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CHEER National Study of Chronic Rhinosinusitis Practice Patterns: Disease Comorbidities and Factors Associated with Surgery.

Publication ,  Journal Article
Chapurin, N; Pynnonen, MA; Roberts, R; Schulz, K; Shin, JJ; Witsell, DL; Parham, K; Langman, A; Carpenter, D; Vambutas, A; Nguyen-Huynh, A ...
Published in: Otolaryngol Head Neck Surg
April 2017

Objectives (1) Describe national patterns of chronic rhinosinusitis (CRS) care across academic and community practices. (2) Determine the prevalence of comorbid disorders in CRS patients, including nasal polyposis, allergic rhinitis, asthma, and cystic fibrosis. (3) Identify demographic, clinical, and practice type factors associated with endoscopic sinus surgery (ESS). Study Design Multisite cross-sectional study. Setting Otolaryngology's national research network CHEER (Creating Healthcare Excellence through Education and Research). Subjects and Methods A total of 17,828 adult patients with CRS were identified, of which 10,434 were seen at community practices (59%, n = 8 sites) and 7394 at academic practices (41%, n = 10 sites). Multivariate logistic regression was used to evaluate the association between demographic, practice type, and clinical factors and the odds of a patient undergoing ESS. Results The average age was 50.4 years; 59.5% of patients were female; and 88.3% were Caucasian. The prevalence of comorbid diseases was as follows: allergic rhinitis (35.1%), nasal polyposis (13.3%), asthma (4.4%), and cystic fibrosis (0.2%). In addition, 24.8% of patients at academic centers underwent ESS, as compared with 12.3% at community sites. In multivariate analyses, nasal polyposis (odds ratio [OR], 4.28), cystic fibrosis (OR, 2.42), and academic site type (OR, 1.86) were associated with ESS ( P < .001), while adjusting for other factors. Conclusions We describe practice patterns of CRS care, as well as demographic and clinical factors associated with ESS. This is the first study of practice patterns in CRS utilizing the CHEER network and may be used to guide future research.

Duke Scholars

Published In

Otolaryngol Head Neck Surg

DOI

EISSN

1097-6817

Publication Date

April 2017

Volume

156

Issue

4

Start / End Page

751 / 756

Location

England

Related Subject Headings

  • United States
  • Sinusitis
  • Rhinitis, Allergic
  • Rhinitis
  • Practice Patterns, Physicians'
  • Paranasal Sinuses
  • Otorhinolaryngology
  • Otolaryngology
  • Odds Ratio
  • Nasal Polyps
 

Citation

APA
Chicago
ICMJE
MLA
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Chapurin, N., Pynnonen, M. A., Roberts, R., Schulz, K., Shin, J. J., Witsell, D. L., … Lee, W. T. (2017). CHEER National Study of Chronic Rhinosinusitis Practice Patterns: Disease Comorbidities and Factors Associated with Surgery. Otolaryngol Head Neck Surg, 156(4), 751–756. https://doi.org/10.1177/0194599817691476
Chapurin, Nikita, Melissa A. Pynnonen, Rhonda Roberts, Kristine Schulz, Jennifer J. Shin, David L. Witsell, Kourosh Parham, et al. “CHEER National Study of Chronic Rhinosinusitis Practice Patterns: Disease Comorbidities and Factors Associated with Surgery.Otolaryngol Head Neck Surg 156, no. 4 (April 2017): 751–56. https://doi.org/10.1177/0194599817691476.
Chapurin N, Pynnonen MA, Roberts R, Schulz K, Shin JJ, Witsell DL, et al. CHEER National Study of Chronic Rhinosinusitis Practice Patterns: Disease Comorbidities and Factors Associated with Surgery. Otolaryngol Head Neck Surg. 2017 Apr;156(4):751–6.
Chapurin, Nikita, et al. “CHEER National Study of Chronic Rhinosinusitis Practice Patterns: Disease Comorbidities and Factors Associated with Surgery.Otolaryngol Head Neck Surg, vol. 156, no. 4, Apr. 2017, pp. 751–56. Pubmed, doi:10.1177/0194599817691476.
Chapurin N, Pynnonen MA, Roberts R, Schulz K, Shin JJ, Witsell DL, Parham K, Langman A, Carpenter D, Vambutas A, Nguyen-Huynh A, Wolfley A, Lee WT. CHEER National Study of Chronic Rhinosinusitis Practice Patterns: Disease Comorbidities and Factors Associated with Surgery. Otolaryngol Head Neck Surg. 2017 Apr;156(4):751–756.
Journal cover image

Published In

Otolaryngol Head Neck Surg

DOI

EISSN

1097-6817

Publication Date

April 2017

Volume

156

Issue

4

Start / End Page

751 / 756

Location

England

Related Subject Headings

  • United States
  • Sinusitis
  • Rhinitis, Allergic
  • Rhinitis
  • Practice Patterns, Physicians'
  • Paranasal Sinuses
  • Otorhinolaryngology
  • Otolaryngology
  • Odds Ratio
  • Nasal Polyps