Benninger Michael S, Hopkins Claire, Tantilipikorn Pongsakorn
Head and Neck Institute, Cleveland Clinic Lerner College of Medicine, The Cleveland Clinic, Cleveland, Ohio, USA.
Am J Rhinol Allergy. 2014 May-Jun;28(3):249-54. doi: 10.2500/ajra.2014.28.4041.
Rhinosinusitis (RS) is a complex group of disorders characterized by inflammation of the mucosa of the nose and paranasal sinuses.
One of the problems with evaluating and treating RS is that there are often difficulties and controversies related to the means of diagnosis, which would prompt appropriate treatment.
This is particularly true in chronic RS where multiple treatments may be chosen and often these decisions are somewhat empiric and are based on the associated history, symptoms, and prior treatment. This also creates problems with assessing response to treatment where there are multiple tools that are used to diagnose RS and to assess response to both treatment and nontreatment over time. Consistent and reproducible measures of outcome may be lacking.
The purpose of this study was to describe the various diagnostic criteria that are used to evaluate RS and their role in measuring outcomes.
鼻窦炎(RS)是一组复杂的疾病,其特征为鼻和鼻窦黏膜的炎症。
评估和治疗RS的问题之一在于,诊断方法往往存在困难和争议,而这些方法会促使进行适当的治疗。
在慢性RS中尤其如此,其中可能会选择多种治疗方法,而且这些决策通常在一定程度上是经验性的,并且基于相关病史、症状和既往治疗情况。这也给评估治疗反应带来了问题,因为有多种工具用于诊断RS以及评估随时间推移对治疗和未治疗的反应。可能缺乏一致且可重复的结局衡量指标。
本研究的目的是描述用于评估RS的各种诊断标准及其在衡量结局方面的作用。