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Associations Between Chronic Rhinosinusitis and the Development of Non-Cystic Fibrosis Bronchiectasis
So Lim Kim1, Brian S Schwartz2, Thanh-Huyen Vu3
1Division of Allergy and Immunology, Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, Ill.
Chronic rhinosinusitis (CRS) significantly increases the risk of developing non-cystic fibrosis (CF) bronchiectasis. Patients with CRS, particularly those with asthma or COPD, face a higher likelihood of developing this condition.
Area of Science:
- Pulmonology
- Otolaryngology
- Medical Research
Background:
- Chronic rhinosinusitis (CRS) is increasingly recognized for its potential systemic effects.
- Existing research suggests a link between CRS and non-cystic fibrosis (CF) bronchiectasis.
Purpose of the Study:
- To investigate whether a diagnosis of CRS elevates the risk of developing non-CF bronchiectasis.
- To quantify the association between CRS and the incidence of non-CF bronchiectasis.
Main Methods:
- Retrospective analysis of electronic medical records from an academic center (2006-2015).
- Comparison of patients with CRS (with or without asthma/COPD) against a matched control group without CRS, asthma, or COPD.
- Identification of bronchiectasis via chest computed tomography (CT) scan reports.
Main Results:
- Patients with CRS exhibited a significantly higher odds of developing bronchiectasis (OR 1.63) compared to controls.
- The association remained significant in patients with CRS and co-existing asthma or COPD (OR 1.98).
- After adjusting for confounders, the association was attenuated in CRS-only patients but remained significant in CRS with asthma/COPD patients (OR 1.78).
Conclusions:
- Chronic rhinosinusitis is a risk factor for the future development of non-CF bronchiectasis.
- Individuals with CRS, especially those with comorbid asthma or COPD, have an elevated risk of developing bronchiectasis.
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