Quality indicators for the diagnosis and management of chronic rhinosinusitis

International Forum of Allergy & Rhinology
Justin CottrellEric Monteiro

Abstract

Chronic rhinosinusitis (CRS) has been identified as a high-priority disease category for quality improvement. To this end, this study aimed to develop CRS-specific quality indicators (QIs) to evaluate diagnosis and management that relieves patient discomfort, improves quality of life, and prevents complications. A guideline-based approach, proposed in 2012 by Kötter et al. was used to develop QIs for CRS. Candidate indicators (CIs) were extracted from 3 practice guidelines and 1 international consensus statement on the diagnosis and management of CRS. Guidelines were evaluated using the Appraisal of Guidelines for Research and Evaluation II (AGREE II) tool. Each CI and its supporting evidence was summarized and reviewed by an expert panel based on validity, reliability, and feasibility of measurement. Final QIs were selected from CIs utilizing the modified RAND Corporation-University of California, Los Angeles (RAND/UCLA) appropriateness methodology. Thirty-nine CIs were identified after literature review and evaluated by our panel. Of these, 9 CIs reached consensus as being appropriate QIs, with 4 requiring additional discussion. After a second round of evaluations, the panel selected 9 QIs as appropriate measures of high-qual...Continue Reading

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Citations

Dec 5, 2018·International Forum of Allergy & Rhinology·David W Kennedy
Aug 21, 2019·American Journal of Rhinology & Allergy·Antonella M Di LulloMaurizio Iengo
Mar 27, 2020·American Journal of Rhinology & Allergy·Justin CottrellEric Monteiro
Sep 18, 2020·BMC Health Services Research·Miranda W LangendamHolger J Schünemann
Nov 26, 2020·International Forum of Allergy & Rhinology·Richard R OrlandiBing Zhou
Jun 18, 2021·Journal of Otolaryngology - Head & Neck Surgery = Le Journal D'oto-rhino-laryngologie Et De Chirurgie Cervico-faciale·Nadim SaydyMartin Desrosiers
May 29, 2021·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Justin CottrellEric Monteiro
Jul 1, 2021·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Justin CottrellEric Monteiro

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