Incidence and burden of comorbid pain and depression in patients with chronic rhinosinusitis awaiting endoscopic sinus surgery in Canada
Abstract Background This study sheds important light on the association between sino-nasal symptoms and global quality of life in patients with chronic rhinosinusitis waiting for endoscopic sinus surgery. Using patient-reported information collected pre-operatively, the primary objective was to repo...
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2017-03-01
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| Series: | Journal of Otolaryngology - Head and Neck Surgery |
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| Online Access: | http://link.springer.com/article/10.1186/s40463-017-0205-3 |
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| author | Bassem M. N. Hanna R. Trafford Crump Guiping Liu Jason M. Sutherland Arif S. Janjua |
| author_facet | Bassem M. N. Hanna R. Trafford Crump Guiping Liu Jason M. Sutherland Arif S. Janjua |
| author_sort | Bassem M. N. Hanna |
| collection | DOAJ |
| description | Abstract Background This study sheds important light on the association between sino-nasal symptoms and global quality of life in patients with chronic rhinosinusitis waiting for endoscopic sinus surgery. Using patient-reported information collected pre-operatively, the primary objective was to report on patients’ pre-surgical sino-nasal symptoms and their association with self-reported pain and depression. The secondary objective was to report on levels of depression and pain among patients in the sample reporting severe sleep problems. Methods This is a cross-sectional study of patient-reported outcomes collected prospectively from a cohort of 261 patients assigned to the wait list for elective endoscopic sinus surgery in a large urban region of Canada. Results Younger patients and patients with other medical comorbidities were most likely to report significant symptoms of chronic rhinosinusitis and substantial associated pain and depression. In the primary analyses, patients reporting significant symptoms of chronic rhinosinusitis were more likely to report moderate depression or high pain (p < 0.01). Subsequently, chronic rhinosinusitis patients with severe sleep problems were 82% likely to report moderate or severe depression and pain. Conclusion Preoperative management of depression and pain may be considered in order to improve the health-related quality of life of patients waiting for ESS. As depression and pain were highly prevalent, patients with severe sleep problems may be candidates for prioritized access. |
| format | Article |
| id | doaj-art-e5ce938ca88642db9df2273871a48299 |
| institution | Kabale University |
| issn | 1916-0216 |
| language | English |
| publishDate | 2017-03-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of Otolaryngology - Head and Neck Surgery |
| spelling | doaj-art-e5ce938ca88642db9df2273871a482992025-08-20T03:26:20ZengSAGE PublishingJournal of Otolaryngology - Head and Neck Surgery1916-02162017-03-014611610.1186/s40463-017-0205-3Incidence and burden of comorbid pain and depression in patients with chronic rhinosinusitis awaiting endoscopic sinus surgery in CanadaBassem M. N. Hanna0R. Trafford Crump1Guiping Liu2Jason M. Sutherland3Arif S. Janjua4Otolaryngology – Head and Neck Surgery, University of British ColumbiaDepartment of Surgery, University of CalgaryCentre for Health Services and Policy Research, School of Population and Public Health, University of British ColumbiaCentre for Health Services and Policy Research, School of Population and Public Health, University of British ColumbiaOtolaryngology – Head and Neck Surgery, University of British ColumbiaAbstract Background This study sheds important light on the association between sino-nasal symptoms and global quality of life in patients with chronic rhinosinusitis waiting for endoscopic sinus surgery. Using patient-reported information collected pre-operatively, the primary objective was to report on patients’ pre-surgical sino-nasal symptoms and their association with self-reported pain and depression. The secondary objective was to report on levels of depression and pain among patients in the sample reporting severe sleep problems. Methods This is a cross-sectional study of patient-reported outcomes collected prospectively from a cohort of 261 patients assigned to the wait list for elective endoscopic sinus surgery in a large urban region of Canada. Results Younger patients and patients with other medical comorbidities were most likely to report significant symptoms of chronic rhinosinusitis and substantial associated pain and depression. In the primary analyses, patients reporting significant symptoms of chronic rhinosinusitis were more likely to report moderate depression or high pain (p < 0.01). Subsequently, chronic rhinosinusitis patients with severe sleep problems were 82% likely to report moderate or severe depression and pain. Conclusion Preoperative management of depression and pain may be considered in order to improve the health-related quality of life of patients waiting for ESS. As depression and pain were highly prevalent, patients with severe sleep problems may be candidates for prioritized access.http://link.springer.com/article/10.1186/s40463-017-0205-3Chronis sinusitisDepressionEndoscopic sinus surgeryPainPatient-reported outcomesSleep |
| spellingShingle | Bassem M. N. Hanna R. Trafford Crump Guiping Liu Jason M. Sutherland Arif S. Janjua Incidence and burden of comorbid pain and depression in patients with chronic rhinosinusitis awaiting endoscopic sinus surgery in Canada Journal of Otolaryngology - Head and Neck Surgery Chronis sinusitis Depression Endoscopic sinus surgery Pain Patient-reported outcomes Sleep |
| title | Incidence and burden of comorbid pain and depression in patients with chronic rhinosinusitis awaiting endoscopic sinus surgery in Canada |
| title_full | Incidence and burden of comorbid pain and depression in patients with chronic rhinosinusitis awaiting endoscopic sinus surgery in Canada |
| title_fullStr | Incidence and burden of comorbid pain and depression in patients with chronic rhinosinusitis awaiting endoscopic sinus surgery in Canada |
| title_full_unstemmed | Incidence and burden of comorbid pain and depression in patients with chronic rhinosinusitis awaiting endoscopic sinus surgery in Canada |
| title_short | Incidence and burden of comorbid pain and depression in patients with chronic rhinosinusitis awaiting endoscopic sinus surgery in Canada |
| title_sort | incidence and burden of comorbid pain and depression in patients with chronic rhinosinusitis awaiting endoscopic sinus surgery in canada |
| topic | Chronis sinusitis Depression Endoscopic sinus surgery Pain Patient-reported outcomes Sleep |
| url | http://link.springer.com/article/10.1186/s40463-017-0205-3 |
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