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Exploring Completion Rates of the SNOT-22 Questionnaire.

Luv Amin1,2, John Davis3, Mishek Thapa2

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The Annals of Otology, Rhinology, and Laryngology
|February 19, 2025
PubMed
Summary
This summary is machine-generated.

Many Sinonasal Outcome Test (SNOT-22) surveys for chronic rhinosinusitis (CRS) are incomplete. Individual question responses are key, as scores don't significantly differ between partial and complete surveys.

Keywords:
chronic rhinosinusitisotolaryngologyquality of liferhinologic researchrhinologysinonasal pathologysinusitissurvey

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Area of Science:

  • Otolaryngology
  • Patient-Reported Outcomes

Background:

  • The Sinonasal Outcome Test (SNOT-22) is a crucial patient-reported outcome measure (PROM) for chronic rhinosinusitis (CRS).
  • Incomplete SNOT-22 surveys may compromise the accuracy of patient data and treatment assessment.

Purpose of the Study:

  • To investigate SNOT-22 completion rates and identify factors contributing to unanswered questions.
  • To enhance the predictive utility and practical application of the SNOT-22 in clinical settings.

Main Methods:

  • Retrospective analysis of 1,034 SNOT-22 surveys from CRS patients.
  • Inclusion of surveys with at least one unanswered question; exclusion of entirely blank surveys.
  • Examination of response trends and correlations with survey completion.

Main Results:

  • 18% of SNOT-22 surveys were incomplete, a higher rate than typically reported for similar PROMs.
  • "Ear fullness" and "Embarrassed" were the most frequently omitted questions.
  • Later survey questions showed a higher likelihood of being left unanswered; no significant difference in total scores between partial and complete surveys.

Conclusions:

  • High rates of SNOT-22 incompleteness necessitate careful interpretation, prioritizing individual item responses over total scores.
  • Barriers to completion may include question wording, symptom relevance, and overall survey length.
  • Further research using qualitative methods and randomized question order is recommended to improve SNOT-22 design and completion rates.