International Journal of Otorhinolaryngology

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The Correlation Between SNOT-22 and Visual Analogue Scale in the Assessment of Symptom Severity in Chronic Rhinosinusitis

Received: 25 May 2019    Accepted: 01 July 2019    Published: 13 July 2019
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Abstract

Chronic rhinosinusitis is an inflammatory process involving the sinonasal mucosa, lasting 12 weeks or longer. It is often characterized by a complex of debilitating symptoms usually classified into minor and major symptoms. Estimating symptom/ disease severity using structured questionnaires can be challenging. This is especially so in rural areas where a combination of low literacy levels and language barrier may present communication difficulties. In view of the aforementioned challenges, it has become imperative to explore the correlation between the 22- item sino-nasal outcome test (SNOT-22) and a simpler means of evaluating symptom severity in chronic rhinosinusitis; hence this study. To determine the correlation between SNOT-22 and visual analogue scale (VAS) questionnaire scoring of symptom severity in chronic rhinosinusitis. This was a twelve month prospective cross sectional study of fifty- two consecutive newly diagnosed adult patients with chronic rhinosinusitis. Age of patients ranged from 19 – 91 years. Male to female ratio was 1: 1.26. There was a significant positive correlation between VAS and SNOT-22 in moderate and high symptom severity in patients with CRS. This study found a positive correlation between SNOT-22 and VAS scoring of disease severity in moderate and severe diseases and an insignificant correlation between these two instruments in mild disease. VAS can be used as a guide to symptom severity in the pre-treatment patients with CRS.

DOI 10.11648/j.ijo.20190501.16
Published in International Journal of Otorhinolaryngology (Volume 5, Issue 1, June 2019)
Page(s) 24-30
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Chronic Rhinosinusitis, Sinonasal Outcome Test-22, Visual Analogue Scale, Symptoms, Severity, Low Literacy, Language Barrier

References
[1] Fokkens, WJ., Lund, VJ., Mullol J European position paper on Rhinosinusitis and Nasal polyps. Rhinology 2007; 20: 1-136.
[2] Bhattacharyya N. The Economic burden and symptom manifestation of chronic rhinosinusitis. AM J Rhinol 2003; 17: 27-32.
[3] Iseh KR, Makusidi M. Rhinosimisitis: A retrospective analysis of clinical pattern and outcome in north western Nigeria. Annals of African Medicine. 2010, 9: 20-26.
[4] Kolo ES. The role of plain radiographs in the diagnosis of chronic maxillary rhinosinusitis in adults. African Health Sciences 2012; 4: 459-463.
[5] Okafor BC. Otolaryngology in South Eastern Nigeria 11 Pattern of diseases of the nose. Niger Med J 1983; 13: 21-9.
[6] Bhatia PC, Varugese R. Pattern of otolaryngological diseases in Jos Community. Niger Med J 1987, 17: 67-73.
[7] Nwawolo CC. Hazards of Maxillary antral Washout. Nig Postgrad Med J 1997; 4: 123-6.
[8] Ahmad BM, Tahir AA. Rhinosinusitis in North Eastern Nigeria. Clinico Radiologic findings. Niger J Med 2000, 9: 21-3.
[9] Ogunleye AO, Nwaorgu OG, Lasisi AO, Ijaduola GT. Trends of sinusitis in Ibadan. West Afr JMed 1999; 18: 298-302.
[10] Desorosiers M, Evans GA, Keith PK, Wright ED, Kaplan A, Bonchard J. Canadian Clinical practice guidelines for acute and chronic rhinosinusitis. J Otolaryngol Head Neck Surg. 2011; 40: 599-193.
[11] Benninger MS, Ferguson BJ, Hadley JA. Adult Chronic Rhinosinusiis: definition, diagnosis, epidemiology, and patho-physiology. Otolaryngol Head Neck Surg. 2003; 129: 1-32.
[12] Frederick J, Braude AL. Anaerobic infection of the paranasal sinuses. N Engl J Med 1974, 200: 135-9.
[13] Bhattacharyya N. Contemporary assessment of the disease burden of sinusitis. Am J Rhinol Allergy. 2009; 23: 392-395.
[14] Pernilla Sahlstrand-Johnson, Bodil Ohlsson, Christian von Buchwald, Magnus Jannert, Marianne Ahlner- Elmqvist. A multicenter study on quality and absenteeism in patients with CRS reffered for endoscopic surgery. Rhinology 2011; 49: 420-428.
[15] Drazen Shejbal, Davor Vagic, Sinisa Stevanovic, Elvira Koic, Livije Kalogjera. Impact of post-traumatic stress disorder on sinunasal symptoms and quality of life in patients with chronic rhinosinusitis. Patient Prefer Adherence 2012; 6: 847-852.
[16] Lim M, Lew-Gor S, Darby Y, Brookes N, Scaldding G, Lund VJ. The relationship between subjective assessment instruments in chronic rhinosinusitis. Rhinology. 2007; 45: 144-147.
[17] Morley AD, Sharp HR. A review of sinonasal outcome scoring system which is best? Clinical otolaryngology 2006, 31: 103-109.
[18] Da Lilly-Tariah O. B. Pattern of clinical features of simple chronic rhinosinusitis in Port Harcourt. Niger j. clin Pract 2006; 9: 142-6.
[19] O. Sogebi, E. Oyewole. Rhinosinusitis clinical features seen in Sagamu, Nigeria. The Internet journal of otorhinolaryngology2006; 6: 2.
[20] Bhattacharyya N. Clinical and Symptom Criteria for the accurate Diagnosis of Chronic Rhinosinusitis. Laryngoscope 2006; 116: 1-22.
[21] Abdalla S, Alreely H, Hopkins C. Prevalence of sinonasal outcome test (SNOT-22) symptoms in patients undergoing surgery for chronic rhinosinusitis in England and Wales National prospective audit. Clin Otolaryngol. 2012; 37: 276-82.
[22] Bhattacharyya N. A. Comparison of symptom scores and radiographic staging systems in chronic rhinosinusitis. Am J RHINOL. 2005; 19: 175-9.
[23] O. Z Olowosusi, C. N. Asoegwu, A. T. Olagunju, C. C. Nwawolo. A Cross-sectional evaluation of the correlation between disease severity and quality of life in chronic rhinosinusitis patients in Nigeria. Eur Arch Otorhinolaryngol 2014; 14: 23-25.
Author Information
  • Department of Otorhinolaryngology, Federal Medical Center, Yenagoa, Nigeria

  • Department of Otorhinolaryngology, University College Hospital, Ibadan, Nigeria

  • Department of Otorhinolaryngology, Federal Medical Center, Yenagoa, Nigeria

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  • APA Style

    Omoregie Joseph Idugboe, Adebolajo Adeyemo, Ebidisemene Linda Totyen. (2019). The Correlation Between SNOT-22 and Visual Analogue Scale in the Assessment of Symptom Severity in Chronic Rhinosinusitis. International Journal of Otorhinolaryngology, 5(1), 24-30. https://doi.org/10.11648/j.ijo.20190501.16

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    ACS Style

    Omoregie Joseph Idugboe; Adebolajo Adeyemo; Ebidisemene Linda Totyen. The Correlation Between SNOT-22 and Visual Analogue Scale in the Assessment of Symptom Severity in Chronic Rhinosinusitis. Int. J. Otorhinolaryngol. 2019, 5(1), 24-30. doi: 10.11648/j.ijo.20190501.16

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    AMA Style

    Omoregie Joseph Idugboe, Adebolajo Adeyemo, Ebidisemene Linda Totyen. The Correlation Between SNOT-22 and Visual Analogue Scale in the Assessment of Symptom Severity in Chronic Rhinosinusitis. Int J Otorhinolaryngol. 2019;5(1):24-30. doi: 10.11648/j.ijo.20190501.16

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  • @article{10.11648/j.ijo.20190501.16,
      author = {Omoregie Joseph Idugboe and Adebolajo Adeyemo and Ebidisemene Linda Totyen},
      title = {The Correlation Between SNOT-22 and Visual Analogue Scale in the Assessment of Symptom Severity in Chronic Rhinosinusitis},
      journal = {International Journal of Otorhinolaryngology},
      volume = {5},
      number = {1},
      pages = {24-30},
      doi = {10.11648/j.ijo.20190501.16},
      url = {https://doi.org/10.11648/j.ijo.20190501.16},
      eprint = {https://download.sciencepg.com/pdf/10.11648.j.ijo.20190501.16},
      abstract = {Chronic rhinosinusitis is an inflammatory process involving the sinonasal mucosa, lasting 12 weeks or longer. It is often characterized by a complex of debilitating symptoms usually classified into minor and major symptoms. Estimating symptom/ disease severity using structured questionnaires can be challenging. This is especially so in rural areas where a combination of low literacy levels and language barrier may present communication difficulties. In view of the aforementioned challenges, it has become imperative to explore the correlation between the 22- item sino-nasal outcome test (SNOT-22) and a simpler means of evaluating symptom severity in chronic rhinosinusitis; hence this study. To determine the correlation between SNOT-22 and visual analogue scale (VAS) questionnaire scoring of symptom severity in chronic rhinosinusitis. This was a twelve month prospective cross sectional study of fifty- two consecutive newly diagnosed adult patients with chronic rhinosinusitis. Age of patients ranged from 19 – 91 years. Male to female ratio was 1: 1.26. There was a significant positive correlation between VAS and SNOT-22 in moderate and high symptom severity in patients with CRS. This study found a positive correlation between SNOT-22 and VAS scoring of disease severity in moderate and severe diseases and an insignificant correlation between these two instruments in mild disease. VAS can be used as a guide to symptom severity in the pre-treatment patients with CRS.},
     year = {2019}
    }
    

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  • TY  - JOUR
    T1  - The Correlation Between SNOT-22 and Visual Analogue Scale in the Assessment of Symptom Severity in Chronic Rhinosinusitis
    AU  - Omoregie Joseph Idugboe
    AU  - Adebolajo Adeyemo
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    JO  - International Journal of Otorhinolaryngology
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    AB  - Chronic rhinosinusitis is an inflammatory process involving the sinonasal mucosa, lasting 12 weeks or longer. It is often characterized by a complex of debilitating symptoms usually classified into minor and major symptoms. Estimating symptom/ disease severity using structured questionnaires can be challenging. This is especially so in rural areas where a combination of low literacy levels and language barrier may present communication difficulties. In view of the aforementioned challenges, it has become imperative to explore the correlation between the 22- item sino-nasal outcome test (SNOT-22) and a simpler means of evaluating symptom severity in chronic rhinosinusitis; hence this study. To determine the correlation between SNOT-22 and visual analogue scale (VAS) questionnaire scoring of symptom severity in chronic rhinosinusitis. This was a twelve month prospective cross sectional study of fifty- two consecutive newly diagnosed adult patients with chronic rhinosinusitis. Age of patients ranged from 19 – 91 years. Male to female ratio was 1: 1.26. There was a significant positive correlation between VAS and SNOT-22 in moderate and high symptom severity in patients with CRS. This study found a positive correlation between SNOT-22 and VAS scoring of disease severity in moderate and severe diseases and an insignificant correlation between these two instruments in mild disease. VAS can be used as a guide to symptom severity in the pre-treatment patients with CRS.
    VL  - 5
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