Novel prognostic factors for successful treatment of pediatric chronic rhinosinusitis using the sinus and nasal quality of life survey (SN-5H)

Ofir Zavdy*, Gilad Golan, Dan Yaniv, Lirit Levi, Moshe Hain, Roy Hod, Dror Gilony

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

Introduction: Chronic rhinosinusitis (CRS) is strongly associated with significant impairment of quality of life (QoL) in children. The SN-5 questionnaire is an important assessment tool for pediatric CRS. This study aimed to evaluate potential prognostic factors for treatment of pediatric CRS within the Hebrew version of the SN-5 questionnaire. Methods: A prospective study in pediatric otolaryngology unit. Patients were treated either surgically or pharmacologically. Following informed consent, parents of pediatric CRS patients completed the translated and validated Hebrew version (SN-5H) prior to treatment and after three months. We analyzed the results of both treatment arms according to success (achieving minimal clinically important difference; MCID). Results: 102 children aged 5–12 years and their caregivers participated (74 CRS patients and 28 controls without CRS). SN-5H items scores were significantly higher in CRS patients compared to controls (p < 0.001). Baseline activity scores were higher, while baseline emotional scores were lower in MCID(+) CRS patients, compared to MCID(-) CRS patients (p < 0.05). High emotional stress and low activity scores at baseline were associated with poorer odds to achieve MCID. Conclusions: The SN-5H questionnaire is invaluable tool for assessing pediatric CRS patients. Psychosocial aspects of CRS significantly affect QoL and should be addressed in the office pre-treatment. The SN-5H can aid in highlighting patients in need for further reassurance and psychosocial support to manage expectations, and to improve QoL.

Original languageEnglish
Pages (from-to)2541-2549
Number of pages9
JournalQuality of Life Research
Volume32
Issue number9
DOIs
StatePublished - Sep 2023

Keywords

  • Endoscopic Sinus Surgery
  • Pediatric
  • Quality of life
  • Rhinosinusitis

Fingerprint

Dive into the research topics of 'Novel prognostic factors for successful treatment of pediatric chronic rhinosinusitis using the sinus and nasal quality of life survey (SN-5H)'. Together they form a unique fingerprint.

Cite this