Orlandi Richard R, Smith Timothy L, Marple Bradley F, Harvey Richard J, Hwang Peter H, Kern Robert C, Kingdom Todd T, Luong Amber, Rudmik Luke, Senior Brent A, Toskala Elina, Kennedy David W
Division of Otolaryngology-Head and Neck Surgery, University of Utah School of Medicine, Salt Lake City, UT.
Int Forum Allergy Rhinol. 2014 Jul;4 Suppl 1:S1-S15. doi: 10.1002/alr.21344. Epub 2014 May 29.
Chronic rhinosinusitis (CRS) has a significant impact not only on individuals who are afflicted but also on society as a whole. An increasing emphasis is being placed on incorporating the best available evidence into the care of patients, in association with an individual clinician's expertise and the patient's values. Recent evidence-based reviews with recommendations (EBRRs) have distilled our knowledge of CRS treatment options and have also pointed out continued gaps in this knowledge. This review synthesizes the findings of 8 EBRRs regarding CRS published in the International Forum of Allergy and Rhinology between 2011 and 2014. The recommendations in this review are based on the best available evidence and are meant to be incorporated into each patient's individual care, along with the practitioner's expertise and the individual patient's values and expectations. It is hoped that the EBRRs, and the process that spawned them, can provide the foundation for future guidelines in the diagnosis and management of CRS.
慢性鼻-鼻窦炎(CRS)不仅对患病个体有重大影响,对整个社会也有重大影响。越来越强调将现有最佳证据与个体临床医生的专业知识以及患者的价值观相结合,用于患者护理。近期的循证综述及建议(EBRRs)总结了我们对CRS治疗选择的认识,同时也指出了这方面知识仍存在的差距。本综述综合了2011年至2014年在《国际过敏与鼻科学论坛》上发表的8篇关于CRS的循证综述的研究结果。本综述中的建议基于现有最佳证据,旨在与从业者的专业知识以及个体患者的价值观和期望一起纳入每位患者的个体化护理中。希望这些循证综述及其产生过程能够为未来CRS诊断和管理指南提供基础。