Quality of Life in Patients With Chronic Rhinosinusitis and Sleep Dysfunction Undergoing Endoscopic Sinus Surgery: A Pilot Investigation of Comorbid Obstructive Sleep Apnea
Abstract
Importance Patients with chronic rhinosinusitis (CRS) have reduced sleep quality linked to their overall well-being and disease-specific quality of life (QOL). Other primary sleep disorders also affect QOL. Objective To determine the impact of comorbid obstructive sleep apnea (OSA) on CRS disease-specific QOL and sleep dysfunction in patients with CRS following functional endoscopic sinus surgery. Design, setting, and participants Prospective multisite cohort study conducted between October 2011 and November 2014 at academic, tertiary referral centers with a population-based sample of 405 adults. Intervention Functional endoscopic sinus surgery for medically refractory symptoms of CRS. Main outcomes and measures Primary outcome measures consisted of preoperative and postoperative scores operationalized by the Rhinosinusitis Disability Index (RSDI) survey, the 22-item Sinonasal Outcome Test (SNOT-22), and the Pittsburgh Sleep Quality Index (PSQI). Obstructive sleep apnea was the primary, independent risk factor. Results Of 405 participants, 60 (15%) had comorbid OSA. A total of 285 (70%) participants provided preoperative and postoperative survey responses, with a mean (SD) of 13.7 (5.3) months of follow-up. Significant postoperative improvement (P Conclusions and relevance Patients with CRS and comorbid OSA have poor QOL with substantial disease-specific QOL improvements following surgery. Patients who present with CRS should be assessed for primary sleep disorders and, if id…
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Sleep quality is impaired in patients with chronic rhinosinusitis.
“Sleep quality is compromised in patients with chronic sinusitis (chronic rhinosinusitis CRS)”
From International Consensus Statement on Obstructive Sleep Apnea (2023) · cites this paper as [914]
Subjective sleep quality improves significantly after medical or surgical treatment of chronic rhinosinusitis.
“with significant improvement in subjective sleep quality after medical and surgical treatment.914–916”
From International Consensus Statement on Obstructive Sleep Apnea (2023) · cites this paper as [914]
Similar effects on daytime sleepiness can be observed in chronic rhinosinusitis.
“Similar effects can be observed in CRS [101-103].”
From Position Paper on Nasal Obstruction: Evaluation and Treatment (2018) · cites this paper as [102]
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ปจจยคดสรรทสมพนธกบคณภาพชวตดานสขภาพของผปวยไซนสอกเสบเรอรง
หมานมุ้ย, ภ. (2022) · doi:10.58837/chula.the.2022.475
Shehri, K. A., Sait, S. A., Alamoudi, S., Khubrani, Y., & Bahakim, A. (2024) · Cureus · doi:10.7759/cureus.69322
- Authors
- Alt, J. A., DeConde, A. S., Mace, J. C., Steele, T. O., Orlandi, R. R., & Smith, T. L.
- Affiliations
- University of Utah (US)
- University of California San Diego (US)
- Oregon Health & Science University (US)
- Venue
- JAMA Otolaryngology–Head & Neck Surgery
- Publisher
- American Medical Association (AMA)
- Published
- 2015-09-10
- Volume
- 141
- Issue
- 10
- Pages
- 1
- ISSN
- 2168-6181 (ISSN-L)
- OpenAlex
- W2141368120
- Cited by
- 53
- References
- 40
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 2 · 2023: 3 · 2022: 4 · 2021: 4 · 2020: 4 · 2019: 7 · 2018: 9 · 2017: 10 · 2016: 4 · 2015: 2
- FWCI
- 7.48
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- JAMA Otolaryngology–Head & Neck Surgery (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute on Deafness and Other Communication Disorders (R01DC005805)
- Topics
- Health Sciences › Medicine › Otorhinolaryngology › Sinusitis and nasal conditions
- Health Sciences › Medicine › Physiology › Obstructive Sleep Apnea Research
- Health Sciences › Medicine › Surgery › Nasal Surgery and Airway Studies
- Keywords
- chronic rhinosinusitis, obstructive sleep apnea, endoscopic sinus surgery, quality of life, sleep quality, comorbidities, Rhinosinusitis Disability Index, SNOT-22, Pittsburgh Sleep Quality Index, postoperative outcomes, sleep disorders, sinonasal symptoms, functional outcome, patient-reported outcomes
- MeSH terms
- Adult, Aged, Chronic Disease, Endoscopy, Female, Humans, Male, Middle Aged, Pilot Projects, Quality of Life, Rhinitis, Sinusitis, Cohort Studies, Outcome Assessment, Health Care, Sleep Apnea, Obstructive
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