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EPOS2020: a major step forward.

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  • 1Department of Otorhinolaryngology, Academic Medical Center, Amsterdam, the Netherlands.

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Summary
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The European Position Paper on Rhinosinusitis and Nasal Polyps (EPOS2020) offers updated, evidence-based guidelines for managing acute and chronic rhinosinusitis. It includes new recommendations for pediatric cases, surgical interventions, and patient self-management.

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Area of Science:

  • Otolaryngology
  • Allergy and Immunology
  • Pharmacology

Background:

  • The European Position Paper on Rhinosinusitis and Nasal Polyps (EPOS) provides evidence-based guidelines.
  • Previous iterations were published in 2005, 2007, and 2012.
  • EPOS2020 is the latest update, incorporating new research and stakeholders.

Purpose of the Study:

  • To provide revised, up-to-date, and clear evidence-based recommendations for acute rhinosinusitis (ARS) and chronic rhinosinusitis (CRS).
  • To establish integrated care pathways for ARS and CRS management.
  • To address areas not extensively covered in previous EPOS guidelines, such as pediatric CRS and sinus surgery.

Main Methods:

  • Systematic literature review of studies published since EPOS2012.
  • Inclusion of new stakeholders: neurologists, immunologists, pharmacists, and patients.
  • Development of updated guidance for definitions and outcome measurements in research.

Main Results:

  • EPOS2020 presents updated literature and research findings.
  • Expanded scope includes pediatric CRS, sinus surgery, exacerbations, and prevention.
  • New target users and stakeholders are incorporated into the guidelines.

Conclusions:

  • EPOS2020 offers comprehensive, evidence-based recommendations for rhinosinusitis and nasal polyps.
  • The guideline emphasizes integrated care and updated research methodologies.
  • It supports enhanced self-management strategies for patients and involvement of diverse healthcare professionals.