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dc.contributor.authorFerence, Elisabeth H
dc.contributor.authorReddy, Sheila R
dc.contributor.authorTieu, Ryan
dc.contributor.authorGokhale, Sohum
dc.contributor.authorPark, Siyeon
dc.contributor.authorLeCocq, Jason
dc.date.accessioned2021-06-07T14:47:46Z
dc.date.available2021-06-07T14:47:46Z
dc.date.issued2020-09-01
dc.identifier.urihttp://hdl.handle.net/10713/15926
dc.description.abstractObjective: To investigate the clinical and health care burden of chronic rhinosinusitis (CRS) with nasal polyps (CRSwNP) in the United States. Study Design: Retrospective, cross-sectional design with analyses of patient visits from 2 databases. Setting: National Ambulatory Medical Care Survey (NAMCS, 2012-2016) and State Ambulatory Surgery and Services Databases (SASD, 2012-2015) in available states. Methods: In each analysis, we identified patients (≥18 years old) with a diagnosis of CRSwNP (ICD-9-CM: 471.x; ICD-10-CM: J33.x) in the visit record during the study period. CRS patients without polyps (CRSsNP: ICD-9-CM: 473.x, ICD-10-CM: J32.x; without CRSwNP codes) were identified for comparison. In the SASD, we focused on visits involving relevant sinus procedures. Outcomes included comorbidities, diagnostic testing, and prescribed medication (NAMCS) and surgery visit characteristics (SASD). Results: We identified 2272 NAMCS records from physician offices (183 CRSwNP, 2089 CRSsNP). Most visits were for patients aged <65 years (78.8%, 80.6%) and privately insured (67.7%, 61.5%); CRSwNP visits had a male majority (56.3%, 35.4%). CRSwNP vs CRSsNP visits more often reported asthma (40.2%, 10.3%), allergic rhinitis (14.0%, 8.7%), and congestion (22.0%, 21.1%), with the use of glucocorticoids (21.0%, 17.7%) and nasal allergy medication (26.2%, 10.2%). In the SASD, 427,306 surgery visits were identified (71,195 CRSwNP, 356,111 CRSsNP); demographics were similar to NAMCS. CRSwNP surgeries involved more sinus types (59.3%, 41.4%). Surgeries were mostly elective (>99%) and completed quickly (<2 hours), without perioperative complications (>99%), followed by routine discharge (>91%); follow-up visits were common (14.9%, 13.9%). Conclusion: CRSwNP compared to CRSsNP patients have a distinct clinical experience, with moderately higher medication need and more extensive surgery.en_US
dc.description.urihttps://doi.org/10.1177/2473974X20950727en_US
dc.language.isoenen_US
dc.publisherSAGE Publications Inc.en_US
dc.relation.ispartofOTO Openen_US
dc.rights© The Authors 2020.en_US
dc.subjectadministrative claimsen_US
dc.subjectburden of illnessen_US
dc.subjectchronic rhinosinusitisen_US
dc.subjecthealth care utilizationen_US
dc.subjectnasal polypsen_US
dc.subjectretrospective analysisen_US
dc.titleBurden of Nasal Polyps in the United Statesen_US
dc.typeArticleen_US
dc.identifier.doi10.1177/2473974X20950727
dc.identifier.pmid32944677
dc.source.volume4
dc.source.issue3
dc.source.beginpage2473974X20950727
dc.source.endpage
dc.source.countryUnited States


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