患者报告的疾病控制与整体症状严重程度作为慢性鼻炎疾病状况的全球指标
Ryan A Cotter1, Jack T Garcia1, Ahmed Alsayed2
1Department of Otolaryngology-Head and Neck Surgery, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA.
International forum of allergy & rhinology
|September 13, 2024
概括
整体症状严重程度 (OSS) 是患者报告的慢性鼻炎 (CRS) 控制的强有力的预测指标. 一个简单的OSS得分可以有效地衡量CRS控制,指导治疗决策.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 患者报告的结果
- 临床评估 临床评估
背景情况:
- 整体症状严重程度 (OSS) 和患者报告的慢性鼻炎 (CRS) 控制是评估CRS疾病控制的关键指标.
- 这两个基本标准之间的功能关系需要进一步阐明.
研究的目的:
- 为了确定整体症状严重程度 (OSS) 和患者报告的慢性鼻炎 (CRS) 控制之间的关系.
- 评估OSS对患者报告的CRS控制的预测价值.
主要方法:
- 国际多中心混合方法研究,涉及260名CRS患者.
- 通过视觉模拟尺度测量OSS;患者报告的对照被分类为受控,部分控制或不受控制.
- 与12名参与者进行了半结构面试,以探索对OSS和患者报告控制的看法.
主要成果:
- 患者认为患者报告的CRS控制是一个比OSS更广泛的概念,包括症状,药物使用和功能障碍.
- OSS与 (ρ = 0.67) 强烈相关,并预测患者报告的CRS控制.
- 特定的OSS值在识别不受控制和部分控制的CRS时表现出高灵敏度和特异性.
结论:
- 患者将患者报告的CRS控制视为包括OSS在内的全球措施.
- OSS是患者报告的CRS控制的高度相关且潜在的冗余措施.
- 推的OSS值用于CRS控制的分类:<4 (控制),47 (部分控制) 和≥7 (不受控制).
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