRSwNP): developing tools to improve disease management and outcomes.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2026
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  17. The chronic rhinosinusitis with nasal polyp patient journey in the United States and Europe.Allergy, asthma, and clinical immunology : official journal of the Canadian Society of Allergy and Clinical Immunology · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Jane VennikPrimary Care and Population Sciences, University of Southamption, Southampton, UK.ORCID 0000-0003-4602-9805
Caroline EylesPrimary Care and Population Sciences, University of Southamption, Southampton, UK.
Mike ThomasPrimary Care and Population Sciences, University of Southamption, Southampton, UK.
Claire HopkinsENT, Guys Hospital, London, UK.
Paul LittlePrimary Care and Population Sciences, University of Southamption, Southampton, UK.
Helen BlackshawEvidENT, University College London Ear Institute, London, UK.
Anne SchilderEvidENT, University College London Ear Institute, London, UK.
Imogen SavageEvidENT Patient Panel, University College London Ear Institute, London, UK.
Carl M PhilpottNorwich Medical School, University of East Anglia, Norwich, UK.ORCID 0000-0002-1125-3236

Funding

Department of Health NIHR-RP-011-045Department of Health RP-PG-0614-20011
6 · The paper itself

Abstract

objectivesTo explore patient views and perspectives of current management of chronic rhinosinusitis (CRS) in primary and secondary care.

designSemistructured qualitative telephone interviews as part of the MACRO programme (Defining best Management for Adults with Chronic RhinOsinusitis).

settingPrimary care and secondary care ear, nose and throat outpatient clinics in the UK.

participantsTwenty-five patients consented to in-depth telephone interviews. Transcribed recordings were managed using NVivo software and analysed using inductive thematic analysis.

resultsCRS has a significant impact on patients' quality of life, affecting their ability to work effectively, their social interactions and daily living. Patients seek help when symptoms become unmanageable, but can become frustrated with the primary care system with difficulties obtaining an appointment, and lack of continuity of care. Patients perceive that general practitioners can be dismissive of CRS symptoms, and patients often prioritise other concerns when they consult. Health system barriers and poor communication can result in delays in accessing appropriate treatment and referral. Adherence to intranasal steroids is a problem and patients are uncertain about correct technique. Nasal irrigation can be time-consuming and difficult for patients to use. Secondary care consultations can appear rushed, and patients would like specialists to take a more 'holistic' approach to their management. Surgery is often considered a temporary solution, appropriate when medical options have been explored.

conclusionsPatients are frustrated with the management of their CRS, and poor communication can result in delays in receiving appropriate treatment and timely referral. Patients seek better understanding of their condition and guidance to support treatments decisions in light of uncertainties around the different medical and surgical options. Better coordinated care between general practice and specialist settings and consistency of advice has the potential to increase patient satisfaction and improve outcomes.

Indexed as

Patient SatisfactionActivities of Daily LivingAdministration, IntranasalAdultAgedChronic DiseaseFemaleHumansInterviews as TopicMaleMedication AdherenceMiddle AgedPrimary Health CareQualitative ResearchQuality of LifeRhinitisSteroidspatient viewsprimary carequalitative researchquality of lifesinusitis

Identifiers

PMID31015263
PMCPMC6501991

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.