High costs and burden of illness in acute rhinosinusitis: real-life treatment patterns and outcomes in Swedish primary care.

Primary Care Respiratory Journal : Journal of the General Practice Airways Group
Pär StjärnePetter Olsson

Abstract

Few studies have investigated the impact of acute rhinosinusitis on disease-specific quality of life, and disease costs have not been studied previously in Scandinavia. To study symptoms, treatment patterns, quality of life and costs in adults with acute rhinosinusitis. This was an observational study in primary care. Patients aged 18-80 years seeking care for acute rhinosinusitis were evaluated using the Major Symptom Score (MSS) on days 0 and 15. Recommended and used treatments, quality of life and costs were assessed by questionnaires including EQ-5D™ and a visual analogue scale (VAS) on the same days. 150 patients were enrolled; 143 provided follow-up data. The proportion of MSS responders was 91%. Mean MSS decreased from 8.4 on day 0 (N = 150) to 1.9 on day 15 (N = 143). Patients reporting pain/discomfort and problems with usual activities decreased from 88.4% to 31.5% and from 43.2% to 1.4%, respectively, and mean VAS increased from 58.7 to 79.5. Intranasal corticosteroids were the most recommended and/or prescribed drugs. Total cost for an episode was 10,260 SEK (€1,102), of which 75% were indirect costs. With treatment dominated by intranasal corticosteroids, a high proportion of responders and good symptom relief were ...Continue Reading

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Citations

Feb 20, 2016·International Forum of Allergy & Rhinology·Richard R OrlandiDavid W Kennedy
Dec 25, 2013·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Timo P BroederGeert J M G van der Heijden
Sep 25, 2012·Primary Care Respiratory Journal : Journal of the General Practice Airways Group·Johanna SvenssonGunnel Ragnarson Tennvall
May 19, 2012·Primary Care Respiratory Journal : Journal of the General Practice Airways Group·Sam Friedlander
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Nov 26, 2020·International Forum of Allergy & Rhinology·Richard R OrlandiBing Zhou
Mar 16, 2021·Allergy & Rhinology·Stephen BennettNazir Bhat
May 8, 2021·International Forum of Allergy & Rhinology·Wirach ChitsuthipakornKornkiat Snidvongs
Sep 10, 2021·Vestnik otorinolaringologii·S A GorbunovU S Malyavina

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