Affiliation:
1. Center of Excellence in Otolaryngology‐Head & Neck Surgery Rajavithi Hospital Bangkok Thailand
2. Department of Otolaryngology, Faculty of Medicine Chulalongkorn University Bangkok Thailand
3. Endoscopic Nasal and Sinus Surgery Excellence Center King Chulalongkorn Memorial Hospital Bangkok Thailand
4. Department of Tropical Hygiene, Faculty of Tropical Medicine Mahidol University Bangkok Thailand
5. College of Medicine Rangsit University Bangkok Thailand
Abstract
BackgroundEndoscopic sinus surgery (ESS) can increase the health utility score (HUS) of patients with chronic rhinosinusitis (CRS) who require the surgery. HUS varies depending on the geographical or living environment. HUS in CRS has never been evaluated in Thailand. The objective of this study was to evaluate the HUS of Thai patients with CRS before and after ESS through multiple approaches.MethodsThai patients (age ≥ 18) with CRS scheduled for ESS were enrolled in this prospective study. The preoperative (baseline) demographics, 22‐items sinonasal outcome test, endoscopic score, and CT score were recorded. The HUS was evaluated using four methods: the EuroQoL‐5 Dimension‐5 level (EQ‐5D‐5L), Visual Analog Scale (VAS), Standard gamble (SG), and Time trade‐off (TTO); at baseline, three months and six months post‐operation.ResultsData from 60 patients were analyzed. The mean baseline HUS scores by EQ‐5D‐5L, VAS, SG, and TTO were 0.75, 0.65, 0.79, and 0.85, respectively. The postoperative HUS significantly improved to 0.96, 0.91, 0.96, 0.97 at three months, and 0.97, 0.92, 0.97, and 0.98 at six months, respectively. ESS raised the HUS by 0.12–0.27 points. Among the four methods, VAS showed the lowest HUS at all time points.ConclusionThe preoperative HUS in Thai patients with CRS generally increased to near‐perfect values after the ESS. The increase in HUS reflecting the improved general quality of life, was demonstrated at three and up to six months after ESS.Level of Evidence4 Laryngoscope, 2023