The Correlations Between Evaluations From Physicans And Patients With Chronic Rhinosinusitis

[Objective]Chronic rhinosinusitis (CRS) is one of the most common chronic diseases that poses a great challenge to specialists in the field of rhino-otolaryngology. CRS is difficult to be completely cured and its impact on patient’s physical,psychological, social function is difficult to quantified.However, very few studies have comprehensively examined the relationship between doctors subjective assessment and the severity of CRS. The study was mainly from the point of clinicians and patients to compare the correlation between visual analogue scale (VAS) score and sino-nasal outcome test-20(SNOT-20), Lund—Kennedy endoscopy staging system and the Lund—Mackay CT staging system,respectively. This can help us to find out which factors could most respect the severity of CRS.[Methods]In this research, we introduced the SNOT-20,VAS score, Lund—Kennedy endoscopy staging system and the Lund—Mackay CT staging system and to study110patients with CRS. Three experienced physicians were asked to evaluate the severity of patient’s condition using the VAS after they analysis the medical records, computed tomography (CT) scans and endoscopic appearances. All of110patients were divided into there groups such as fungal rhino-sinusitis,CRS with nasal polyp,CRS without nasal polyps.We investigate the association between doctors subjective assessment and patient objective and subjective assessment.[Results]There were significant correlations between three physicians VAS with each other (r=0.7105P<0.0001, r=0.5644P<0.0001, r=0.5204P<0.0001).In the ungrouped situation, the mean of three physicians VAS correlate with the Lund—Mackay CT score (r=0.7252, P<0.0001) and Lund—Mennedy endoscopy staging (r=0.6103, P<0.0001). In the Fungal rhinosinusitis group, Significant correlations were found between the mean of three physicians VAS and the Lund—Mackay CT staging (r=0.7199, P<0.0011)and Lund—Mennedy endoscopy staging (r=0.6056, P=0.01); In the Chronic rhinosinusitis without nasal poplys group, the mean of three physicians VAS correlate with the Lund—Mackay CT staging (r=0.4624, P<0.0101) and Lund—Kennedy endoscopy staging(r=0.6135, P=0.0003); In the Chronic rhinosinusitis with nasal poplys group, the mean of three physicians VAS correlate with the Lund—Mackay CT staging (r=0.4419, P=0.0003) and Lund—Kennedy endoscopy staging (r=0.7625, P<0.0001); There were no significant correlations between the mean of three physicians VAS and the patient-based VAS and SNOT-20There are significant differences between the three groups in the Lund—Mackay CT staging and Lund—Kennedy endoscopy staging (P<0.05).[Conclusion]The physicians subjective testing correlated well with the severity of CRS and did not correlate with patient quality of life.The patients VAS score associated well with patient quality of life and the severity of CRS.The Lund—Mackay CT staging,the doctors VAS score and Lund—Kennedy endoscopy staging were different in three groups and CRS with nasal polyp got most scores.