Chronic rhinosinusitis is an inflammatory process involving the sinonasal mucosa, lasting 12 weeks or longer. It is often characterized by a complex of debilitating symptoms usually classified into minor and major symptoms. Estimating symptom/ disease severity using structured questionnaires can be challenging. This is especially so in rural areas where a combination of low literacy levels and language barrier may present communication difficulties. In view of the aforementioned challenges, it has become imperative to explore the correlation between the 22- item sino-nasal outcome test (SNOT-22) and a simpler means of evaluating symptom severity in chronic rhinosinusitis; hence this study. To determine the correlation between SNOT-22 and visual analogue scale (VAS) questionnaire scoring of symptom severity in chronic rhinosinusitis. This was a twelve month prospective cross sectional study of fifty- two consecutive newly diagnosed adult patients with chronic rhinosinusitis. Age of patients ranged from 19 – 91 years. Male to female ratio was 1: 1.26. There was a significant positive correlation between VAS and SNOT-22 in moderate and high symptom severity in patients with CRS. This study found a positive correlation between SNOT-22 and VAS scoring of disease severity in moderate and severe diseases and an insignificant correlation between these two instruments in mild disease. VAS can be used as a guide to symptom severity in the pre-treatment patients with CRS.
Published in | International Journal of Otorhinolaryngology (Volume 5, Issue 1) |
DOI | 10.11648/j.ijo.20190501.16 |
Page(s) | 24-30 |
Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
Copyright |
Copyright © The Author(s), 2019. Published by Science Publishing Group |
Chronic Rhinosinusitis, Sinonasal Outcome Test-22, Visual Analogue Scale, Symptoms, Severity, Low Literacy, Language Barrier
[1] | Fokkens, WJ., Lund, VJ., Mullol J European position paper on Rhinosinusitis and Nasal polyps. Rhinology 2007; 20: 1-136. |
[2] | Bhattacharyya N. The Economic burden and symptom manifestation of chronic rhinosinusitis. AM J Rhinol 2003; 17: 27-32. |
[3] | Iseh KR, Makusidi M. Rhinosimisitis: A retrospective analysis of clinical pattern and outcome in north western Nigeria. Annals of African Medicine. 2010, 9: 20-26. |
[4] | Kolo ES. The role of plain radiographs in the diagnosis of chronic maxillary rhinosinusitis in adults. African Health Sciences 2012; 4: 459-463. |
[5] | Okafor BC. Otolaryngology in South Eastern Nigeria 11 Pattern of diseases of the nose. Niger Med J 1983; 13: 21-9. |
[6] | Bhatia PC, Varugese R. Pattern of otolaryngological diseases in Jos Community. Niger Med J 1987, 17: 67-73. |
[7] | Nwawolo CC. Hazards of Maxillary antral Washout. Nig Postgrad Med J 1997; 4: 123-6. |
[8] | Ahmad BM, Tahir AA. Rhinosinusitis in North Eastern Nigeria. Clinico Radiologic findings. Niger J Med 2000, 9: 21-3. |
[9] | Ogunleye AO, Nwaorgu OG, Lasisi AO, Ijaduola GT. Trends of sinusitis in Ibadan. West Afr JMed 1999; 18: 298-302. |
[10] | Desorosiers M, Evans GA, Keith PK, Wright ED, Kaplan A, Bonchard J. Canadian Clinical practice guidelines for acute and chronic rhinosinusitis. J Otolaryngol Head Neck Surg. 2011; 40: 599-193. |
[11] | Benninger MS, Ferguson BJ, Hadley JA. Adult Chronic Rhinosinusiis: definition, diagnosis, epidemiology, and patho-physiology. Otolaryngol Head Neck Surg. 2003; 129: 1-32. |
[12] | Frederick J, Braude AL. Anaerobic infection of the paranasal sinuses. N Engl J Med 1974, 200: 135-9. |
[13] | Bhattacharyya N. Contemporary assessment of the disease burden of sinusitis. Am J Rhinol Allergy. 2009; 23: 392-395. |
[14] | Pernilla Sahlstrand-Johnson, Bodil Ohlsson, Christian von Buchwald, Magnus Jannert, Marianne Ahlner- Elmqvist. A multicenter study on quality and absenteeism in patients with CRS reffered for endoscopic surgery. Rhinology 2011; 49: 420-428. |
[15] | Drazen Shejbal, Davor Vagic, Sinisa Stevanovic, Elvira Koic, Livije Kalogjera. Impact of post-traumatic stress disorder on sinunasal symptoms and quality of life in patients with chronic rhinosinusitis. Patient Prefer Adherence 2012; 6: 847-852. |
[16] | Lim M, Lew-Gor S, Darby Y, Brookes N, Scaldding G, Lund VJ. The relationship between subjective assessment instruments in chronic rhinosinusitis. Rhinology. 2007; 45: 144-147. |
[17] | Morley AD, Sharp HR. A review of sinonasal outcome scoring system which is best? Clinical otolaryngology 2006, 31: 103-109. |
[18] | Da Lilly-Tariah O. B. Pattern of clinical features of simple chronic rhinosinusitis in Port Harcourt. Niger j. clin Pract 2006; 9: 142-6. |
[19] | O. Sogebi, E. Oyewole. Rhinosinusitis clinical features seen in Sagamu, Nigeria. The Internet journal of otorhinolaryngology2006; 6: 2. |
[20] | Bhattacharyya N. Clinical and Symptom Criteria for the accurate Diagnosis of Chronic Rhinosinusitis. Laryngoscope 2006; 116: 1-22. |
[21] | Abdalla S, Alreely H, Hopkins C. Prevalence of sinonasal outcome test (SNOT-22) symptoms in patients undergoing surgery for chronic rhinosinusitis in England and Wales National prospective audit. Clin Otolaryngol. 2012; 37: 276-82. |
[22] | Bhattacharyya N. A. Comparison of symptom scores and radiographic staging systems in chronic rhinosinusitis. Am J RHINOL. 2005; 19: 175-9. |
[23] | O. Z Olowosusi, C. N. Asoegwu, A. T. Olagunju, C. C. Nwawolo. A Cross-sectional evaluation of the correlation between disease severity and quality of life in chronic rhinosinusitis patients in Nigeria. Eur Arch Otorhinolaryngol 2014; 14: 23-25. |
APA Style
Omoregie Joseph Idugboe, Adebolajo Adeyemo, Ebidisemene Linda Totyen. (2019). The Correlation Between SNOT-22 and Visual Analogue Scale in the Assessment of Symptom Severity in Chronic Rhinosinusitis. International Journal of Otorhinolaryngology, 5(1), 24-30. https://doi.org/10.11648/j.ijo.20190501.16
ACS Style
Omoregie Joseph Idugboe; Adebolajo Adeyemo; Ebidisemene Linda Totyen. The Correlation Between SNOT-22 and Visual Analogue Scale in the Assessment of Symptom Severity in Chronic Rhinosinusitis. Int. J. Otorhinolaryngol. 2019, 5(1), 24-30. doi: 10.11648/j.ijo.20190501.16
AMA Style
Omoregie Joseph Idugboe, Adebolajo Adeyemo, Ebidisemene Linda Totyen. The Correlation Between SNOT-22 and Visual Analogue Scale in the Assessment of Symptom Severity in Chronic Rhinosinusitis. Int J Otorhinolaryngol. 2019;5(1):24-30. doi: 10.11648/j.ijo.20190501.16
@article{10.11648/j.ijo.20190501.16, author = {Omoregie Joseph Idugboe and Adebolajo Adeyemo and Ebidisemene Linda Totyen}, title = {The Correlation Between SNOT-22 and Visual Analogue Scale in the Assessment of Symptom Severity in Chronic Rhinosinusitis}, journal = {International Journal of Otorhinolaryngology}, volume = {5}, number = {1}, pages = {24-30}, doi = {10.11648/j.ijo.20190501.16}, url = {https://doi.org/10.11648/j.ijo.20190501.16}, eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijo.20190501.16}, abstract = {Chronic rhinosinusitis is an inflammatory process involving the sinonasal mucosa, lasting 12 weeks or longer. It is often characterized by a complex of debilitating symptoms usually classified into minor and major symptoms. Estimating symptom/ disease severity using structured questionnaires can be challenging. This is especially so in rural areas where a combination of low literacy levels and language barrier may present communication difficulties. In view of the aforementioned challenges, it has become imperative to explore the correlation between the 22- item sino-nasal outcome test (SNOT-22) and a simpler means of evaluating symptom severity in chronic rhinosinusitis; hence this study. To determine the correlation between SNOT-22 and visual analogue scale (VAS) questionnaire scoring of symptom severity in chronic rhinosinusitis. This was a twelve month prospective cross sectional study of fifty- two consecutive newly diagnosed adult patients with chronic rhinosinusitis. Age of patients ranged from 19 – 91 years. Male to female ratio was 1: 1.26. There was a significant positive correlation between VAS and SNOT-22 in moderate and high symptom severity in patients with CRS. This study found a positive correlation between SNOT-22 and VAS scoring of disease severity in moderate and severe diseases and an insignificant correlation between these two instruments in mild disease. VAS can be used as a guide to symptom severity in the pre-treatment patients with CRS.}, year = {2019} }
TY - JOUR T1 - The Correlation Between SNOT-22 and Visual Analogue Scale in the Assessment of Symptom Severity in Chronic Rhinosinusitis AU - Omoregie Joseph Idugboe AU - Adebolajo Adeyemo AU - Ebidisemene Linda Totyen Y1 - 2019/07/13 PY - 2019 N1 - https://doi.org/10.11648/j.ijo.20190501.16 DO - 10.11648/j.ijo.20190501.16 T2 - International Journal of Otorhinolaryngology JF - International Journal of Otorhinolaryngology JO - International Journal of Otorhinolaryngology SP - 24 EP - 30 PB - Science Publishing Group SN - 2472-2413 UR - https://doi.org/10.11648/j.ijo.20190501.16 AB - Chronic rhinosinusitis is an inflammatory process involving the sinonasal mucosa, lasting 12 weeks or longer. It is often characterized by a complex of debilitating symptoms usually classified into minor and major symptoms. Estimating symptom/ disease severity using structured questionnaires can be challenging. This is especially so in rural areas where a combination of low literacy levels and language barrier may present communication difficulties. In view of the aforementioned challenges, it has become imperative to explore the correlation between the 22- item sino-nasal outcome test (SNOT-22) and a simpler means of evaluating symptom severity in chronic rhinosinusitis; hence this study. To determine the correlation between SNOT-22 and visual analogue scale (VAS) questionnaire scoring of symptom severity in chronic rhinosinusitis. This was a twelve month prospective cross sectional study of fifty- two consecutive newly diagnosed adult patients with chronic rhinosinusitis. Age of patients ranged from 19 – 91 years. Male to female ratio was 1: 1.26. There was a significant positive correlation between VAS and SNOT-22 in moderate and high symptom severity in patients with CRS. This study found a positive correlation between SNOT-22 and VAS scoring of disease severity in moderate and severe diseases and an insignificant correlation between these two instruments in mild disease. VAS can be used as a guide to symptom severity in the pre-treatment patients with CRS. VL - 5 IS - 1 ER -