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Regional variations in chronic rhinosinusitis, 2003-2006.
Wendy M Smith1, Terence M Davidson, Claire Murphy
1Department of Surgery, Division of Otolaryngology-Head and Neck Surgery and Continuing Medical Education, University of California, San Diego School of Medicine, San Diego, CA 92103-8895, USA. wmsmith@ucsd.edu
Summary
Chronic rhinosinusitis (CRS) care shows significant regional differences in patient demographics, diagnostic services, and medication management. Further research is needed to improve physician awareness and treatment strategies for CRS.
Area of Science:
- Otolaryngology
- Epidemiology
- Health Services Research
Background:
- Chronic rhinosinusitis (CRS) is a common condition affecting millions globally.
- Understanding demographic and management variations in CRS is crucial for equitable healthcare delivery.
Purpose of the Study:
- To characterize patient visits for chronic rhinosinusitis (CRS) based on demographics, diagnostic services, and medication use.
- To evaluate regional variations in the management of CRS across different geographic areas.
Main Methods:
- Analysis of cross-sectional survey data from the National Ambulatory Medical Care Survey and National Hospital Ambulatory Medical Care Survey (2003-2006).
- Identification of CRS visits using International Classification of Diseases, Ninth Revision codes.
- Weighted analysis to provide national estimates and Pearson chi(2) tests for regional comparisons.
Main Results:
- Over 91 million national visits for CRS were estimated from 4617 identified patient visits.
- Significant regional disparities observed in African American patient proportions, diagnostic service utilization, and medication prescribing patterns.
- No significant regional differences were found in patient age, gender, or healthcare setting.
Conclusions:
- Substantial regional variations in patient demographics, diagnostic approaches, and treatment strategies for CRS patients exist.
- The findings highlight the need for enhanced physician awareness and standardized evaluation and treatment protocols for CRS.
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