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Chapter-10 Measuring Quality of Life and Outcomes in Rhinology

BOOK TITLE: Sataloff’s Comprehensive Textbook of Otolaryngology: Head & Neck Surgery (Rhinology/Allergy and Immunology) -Volume 2

Author
1. Poetker David M
2. Smith Timothy L
ISBN
9789351524564
DOI
10.5005/jp/books/12714_11
Edition
1/e
Publishing Year
2016
Pages
10
Author Affiliations
1. Zablocki VA Medical Center, Milwaukee, Wisconsin, USA
2. Oregon Health and Science University, Portland, Oregon, USA
Chapter keywords
endoscopic sinus surgery, psychometric tests, chronic rhinosinusitis, substantial variation, responsiveness, rhinologic diseases, psychometric analysis, chronic sinusitis survey, sinonasal outcome tests, otolaryngology, immunotherapy, emotional consequences, generic instruments, allergic rhinitis, psychometric data, sinonasal assessment questionnaire

Abstract

This chapter discusses measuring quality of life and outcomes in rhinology, where sinus surgery has seen significant changes over the past 40 years with the advent of functional surgery and the dawn of the endoscopic era. Content-related validity measures the appropriateness and redundancy of items and scales of the instrument. Reliability is measured by internal consistency and test–retest reliability. Responsiveness is the instrument sensitivity to change over time. This minimal change is referred to as the minimally clinical important difference. The rhinitis outcomes questionnaire (ROQ) was introduced as an easy-to-use instrument for private practices to track treatment outcomes. The rhinosinusitis symptom inventory has been used for both sinus surgery and nasal surgery such as turbinate reduction for over a decade. The discriminant and concurrent validity were both found to be statistically significant. One of the instruments available for acute rhinosinusitis is the major symptoms score utility index (MSSUI).

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