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Productivity costs decrease after endoscopic sinus surgery for refractory chronic rhinosinusitis.

Luke Rudmik1, Timothy L Smith2, Jess C Mace2

  • 1Division of Otolaryngology-Head and Neck Surgery , Department of Surgery, University of Calgary, Calgary, Alberta, Canada.

The Laryngoscope
|September 16, 2015
PubMed
Summary
This summary is machine-generated.

Endoscopic sinus surgery (ESS) significantly reduces lost productive time and costs for patients with chronic rhinosinusitis (CRS). This pilot study shows substantial improvements in daily productivity after ESS for refractory CRS.

Keywords:
Chronic rhinosinusitisabsenteeismcosteconomicindirect costpresenteeismproductivitysinus surgerysinusitis

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Area of Science:

  • Otolaryngology
  • Health Economics

Background:

  • Chronic rhinosinusitis (CRS) significantly impacts daily functioning and productivity.
  • Quantifying the economic burden of CRS is crucial for understanding its full impact.

Purpose of the Study:

  • To determine the change in productivity costs after endoscopic sinus surgery (ESS) for chronic rhinosinusitis (CRS).
  • To identify patient characteristics influencing productivity gains post-ESS.

Main Methods:

  • A prospective, multi-institutional, observational cohort study.
  • Productivity costs were assessed using the human capital approach, measuring absenteeism, presenteeism, and lost leisure time.
  • Lost productive time (LPT) was monetized using US wage data.

Main Results:

  • Twenty-seven patients with refractory CRS underwent ESS.
  • Significant reductions in annual absenteeism (22 to 3 days), presenteeism (41 to 19 days), and household days lost (12 to 6 days) were observed.
  • Preoperative productivity costs of $9,190 were reduced to $3,373 post-ESS (P < .001).

Conclusions:

  • Chronic rhinosinusitis (CRS) negatively affects daily productivity.
  • Endoscopic sinus surgery (ESS) leads to reduced productivity costs in patients with refractory CRS.
  • Further research with larger cohorts is needed to validate these findings.