Consensus criteria for chronic rhinosinusitis disease control : an international Delphi Study*
(2023) In Rhinology 61(6). p.519-530- Abstract
Background: Chronic rhinosinusitis (CRS) disease control is a global metric of disease status for CRS. While there is broad acceptance that it is an important treatment goal, there has been inconsistency in the criteria used to define CRS control. The objective of this study was to identify and develop consensus around essential criteria for assessment of CRS disease control. Methods: Modified Delphi methodology consisting of three rounds to review a list of 24 possible CRS control criteria developed by a 12-person steering committee. The core authorship of the multidisciplinary EPOS 2020 guidelines was invited to participate. Results: Thirty-two individuals accepted the invitation to participate and there was no dropout of participants... (More)
Background: Chronic rhinosinusitis (CRS) disease control is a global metric of disease status for CRS. While there is broad acceptance that it is an important treatment goal, there has been inconsistency in the criteria used to define CRS control. The objective of this study was to identify and develop consensus around essential criteria for assessment of CRS disease control. Methods: Modified Delphi methodology consisting of three rounds to review a list of 24 possible CRS control criteria developed by a 12-person steering committee. The core authorship of the multidisciplinary EPOS 2020 guidelines was invited to participate. Results: Thirty-two individuals accepted the invitation to participate and there was no dropout of participants throughout the entire study (3 rounds). Consensus essential criteria for assessment of CRS control were: overall symptom severity, need for CRS-related systemic corticosteroids in the prior 6 months, severity of nasal obstruction, and patient-reported CRS control. Near-consensus items were: nasal endoscopy findings, severity of smell loss, overall quality of life, impairment of normal activities and severity of nasal discharge. Participants’ comments provided insights into caveats of, and disagreements related to, near-consensus items. Conclusions: Overall symptom severity, use of CRS-related systemic corticosteroids, severity of nasal obstruction, and patient-reported CRS control are widely agreed upon essential criteria for assessment of CRS disease control. Consideration of near-consensus items to assess CRS control should be implemented with their intrinsic caveats in mind. These identified consensus CRS control criteria, together with evidence-based support, will provide a foundation upon which CRS control criteria with wide-spread acceptance can be developed.
(Less)
- author
- organization
- publishing date
- 2023
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- chronic rhinosinusitis; control, consensus, Delphi, EPOS, outcome measure
- in
- Rhinology
- volume
- 61
- issue
- 6
- pages
- 12 pages
- publisher
- International Rhinologic Society
- external identifiers
-
- pmid:37804121
- scopus:85178511980
- ISSN
- 0300-0729
- DOI
- 10.4193/Rhin23.335
- language
- English
- LU publication?
- yes
- id
- aa97b52e-138d-4324-b3f6-f11a0f605b70
- date added to LUP
- 2023-12-28 13:41:44
- date last changed
- 2024-04-12 18:45:22
@article{aa97b52e-138d-4324-b3f6-f11a0f605b70,
abstract = {{<p>Background: Chronic rhinosinusitis (CRS) disease control is a global metric of disease status for CRS. While there is broad acceptance that it is an important treatment goal, there has been inconsistency in the criteria used to define CRS control. The objective of this study was to identify and develop consensus around essential criteria for assessment of CRS disease control. Methods: Modified Delphi methodology consisting of three rounds to review a list of 24 possible CRS control criteria developed by a 12-person steering committee. The core authorship of the multidisciplinary EPOS 2020 guidelines was invited to participate. Results: Thirty-two individuals accepted the invitation to participate and there was no dropout of participants throughout the entire study (3 rounds). Consensus essential criteria for assessment of CRS control were: overall symptom severity, need for CRS-related systemic corticosteroids in the prior 6 months, severity of nasal obstruction, and patient-reported CRS control. Near-consensus items were: nasal endoscopy findings, severity of smell loss, overall quality of life, impairment of normal activities and severity of nasal discharge. Participants’ comments provided insights into caveats of, and disagreements related to, near-consensus items. Conclusions: Overall symptom severity, use of CRS-related systemic corticosteroids, severity of nasal obstruction, and patient-reported CRS control are widely agreed upon essential criteria for assessment of CRS disease control. Consideration of near-consensus items to assess CRS control should be implemented with their intrinsic caveats in mind. These identified consensus CRS control criteria, together with evidence-based support, will provide a foundation upon which CRS control criteria with wide-spread acceptance can be developed.</p>}},
author = {{Sedaghat, Ahmad R. and Fokkens, Wytske J. and Lund, Valerie J. and Hellings, Peter W. and Kern, Robert C. and Reitsma, Sietze and Toppila-Salmi, Sanna and Bernal-Sprekelsen, Manuel and Mullol, Joaquim and Gevaert, Philippe and Teeling, Thijs and Alobid, Isam and Anselmo-Lima, Wilma T. and Baroody, Fuad M. and Cervin, Anders and Cohen, Noam A. and Constantinidis, Jannis and Gabory, Ludovic De and Desrosiers, Martin and Harvey, Richard J. and Kalogjera, Livije and Knill, Andrew and Landis, Basile N. and Meco, Cem and Philpott, Carl M. and Ryan, Dermot and Schlosser, Rodney J. and Senior, Brent A. and Smith, Timothy L. and Tomazic, Peter V. and Zhang, Luo and Hopkins, Claire}},
issn = {{0300-0729}},
keywords = {{chronic rhinosinusitis; control; consensus; Delphi; EPOS; outcome measure}},
language = {{eng}},
number = {{6}},
pages = {{519--530}},
publisher = {{International Rhinologic Society}},
series = {{Rhinology}},
title = {{Consensus criteria for chronic rhinosinusitis disease control : an international Delphi Study*}},
url = {{http://dx.doi.org/10.4193/Rhin23.335}},
doi = {{10.4193/Rhin23.335}},
volume = {{61}},
year = {{2023}},
}