Which is Better in Predicting CT Scores in Patients with Chronic Rhinosinusitis after Medical treatment-Baseline Rhinosinusitis Disability Index (RSDI) or Endoscopic Score?
Introduction Rhinosinusitis disability index (RSDI) questionnaire is used to assess the severity of chronic rhinosinusitis (CRS) from the patient’s perspective. The severity of CRS can be measured objectively with the endoscope and computed tomogram (CT) using the Lund-Kennedy endoscopic score and M...
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| creator | Nair, Preethi P. Varghese, Ashish Kumar, Navneet Varghese, Sunil Sam |
| description | Introduction
Rhinosinusitis disability index (RSDI) questionnaire is used to assess the severity of chronic rhinosinusitis (CRS) from the patient’s perspective. The severity of CRS can be measured objectively with the endoscope and computed tomogram (CT) using the Lund-Kennedy endoscopic score and Mackay-Lund scores respectively. The objective of the study is to evaluate whether baseline RSDI and Lund-Kennedy (LK) endoscopy scoring can help predict the Mackay-Lund CT (MKLCT) scores after medical treatment in patients with CRS.
Methodology
This is a prospective, observational study, carried out from 1st October 2017 to 30th September 2019 in the ENT out- patient department at a tertiary hospital in Northern India. 90 patients diagnosed with CRS were enrolled consecutively in the study. RSDI questionnaire was filled out for all the participants. They all underwent a diagnostic endoscopy and CRS was graded according to the Lund-Kennedy endoscopic scores. All participants were given medical treatment. Patients underwent CT of the paranasal sinuses after medical treatment and the MLKCT scores were calculated. The baseline RSDI and Lund-Kennedy scores were correlated with the MKLCT scores using Spearman’s Rank correlation tests. The diagnostic ability of the RSDI and LK endoscopy scores to predict the least MKLCT scores was compared using the receiver operator characteristics curves (ROC).
Results
A statistically significant correlation was seen with LK endoscopy scores and MKLCT scores (
r
= 0.396,
p
|
| doi_str_mv | 10.1007/s12070-024-04708-6 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_3092009324</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3090613046</sourcerecordid><originalsourceid>FETCH-LOGICAL-c326t-d407062ed7c2b04893966300586f946dc948555f0a80c084f0611187900dbff93</originalsourceid><addsrcrecordid>eNp9kc1u1DAURi0EokPhBVggS2zKInD9EzteITotMFIRqC1iGXkcp3GVsQfbEfSd-pB1ZgpIXbCyZJ_v3Ct_CL0k8JYAyHeJUJBQAeUVcAlNJR6hBSjJKilBPkYLShmpmFTiAD1L6RqA1UTCU3TAFGHACF-g2x-DMwN2CR_bnG3EzuNv0XbOZOev8PISX5gQbdrd6-yszwn_cnnAyyEG7ww-H5wPyfkpuVw0up8tX2aDHnGOVudNCVXHOtnRefuQP3FJr93o8g1e-c7-xkfnFyerNzhEfOq7kEzYliG7Jd4_R096PSb74v48RN8_nl4uP1dnXz-tlh_OKsOoyFXHy7cIajtp6Bp4o5gSggHUjegVF51RvKnrugfdgIGG9yAIIY1UAN267xU7REd77zaGn5NNud24ZOw4am_DlFoGigIoRnlBXz9Ar8MUfdlupoqYAReFonvKxJBStH27jW6j401LoJ27bPddtqXLdtdlO4de3aun9cZ2fyN_yisA2wOpPPkrG__N_o_2DjqwqbA</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>3090613046</pqid></control><display><type>article</type><title>Which is Better in Predicting CT Scores in Patients with Chronic Rhinosinusitis after Medical treatment-Baseline Rhinosinusitis Disability Index (RSDI) or Endoscopic Score?</title><source>Springer Journals</source><creator>Nair, Preethi P. ; Varghese, Ashish ; Kumar, Navneet ; Varghese, Sunil Sam</creator><creatorcontrib>Nair, Preethi P. ; Varghese, Ashish ; Kumar, Navneet ; Varghese, Sunil Sam</creatorcontrib><description>Introduction
Rhinosinusitis disability index (RSDI) questionnaire is used to assess the severity of chronic rhinosinusitis (CRS) from the patient’s perspective. The severity of CRS can be measured objectively with the endoscope and computed tomogram (CT) using the Lund-Kennedy endoscopic score and Mackay-Lund scores respectively. The objective of the study is to evaluate whether baseline RSDI and Lund-Kennedy (LK) endoscopy scoring can help predict the Mackay-Lund CT (MKLCT) scores after medical treatment in patients with CRS.
Methodology
This is a prospective, observational study, carried out from 1st October 2017 to 30th September 2019 in the ENT out- patient department at a tertiary hospital in Northern India. 90 patients diagnosed with CRS were enrolled consecutively in the study. RSDI questionnaire was filled out for all the participants. They all underwent a diagnostic endoscopy and CRS was graded according to the Lund-Kennedy endoscopic scores. All participants were given medical treatment. Patients underwent CT of the paranasal sinuses after medical treatment and the MLKCT scores were calculated. The baseline RSDI and Lund-Kennedy scores were correlated with the MKLCT scores using Spearman’s Rank correlation tests. The diagnostic ability of the RSDI and LK endoscopy scores to predict the least MKLCT scores was compared using the receiver operator characteristics curves (ROC).
Results
A statistically significant correlation was seen with LK endoscopy scores and MKLCT scores (
r
= 0.396,
p
< 0.001) Among the individual parameters of the LK endoscopy scores only the polyp score had a statistically significant correlation with MKLCT scores (
r
= 0.593,
p
< 0.001). A weak negative correlation (
r
= − 0.058,
p
= 0.586) was seen between the RSDI scores and MKLCT scores. AUC in ROC curves for a LK endoscopy scores and RSDI scores were 0.690 and 0.462 respectively. Cut-off for predicting a MKLCT score of one or more for RSDI score was 25, with a sensitivity of 61% and specificity of 38.5%. Similarly, the cut-off for LK endoscopic score was 4.5, with a sensitivity of 68.8% and specificity of 61.5%.
Conclusion
Statistically significant (
p
< 0.001) association was found between baseline Lund-Kennedy endoscopic scores and Mackay-Lund CT scores post medical treatment. No significant association was found between RSDI scores and Mackay-Lund CT scores. ROC analysis indicated that Lund- Kennedy endoscopy score is a more accurate tool than RSDI score to predict a Mackay-Lund CT scores after medical treatment.</description><identifier>ISSN: 2231-3796</identifier><identifier>EISSN: 0973-7707</identifier><identifier>DOI: 10.1007/s12070-024-04708-6</identifier><identifier>PMID: 39130314</identifier><language>eng</language><publisher>New Delhi: Springer India</publisher><subject>Endoscopy ; Head and Neck Surgery ; Medical treatment ; Medicine ; Medicine & Public Health ; Original Article ; Otorhinolaryngology ; Patients ; Questionnaires</subject><ispartof>Indian journal of otolaryngology, and head, and neck surgery, 2024-08, Vol.76 (4), p.3418-3423</ispartof><rights>Association of Otolaryngologists of India 2024. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c326t-d407062ed7c2b04893966300586f946dc948555f0a80c084f0611187900dbff93</cites><orcidid>0000-0002-0734-6624</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s12070-024-04708-6$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s12070-024-04708-6$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>315,782,786,27933,27934,41497,42566,51328</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39130314$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Nair, Preethi P.</creatorcontrib><creatorcontrib>Varghese, Ashish</creatorcontrib><creatorcontrib>Kumar, Navneet</creatorcontrib><creatorcontrib>Varghese, Sunil Sam</creatorcontrib><title>Which is Better in Predicting CT Scores in Patients with Chronic Rhinosinusitis after Medical treatment-Baseline Rhinosinusitis Disability Index (RSDI) or Endoscopic Score?</title><title>Indian journal of otolaryngology, and head, and neck surgery</title><addtitle>Indian J Otolaryngol Head Neck Surg</addtitle><addtitle>Indian J Otolaryngol Head Neck Surg</addtitle><description>Introduction
Rhinosinusitis disability index (RSDI) questionnaire is used to assess the severity of chronic rhinosinusitis (CRS) from the patient’s perspective. The severity of CRS can be measured objectively with the endoscope and computed tomogram (CT) using the Lund-Kennedy endoscopic score and Mackay-Lund scores respectively. The objective of the study is to evaluate whether baseline RSDI and Lund-Kennedy (LK) endoscopy scoring can help predict the Mackay-Lund CT (MKLCT) scores after medical treatment in patients with CRS.
Methodology
This is a prospective, observational study, carried out from 1st October 2017 to 30th September 2019 in the ENT out- patient department at a tertiary hospital in Northern India. 90 patients diagnosed with CRS were enrolled consecutively in the study. RSDI questionnaire was filled out for all the participants. They all underwent a diagnostic endoscopy and CRS was graded according to the Lund-Kennedy endoscopic scores. All participants were given medical treatment. Patients underwent CT of the paranasal sinuses after medical treatment and the MLKCT scores were calculated. The baseline RSDI and Lund-Kennedy scores were correlated with the MKLCT scores using Spearman’s Rank correlation tests. The diagnostic ability of the RSDI and LK endoscopy scores to predict the least MKLCT scores was compared using the receiver operator characteristics curves (ROC).
Results
A statistically significant correlation was seen with LK endoscopy scores and MKLCT scores (
r
= 0.396,
p
< 0.001) Among the individual parameters of the LK endoscopy scores only the polyp score had a statistically significant correlation with MKLCT scores (
r
= 0.593,
p
< 0.001). A weak negative correlation (
r
= − 0.058,
p
= 0.586) was seen between the RSDI scores and MKLCT scores. AUC in ROC curves for a LK endoscopy scores and RSDI scores were 0.690 and 0.462 respectively. Cut-off for predicting a MKLCT score of one or more for RSDI score was 25, with a sensitivity of 61% and specificity of 38.5%. Similarly, the cut-off for LK endoscopic score was 4.5, with a sensitivity of 68.8% and specificity of 61.5%.
Conclusion
Statistically significant (
p
< 0.001) association was found between baseline Lund-Kennedy endoscopic scores and Mackay-Lund CT scores post medical treatment. No significant association was found between RSDI scores and Mackay-Lund CT scores. ROC analysis indicated that Lund- Kennedy endoscopy score is a more accurate tool than RSDI score to predict a Mackay-Lund CT scores after medical treatment.</description><subject>Endoscopy</subject><subject>Head and Neck Surgery</subject><subject>Medical treatment</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Original Article</subject><subject>Otorhinolaryngology</subject><subject>Patients</subject><subject>Questionnaires</subject><issn>2231-3796</issn><issn>0973-7707</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><recordid>eNp9kc1u1DAURi0EokPhBVggS2zKInD9EzteITotMFIRqC1iGXkcp3GVsQfbEfSd-pB1ZgpIXbCyZJ_v3Ct_CL0k8JYAyHeJUJBQAeUVcAlNJR6hBSjJKilBPkYLShmpmFTiAD1L6RqA1UTCU3TAFGHACF-g2x-DMwN2CR_bnG3EzuNv0XbOZOev8PISX5gQbdrd6-yszwn_cnnAyyEG7ww-H5wPyfkpuVw0up8tX2aDHnGOVudNCVXHOtnRefuQP3FJr93o8g1e-c7-xkfnFyerNzhEfOq7kEzYliG7Jd4_R096PSb74v48RN8_nl4uP1dnXz-tlh_OKsOoyFXHy7cIajtp6Bp4o5gSggHUjegVF51RvKnrugfdgIGG9yAIIY1UAN267xU7REd77zaGn5NNud24ZOw4am_DlFoGigIoRnlBXz9Ar8MUfdlupoqYAReFonvKxJBStH27jW6j401LoJ27bPddtqXLdtdlO4de3aun9cZ2fyN_yisA2wOpPPkrG__N_o_2DjqwqbA</recordid><startdate>20240801</startdate><enddate>20240801</enddate><creator>Nair, Preethi P.</creator><creator>Varghese, Ashish</creator><creator>Kumar, Navneet</creator><creator>Varghese, Sunil Sam</creator><general>Springer India</general><general>Springer Nature B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-0734-6624</orcidid></search><sort><creationdate>20240801</creationdate><title>Which is Better in Predicting CT Scores in Patients with Chronic Rhinosinusitis after Medical treatment-Baseline Rhinosinusitis Disability Index (RSDI) or Endoscopic Score?</title><author>Nair, Preethi P. ; Varghese, Ashish ; Kumar, Navneet ; Varghese, Sunil Sam</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c326t-d407062ed7c2b04893966300586f946dc948555f0a80c084f0611187900dbff93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Endoscopy</topic><topic>Head and Neck Surgery</topic><topic>Medical treatment</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Original Article</topic><topic>Otorhinolaryngology</topic><topic>Patients</topic><topic>Questionnaires</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nair, Preethi P.</creatorcontrib><creatorcontrib>Varghese, Ashish</creatorcontrib><creatorcontrib>Kumar, Navneet</creatorcontrib><creatorcontrib>Varghese, Sunil Sam</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Indian journal of otolaryngology, and head, and neck surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nair, Preethi P.</au><au>Varghese, Ashish</au><au>Kumar, Navneet</au><au>Varghese, Sunil Sam</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Which is Better in Predicting CT Scores in Patients with Chronic Rhinosinusitis after Medical treatment-Baseline Rhinosinusitis Disability Index (RSDI) or Endoscopic Score?</atitle><jtitle>Indian journal of otolaryngology, and head, and neck surgery</jtitle><stitle>Indian J Otolaryngol Head Neck Surg</stitle><addtitle>Indian J Otolaryngol Head Neck Surg</addtitle><date>2024-08-01</date><risdate>2024</risdate><volume>76</volume><issue>4</issue><spage>3418</spage><epage>3423</epage><pages>3418-3423</pages><issn>2231-3796</issn><eissn>0973-7707</eissn><abstract>Introduction
Rhinosinusitis disability index (RSDI) questionnaire is used to assess the severity of chronic rhinosinusitis (CRS) from the patient’s perspective. The severity of CRS can be measured objectively with the endoscope and computed tomogram (CT) using the Lund-Kennedy endoscopic score and Mackay-Lund scores respectively. The objective of the study is to evaluate whether baseline RSDI and Lund-Kennedy (LK) endoscopy scoring can help predict the Mackay-Lund CT (MKLCT) scores after medical treatment in patients with CRS.
Methodology
This is a prospective, observational study, carried out from 1st October 2017 to 30th September 2019 in the ENT out- patient department at a tertiary hospital in Northern India. 90 patients diagnosed with CRS were enrolled consecutively in the study. RSDI questionnaire was filled out for all the participants. They all underwent a diagnostic endoscopy and CRS was graded according to the Lund-Kennedy endoscopic scores. All participants were given medical treatment. Patients underwent CT of the paranasal sinuses after medical treatment and the MLKCT scores were calculated. The baseline RSDI and Lund-Kennedy scores were correlated with the MKLCT scores using Spearman’s Rank correlation tests. The diagnostic ability of the RSDI and LK endoscopy scores to predict the least MKLCT scores was compared using the receiver operator characteristics curves (ROC).
Results
A statistically significant correlation was seen with LK endoscopy scores and MKLCT scores (
r
= 0.396,
p
< 0.001) Among the individual parameters of the LK endoscopy scores only the polyp score had a statistically significant correlation with MKLCT scores (
r
= 0.593,
p
< 0.001). A weak negative correlation (
r
= − 0.058,
p
= 0.586) was seen between the RSDI scores and MKLCT scores. AUC in ROC curves for a LK endoscopy scores and RSDI scores were 0.690 and 0.462 respectively. Cut-off for predicting a MKLCT score of one or more for RSDI score was 25, with a sensitivity of 61% and specificity of 38.5%. Similarly, the cut-off for LK endoscopic score was 4.5, with a sensitivity of 68.8% and specificity of 61.5%.
Conclusion
Statistically significant (
p
< 0.001) association was found between baseline Lund-Kennedy endoscopic scores and Mackay-Lund CT scores post medical treatment. No significant association was found between RSDI scores and Mackay-Lund CT scores. ROC analysis indicated that Lund- Kennedy endoscopy score is a more accurate tool than RSDI score to predict a Mackay-Lund CT scores after medical treatment.</abstract><cop>New Delhi</cop><pub>Springer India</pub><pmid>39130314</pmid><doi>10.1007/s12070-024-04708-6</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0002-0734-6624</orcidid></addata></record> |
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| source | Springer Journals |
| subjects | Endoscopy Head and Neck Surgery Medical treatment Medicine Medicine & Public Health Original Article Otorhinolaryngology Patients Questionnaires |
| title | Which is Better in Predicting CT Scores in Patients with Chronic Rhinosinusitis after Medical treatment-Baseline Rhinosinusitis Disability Index (RSDI) or Endoscopic Score? |
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