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Opplever pasienter med kronisk rhinosinusitt, som blir behandlet med endoskopisk sinuskirurgi, bedring i livskvalitet?

Amundsen, Marit Furre
Master thesis
Åpne
Masteroppgave_Marit Furre Amundseni.pdf (Låst)
Permanent lenke
http://hdl.handle.net/11250/281604
Utgivelsesdato
2014
Metadata
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Samlinger
  • Institutt for samfunnsmedisin og sykepleie [1761]
Sammendrag
Background: Chronic rhinosinusitis (CRS) is a common disease with a significant impact on

quality of life. Most patients can be treated with medical therapy. Some patients do not

response to medical therapy, and undergo endoscopic sinus surgery.

Purpose: The purpose of this study is to assess how health-related quality of life changed

after endoscopic sinus surgery in patients with CRS.

Material and methods: This is a review of prospectively collected data from a local quality

registry in St. Olavs Hospital in Trondheim. Quality of life we re assessed before, and 6

months after surgery. We used a disease specific quality of life questionnaire, the Sino Nasal

Outcome Test (SNOT-20), and a generic health related quality of life questionnaire, the Short

Form Health Survey (SF-36). Additionally all patients reported symptoms on a Visual Analog

Score (VAS) before, and 6 months after surgery. Forty-nine patients were included in the

study, 18 women (36, 7 %) and 31 men (63, 3 %).

Results: The SNOT-20 was significantly (P- value < 0, 05) improved six months

postoperatively in all twenty questions, and in all four domains in our study. Patients

significantly (P-value < 0, 05) improved their generic health related quality of life in six of

eight domains/aspects. Patients with CRS had significantly higher mean SNOT-20 score 6

months after surgery, compared with a reference group without CRS.

Conclusions: We found generic health related quality of life and disease specific quality of

life improved 6 month after endoscopic sinus surgery in patients with chronic rhinosinusitis.

Relevance

International studies have shown an effect of endoscopic sinus surgery for people with CRS

on disease-specific and generic health-related quality of life. In this study a comparison is also

made of the patients’ scores on the disease-specific questionnaire Sino Nasal Outcome Test

(SNOT-20) and a references group score. Based on our knowledge, it is not made such a

comparison in previous studies.
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