Department of Otolaryngology, Head and Neck Oncology, Medical University of Lodz, Łódź, Poland.
Department of Electromagnetic Hazards, Nofer Institute of Occupational Medicine, Łódź, Poland.
Eur Arch Otorhinolaryngol. 2024 Dec;281(12):6431-6443. doi: 10.1007/s00405-024-08919-z. Epub 2024 Aug 28.
There are many specific instruments for assessing the quality of life (QoL) in patients with chronic rhinosinusitis. Of all these tests, the Sino-Nasal Outcome Test-22 (SNOT-22) is the most widely used internationally. The purpose of the study was linguistic adaptation and validation of the SNOT-22 scale in the Polish language.
The SNOT-22 was adapted into Polish and was administered to 148 subjects (108 patients with chronic rhinosinusitis with nasal polyps (CRSwNP) and 40 asymptomatic controls. Seventy-one patients completed the SNOT-22 a second time to evaluate test-retest reliability. The Polish SNOT-22 was assessed for internal consistency, test-retest reliability, discriminant validity, criterion validity, and sensitivity and specificity.
The Polish SNOT-22 exhibited satisfactory psychometric properties. A high Cronbach's alpha coefficient (α = 0.89) was obtained. Significantly higher scores (p < 0.01) were revealed in the Study Group with a median score of 32 (range 15-53) points in comparison with controls: 5 (range 0-20). A moderate correlation was found between SNOT-22 and the Lund-Kennedy test score (r = 0.334; p < 0.001) and a strong correlation between SNOT-22 and the Lund-Macay test score (r = 0.469; p < 0.001). The best cut-off point was set at a 16 score with a sensitivity of 0.981 and a specificity of 0.995. The determined Area Under Curve (AUC = 0.997; p < 0.001) confirms the diagnostic accuracy of the Polish SNOT-22.
The Polish version of the SNOT-22 is a valid and reliable tool for measuring health-related quality of life in patients with CRSwNP in the Polish-speaking population.
有许多专门的工具可用于评估慢性鼻-鼻窦炎（CRS）患者的生活质量（QoL）。在所有这些测试中，Sino-Nasal Outcome Test-22（SNOT-22）是国际上应用最广泛的。本研究的目的是对 SNOT-22 量表进行波兰语的语言适应性和验证。
SNOT-22 被改编成波兰语，并对 148 名受试者（108 名患有鼻息肉的慢性鼻-鼻窦炎患者（CRSwNP）和 40 名无症状对照者）进行了测试。71 名患者完成了 SNOT-22 的第二次测试，以评估测试-重测信度。对波兰 SNOT-22 进行了内部一致性、测试-重测信度、判别有效性、标准有效性以及敏感性和特异性的评估。
波兰 SNOT-22 表现出良好的心理测量特性。Cronbach's alpha 系数（α=0.89）较高。与对照组（中位数为 32 分，范围为 15-53 分）相比，研究组的得分显著更高（p<0.01），中位数为 5 分（范围为 0-20 分）。SNOT-22 与 Lund-Kennedy 测试评分之间存在中度相关性（r=0.334；p<0.001），与 Lund-Macay 测试评分之间存在强相关性（r=0.469；p<0.001）。最佳截断值设定为 16 分，灵敏度为 0.981，特异性为 0.995。确定的曲线下面积（AUC=0.997；p<0.001）证实了波兰 SNOT-22 的诊断准确性。
波兰版 SNOT-22 是一种有效的、可靠的工具，可用于评估波兰语人群中 CRSwNP 患者的健康相关生活质量。
