Clinical evaluation protocol for chronic rhinosinusitis with polyposis during treatment with biological agents
Introduction: Chronic rhinosinusitis with nasal polyposis is a common pathology in Otorhinolaryngology, and the therapeutic options, in a simplified way, are medical and/or surgical. Medical therapeutic options, in addition to topical and oral corticosteroid therapy, include the use of biological a...
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| Format: | Article |
| Language: | English |
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Portuguese Society of Otolaryngology and Head and Neck Surgery
2023-08-01
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| Series: | Revista Portuguesa Otorrinolaringologia e Cirurgia de Cabeça e Pescoço |
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| Online Access: | https://journalsporl.com/index.php/sporl/article/view/2038 |
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| author | Pedro Marques Gomes Diogo Cunha Cabral André Carção Joana Barreto Ana Isabel Gonçalves Paula Azevedo José Penêda Delfim Duarte Miguel Viana |
| author_facet | Pedro Marques Gomes Diogo Cunha Cabral André Carção Joana Barreto Ana Isabel Gonçalves Paula Azevedo José Penêda Delfim Duarte Miguel Viana |
| author_sort | Pedro Marques Gomes |
| collection | DOAJ |
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Introduction: Chronic rhinosinusitis with nasal polyposis is a common pathology in Otorhinolaryngology, and the therapeutic options, in a simplified way, are medical and/or surgical. Medical therapeutic options, in addition to topical and oral corticosteroid therapy, include the use of biological agents. Three biological agents were recently approved for the treatment of chronic rhinosinusitis with nasal polyposis in Portugal, being indicated in critically ill patients not controlled with topical nasal corticosteroid therapy, for whom surgery (unless contraindicated) and/or systemic corticosteroid therapy did not provide adequate control of the disease.
Objectives: To propose a clinical evaluation protocol in patients under biological treatment.
Methods: Review of relevant medical literature, namely the two main international working groups on this topic: European Position Paper on Rhinosinusitis and Nasal Polyps 2020 (EPOS) and European Forum for Research and Education in Allergy and Airway Diseases (EUFOREA).
Results: The protocol created can be divided into 3 phases: an initial phase with collection of demographic and clinical data, a second phase with evaluation of eligibility for biologicals based on well-defined admission criteria and a third phase with a proposal of follow-up and application of efficacy and discontinuation criteria.
Conclusion: This clinical protocol presents a proposition for the collection of standardized data to be used in clinical practice, which allows a uniform collection for carrying out prospective and/or retrospective multicenter studies, in addition to a proposition for follow-up and evaluation of the efficacy/failure of the treatment with biological agents, in patients with chronic rhinosinusitis with polyposis.
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| format | Article |
| id | doaj-art-d725b7d9243849fc8fa7e52a6094bf5c |
| institution | OA Journals |
| issn | 2184-6499 |
| language | English |
| publishDate | 2023-08-01 |
| publisher | Portuguese Society of Otolaryngology and Head and Neck Surgery |
| record_format | Article |
| series | Revista Portuguesa Otorrinolaringologia e Cirurgia de Cabeça e Pescoço |
| spelling | doaj-art-d725b7d9243849fc8fa7e52a6094bf5c2025-08-20T02:21:34ZengPortuguese Society of Otolaryngology and Head and Neck SurgeryRevista Portuguesa Otorrinolaringologia e Cirurgia de Cabeça e Pescoço2184-64992023-08-0161210.34631/sporl.2038Clinical evaluation protocol for chronic rhinosinusitis with polyposis during treatment with biological agentsPedro Marques Gomes0Diogo Cunha Cabral1André Carção2Joana Barreto3Ana Isabel Gonçalves4Paula Azevedo5José Penêda6Delfim Duarte7Miguel Viana8Unidade Local de Saúde de Matosinhos – Hospital Pedro Hispano, PortugalUnidade Local de Saúde de Matosinhos – Hospital Pedro Hispano, PortugalUnidade Local de Saúde de Matosinhos – Hospital Pedro Hispano, PortugalUnidade Local de Saúde de Matosinhos – Hospital Pedro Hispano, PortugalUnidade Local de Saúde de Matosinhos – Hospital Pedro Hispano, PortugalUnidade Local de Saúde de Matosinhos – Hospital Pedro Hispano, PortugalUnidade Local de Saúde de Matosinhos – Hospital Pedro Hispano, Portugal Unidade Local de Saúde de Matosinhos – Hospital Pedro Hispano, PortugalUnidade Local de Saúde de Matosinhos – Hospital Pedro Hispano, Portugal Introduction: Chronic rhinosinusitis with nasal polyposis is a common pathology in Otorhinolaryngology, and the therapeutic options, in a simplified way, are medical and/or surgical. Medical therapeutic options, in addition to topical and oral corticosteroid therapy, include the use of biological agents. Three biological agents were recently approved for the treatment of chronic rhinosinusitis with nasal polyposis in Portugal, being indicated in critically ill patients not controlled with topical nasal corticosteroid therapy, for whom surgery (unless contraindicated) and/or systemic corticosteroid therapy did not provide adequate control of the disease. Objectives: To propose a clinical evaluation protocol in patients under biological treatment. Methods: Review of relevant medical literature, namely the two main international working groups on this topic: European Position Paper on Rhinosinusitis and Nasal Polyps 2020 (EPOS) and European Forum for Research and Education in Allergy and Airway Diseases (EUFOREA). Results: The protocol created can be divided into 3 phases: an initial phase with collection of demographic and clinical data, a second phase with evaluation of eligibility for biologicals based on well-defined admission criteria and a third phase with a proposal of follow-up and application of efficacy and discontinuation criteria. Conclusion: This clinical protocol presents a proposition for the collection of standardized data to be used in clinical practice, which allows a uniform collection for carrying out prospective and/or retrospective multicenter studies, in addition to a proposition for follow-up and evaluation of the efficacy/failure of the treatment with biological agents, in patients with chronic rhinosinusitis with polyposis. https://journalsporl.com/index.php/sporl/article/view/2038Chronic rhinosinusitis with polyposisBiological AgentsClinical Protocol |
| spellingShingle | Pedro Marques Gomes Diogo Cunha Cabral André Carção Joana Barreto Ana Isabel Gonçalves Paula Azevedo José Penêda Delfim Duarte Miguel Viana Clinical evaluation protocol for chronic rhinosinusitis with polyposis during treatment with biological agents Revista Portuguesa Otorrinolaringologia e Cirurgia de Cabeça e Pescoço Chronic rhinosinusitis with polyposis Biological Agents Clinical Protocol |
| title | Clinical evaluation protocol for chronic rhinosinusitis with polyposis during treatment with biological agents |
| title_full | Clinical evaluation protocol for chronic rhinosinusitis with polyposis during treatment with biological agents |
| title_fullStr | Clinical evaluation protocol for chronic rhinosinusitis with polyposis during treatment with biological agents |
| title_full_unstemmed | Clinical evaluation protocol for chronic rhinosinusitis with polyposis during treatment with biological agents |
| title_short | Clinical evaluation protocol for chronic rhinosinusitis with polyposis during treatment with biological agents |
| title_sort | clinical evaluation protocol for chronic rhinosinusitis with polyposis during treatment with biological agents |
| topic | Chronic rhinosinusitis with polyposis Biological Agents Clinical Protocol |
| url | https://journalsporl.com/index.php/sporl/article/view/2038 |
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