Evidence map›Paper›PMID 39352056›Full record

ArticleThe Laryngoscope2025

Investigation of Expectations and Satisfaction After Sinus Surgery for Chronic Rhinosinusitis.

Jose L Mattos, Haleigh Hopper, Zachary Soler, Jess C Mace, Rodney J Schlosser, Spencer C Payne, Timothy L Smith, Meghan K Mattos

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in The Laryngoscope, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

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

  1. Pooled it
  2. A Novel Device to Improve the Tolerability of Intranasal Corticosteroid Sprays for Allergic Rhinitis and Postoperative Chronic Rhinosinusitis: A Crossover Trial.Clinical otolaryngology : official journal of ENT-UK ; official journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery · 2026
    Trial
  3. Trial
  4. Article
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

8 authors.

Jose L MattosDepartment of Otolaryngology - Head and Neck Surgery, University of Virginia, Charlottesville, Virginia, USA.ORCID 0000-0001-8766-1626
Haleigh HopperDepartment of Otolaryngology - Head and Neck Surgery, University of Virginia, Charlottesville, Virginia, USA.
Zachary SolerDivision of Rhinology and Sinus Surgery, Department of Otolaryngology - Head and Neck Surgery, Medical University of South Carolina, Charleston, South Carolina, USA.
Jess C MaceDepartment of Otolaryngology-Head and Neck Surgery, Oregon Health & Science University, Portland, Oregon, USA.
Rodney J SchlosserDepartment of Otolaryngology-Head and Neck Surgery, Oregon Health & Science University, Portland, Oregon, USA.
Spencer C PayneDepartment of Otolaryngology - Head and Neck Surgery, University of Virginia, Charlottesville, Virginia, USA.
Timothy L SmithDepartment of Otolaryngology-Head and Neck Surgery, Oregon Health & Science University, Portland, Oregon, USA.
Meghan K MattosDepartment of Acute and Specialty Care, University of Virginia School of Nursing, Charlottesville, Virginia, USA.

Funding

DETERMINANTS OF SURGICAL OUTCOMES IN CHRONIC SINUSITISR01DC005805 · NIDCD · OREGON HEALTH & SCIENCE UNIVERSITY · PI SMITH, TIMOTHY L, SOLER, ZACHARY M · 2004 to 2020
$7.6M
Internet-based insomnia intervention to prevent cognitive decline in older adults with mild cognitive impairmentK76AG074942 · NIA · UNIVERSITY OF VIRGINIA · PI Meghan K Mattos · 2022 to 2026
$1.2M
Role of taste signaling in airway epithelial functionK23DC014747 · NIDCD · UNIVERSITY OF COLORADO DENVER · PI RAMAKRISHNAN, VIJAY · 2015 to 2020
$1.2M
Olfactory-specific inflammation and disease severity in chronic rhinosinusitisR03DC013651 · NIDCD · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI SOLER, ZACHARY M · 2013 to 2015
$449k
NIA NIH HHS K76 AG074942NIDCD NIH HHS K23 DC014747NIDCD NIH HHS R01 DC005805NIDCD NIH HHS R03 DC013651NIH HHS K23DC014747NIH HHS R01DC005805NIH HHS R03DC013651-01
6 · The paper itself

Abstract

objectiveTo perform the first mixed-methods analysis of patient expectations and satisfaction after endoscopic sinus surgery (ESS).

methodsSemi-structured interviews of subjects undergoing ESS were performed to understand pre-operative expectations and 6-month post-operative satisfaction. Descriptive statistics, logistic regression, and mediation analyses were performed. Quantitative questions were followed by qualitative probes for subjects to expand on quantitative answers. Study sample size was determined by thematic saturation based on qualitative responses. Data visualization was used to triangulate quantitative and qualitative data wherein themes emerged.

resultsA total of 52 participants were included in the mixed-method analysis, and 110 were included in the mediation analysis. 56% of participants were male, with an average age of 55.7 (SD ± 2.18). Mean change in SNOT-22 was 20.8 (SD ± 3.74), and 25% of participants did not achieve a minimal clinically important difference (MCID). Of the participants who did not achieve MCID, 79% would still choose to have sinus surgery again. Qualitative interviews revealed multiple preliminary categories describing the patient experience with ESS. Regression analysis showed that the most important predictor of satisfaction was whether pre-operative expectations were met (OR = 3.8, p < 0.001). In mediation analysis, the effect of the clinical outcome on patient satisfaction was completely mediated by pre-operative expectations (indirect effect p = 0.009, direct effect p = 0.17).

conclusionPatient expectations and satisfaction are important yet understudied measures in CRS and ESS. In ESS, satisfaction with outcome is driven by the fulfillment of pre-operative expectations. Aligning such expectations is the most important intervention a sinus surgeon can perform to maximize success. LEVEL OF EVIDENCE: 4 Laryngoscope, 135:555-561, 2025.

Indexed as

EndoscopyPatient SatisfactionRhinitisSinusitisAdultAgedChronic DiseaseFemaleHumansMaleMiddle AgedQualitative ResearchRhinosinusitisTreatment Outcomechronic rhinosinusitisexpectationsmixed‐methodssatisfactionsinus surgery

Identifiers

PMID39352056
PMCPMC11725684

What OpenQuestion holds

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Read underepoch 390

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.