Sinonasal Symptom Correlation With the Postoperative Polyp Scale (POPS).

IF 1.3 4区医学 Q3 OTORHINOLARYNGOLOGY Annals of Otology Rhinology and Laryngology Pub Date : 2024-05-01 Epub Date: 2024-02-12 DOI:10.1177/00034894241232475

Arthur W Wu, Erika A Garcia Ruiz, Thomas S Higgins, Dennis M Tang, Elisa A Illing, Taylor R Carle, Missael Vasquez, Jonathan Y Ting, Satyan B Sreenath, Akaber Halawi, Philip G Chen

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Abstract

Background: Commonly used endoscopic nasal polyp grading scales have been shown to correlate poorly with symptom scores and quality of life metrics. The recently described Postoperative Polyp Scale (POPS) is a grading system that more accurately characterizes polyp recurrence in postoperative sinus cavities by describing incremental recurrence in relation to the surgically opened sinus cavities.

Objective: The objective of this study was to determine if the POPS correlated with sinonasal symptoms.

Methods: CRSwNP patients were prospectively administered SNOT-22 questionnaires and graded according to the POPS starting at their 1-month postoperative appointments. Total POPS scores (sum of each side) and Max POPS score (larger value of left and right) were correlated with SNOT-22 total scores and subdomains using Kendall correlation testing.

Results: A total of 127 patients were enrolled in the study. Both Total POPS or Max POPS were significantly correlated to the SNOT-22 total score (P < .001, P < .001), Rhinologic (P < .001, P < .001), Extra-Nasal Rhinologic (P < .001, P < .001), Ear/Facial (P < .001, P < .001), and Psychologic (P = .028, P = .017) subdomains. Kendall's tau indicated strong correlation (≥0.3) with Rhinologic subdomain, moderate correlation (.21-.29) with Extra-Nasal Rhinologic and Ear/Facial subdomains, and weak correlation (.1-.19) with Psychologic subdomain.

Conclusion: Previous endoscopic nasal polyp grading scales poorly correlate with symptoms and patient reported outcome measures. The new POPS moderately correlates with the total SNOT-22 score and strongly correlates with the Rhinologic subdomain, indicating that it may have good potential as a tool to evaluate postoperative CRSwNP patients.

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鼻窦症状与术后息肉量表（POPS）的相关性

背景：常用的内窥镜鼻息肉分级表与症状评分和生活质量指标的相关性较差。最近推出的术后息肉量表（POPS）是一种分级系统，通过描述与手术打开的鼻窦腔相关的息肉复发增量，更准确地描述术后鼻窦腔内息肉复发的特征：本研究旨在确定 POPS 是否与鼻窦症状相关：方法：对 CRSwNP 患者进行前瞻性 SNOT-22 问卷调查，并从术后 1 个月开始根据 POPS 进行评分。采用肯德尔相关性检验将 POPS 总分（两侧总和）和最大 POPS 分值（左右数值较大）与 SNOT-22 总分和子域相关联：共有 127 名患者参与研究。总 POPS 或最大 POPS 均与 SNOT-22 总分（P P P P P P P P P = .028，P = .017）子域显著相关。Kendall's tau 表明与鼻腔子域有较强相关性（≥0.3），与鼻腔外鼻腔和耳/面部子域有中等相关性（0.21-0.29），与心理子域有较弱相关性（0.1-0.19）：结论：以往的鼻内窥镜鼻息肉分级量表与症状和患者报告结果的相关性较差。新的 POPS 与 SNOT-22 总分呈中度相关，与鼻腔子域呈高度相关，表明它很有可能成为评估 CRSwNP 患者术后情况的工具。

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来源期刊

Annals of Otology Rhinology and Laryngology 医学-耳鼻喉科学

CiteScore

3.10

自引率

7.10%

发文量

171

审稿时长

4-8 weeks

期刊介绍： The Annals of Otology, Rhinology & Laryngology publishes original manuscripts of clinical and research importance in otolaryngology–head and neck medicine and surgery, otology, neurotology, bronchoesophagology, laryngology, rhinology, head and neck oncology and surgery, plastic and reconstructive surgery, pediatric otolaryngology, audiology, and speech pathology. In-depth studies (supplements), papers of historical interest, and reviews of computer software and applications in otolaryngology are also published, as well as imaging, pathology, and clinicopathology studies, book reviews, and letters to the editor. AOR is the official journal of the American Broncho-Esophagological Association.