Department of Otolaryngology-Head and Neck Surgery, Walter Reed National Military Medical Center, Bethesda, Maryland, USA.
Department of Otolaryngology-Head and Neck Surgery, Tufts Medical Center, Boston, Massachusetts, USA.
Otolaryngol Head Neck Surg. 2023 May;168(5):1038-1046. doi: 10.1002/ohn.197. Epub 2023 Feb 8.
To assess the perceived symptoms caused by the sinuses as defined by otolaryngology patients and clinicians.
Multi-institutional cross-sectional study.
Six academic outpatient otolaryngology practices.
We performed a multi-institutional, cross-sectional study using a semantics-based questionnaire. Consecutive patients were enrolled at 6 academic otolaryngology centers from June 2020 to May 2021. The primary outcome examined patient and provider definitions for the symptoms caused by the sinuses from a list of 28 proposed terms covering 6 general categories. These data were also collected from otolaryngology faculty at the same institutions.
Responses were obtained from 451 patients (54% female, mean age 48.3 years) and 29 otolaryngologists (38% female, mean age 37.4 years). Patients selected a median of 12 terms, compared to 8.5 for otolaryngologists. Among patients, the most frequently selected symptom domains were mucus (419, 92.9%), airflow (412, 91.4%), and pain (389, 86.3%). Compared to clinicians, patients more frequently selected symptoms related to the ear (difference, 48.3%; 95% confidence interval [CI], 34.8%-59.3%), throat (difference, 35.7%, 95% CI, 22.0%-47.5%), systemic (difference, 34.4%, 95% CI, 21.2%-46.0%), mucus (difference, 20.5%, 95% CI, 10.2%-30.6%), and airflow domains (difference, 19.0%, 95% CI, 8.4%-29.3%). Multiple domains were selected by 98% of patients and 79% of providers.
Semantic differences exist between patients and clinicians regarding the symptoms caused by the sinus with patients having a broader range of perceived symptoms. These differences may provide clues to improve communication between otolaryngologists and their patients.
评估耳鼻喉科患者和临床医生定义的鼻窦相关症状。
多机构横断面研究。
六个学术性门诊耳鼻喉科。
我们使用基于语义的问卷进行了多机构、横断面研究。在 2020 年 6 月至 2021 年 5 月期间，我们在六个学术性耳鼻喉科中心连续招募患者。主要结果是检查患者和医生对 28 个拟议术语中列出的引起鼻窦问题的症状的定义，这些术语涵盖了 6 个一般类别。这些数据也从同一机构的耳鼻喉科教师处收集。
共获得 451 名患者（54%为女性，平均年龄 48.3 岁）和 29 名耳鼻喉科医生（38%为女性，平均年龄 37.4 岁）的回复。患者选择了中位数为 12 个术语，而耳鼻喉科医生则选择了 8.5 个术语。在患者中，最常选择的症状领域是黏液（419 例，92.9%）、气流（412 例，91.4%）和疼痛（389 例，86.3%）。与临床医生相比，患者更常选择与耳朵（差异，48.3%；95%置信区间 [CI]，34.8%-59.3%）、喉咙（差异，35.7%，95% CI，22.0%-47.5%）、全身（差异，34.4%，95% CI，21.2%-46.0%）、黏液（差异，20.5%，95% CI，10.2%-30.6%）和气流（差异，19.0%，95% CI，8.4%-29.3%）相关的症状。98%的患者和 79%的医生选择了多个领域。
患者和临床医生对鼻窦相关症状的理解存在语义差异，患者感知到的症状范围更广。这些差异可能为改善耳鼻喉科医生与患者之间的沟通提供线索。
