The burden of chronic rhinosinusitis and its effect on quality of life among patients re-attending an otolaryngology clinic in south western Uganda.

Q2 Medicine BMC Ear, Nose and Throat Disorders Pub Date : 2018-06-26 eCollection Date: 2018-01-01 DOI:10.1186/s12901-018-0058-z

Victoria Nyaiteera, Doreen Nakku, Esther Nakasagga, Evelyn Llovet, Elijah Kakande, Gladys Nakalema, Richard Byaruhanga, Francis Bajunirwe

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Abstract

Background: Worldwide, the burden of chronic rhinosinusitis (CRS) is variable, but not known in Uganda. CRS has significant negative impact on quality of life (QOL) and as such QOL scores should guide adjustments in treatment strategies. However, most of these studies have been done in the west. Our hypothesis was that QOL scores of the majority of CRS patients in low- to- middle income countries are poorer than those among patients without CRS. The aim of this study was to determine the burden of CRS among patients re-attending the Otolaryngology clinic and whether CRS is related to poor QOL.

Methods: A cross sectional study was conducted at Mbarara Regional Referral Hospital Otolaryngology clinic. One hundred and twenty-six adult re-attendees were consecutively recruited. Data was collected using a structured questionnaire and the Sinonasal Outcome Test 22 (SNOT 22) questionnaire measured QOL.

Results: The proportion of re-attendees with CRS was 39.0% (95% CI 30-48%). Majority of CRS patients had poor quality of life scores compared to non-CRS (88% versus 20% p < 01). The poor quality of life scores on the SNOT 22 were almost solely as a result of the functional, physical and psychological aspects unique to CRS.

Conclusions: CRS is highly prevalent among re-attendees of an Otolaryngology clinic at a hospital in resource limited settings and has a significant negative impact on the QOL of these patients.

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乌干达西南部耳鼻喉科诊所复诊患者的慢性鼻窦炎负担及其对生活质量的影响。

背景：在世界范围内，慢性鼻窦炎（CRS）的负担是可变的，但在乌干达尚不清楚。CRS对生活质量有显著的负面影响，因此生活质量评分应指导治疗策略的调整。然而，这些研究大多是在西方进行的。我们的假设是，中低收入国家的大多数CRS患者的生活质量分数比没有CRS的患者差。本研究的目的是确定重新到耳鼻咽喉科诊所就诊的患者的CRS负担，以及CRS是否与生活质量差有关。方法：在姆巴拉拉地区转诊医院耳鼻咽喉诊所进行横断面研究。共有一百二十六名成年人被连续招募。使用结构化问卷和经鼻疗效测试22（SNOT22）问卷测量生活质量，收集数据。结果：CRS复诊者的比例为39.0%（95%CI 30-48%）。与非CRS患者相比，大多数CRS患者的生活质量评分较差（88%对20%p 结论：CRS在资源有限的医院耳鼻咽喉科门诊的复诊者中非常普遍，对这些患者的生活质量有显著的负面影响。

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来源期刊

BMC Ear, Nose and Throat Disorders Medicine-Otorhinolaryngology

CiteScore

3.30

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0.00%

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期刊介绍： BMC Ear, Nose and Throat Disorders is an open access journal publishing original peer-reviewed research articles in all aspects of the prevention, diagnosis and management of ear, nose and throat disorders, as well as related molecular genetics, pathophysiology, and epidemiology. BMC Ear, Nose and Throat Disorders (ISSN 1472-6815) is indexed/tracked/covered by PubMed, CAS, EMBASE, Scopus and Google Scholar.