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Cited by 553

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The Lund‐Mackay staging system for chronic rhinosinusitis: How is it used and what does it predict?

Hopkins, Claire, Browne, John P., Slack, Rob, Lund, Valerie, Brown, Peter·2007·Otolaryngology–Head and Neck Surgery

Abstract

Objectives: The Lund‐Mackay score is widely used in assessment of chronic rhinosinusitis. We aimed to describe its relationship to other measures of pre‐ and post‐treatment health status. Study Design: Multicenter prospective study of 1840 patients undergoing surgery for chronic rhinosinusitis in the UK. Results: There was no absolute threshold for surgery, but patients with higher Lund‐Mackay scores underwent more extensive surgery. There was no correlation between Lund‐Mackay and SNOT‐22 scores. The Lund‐Mackay increased with increasing grade of polyposis. The Lund‐Mackay score was associated with symptom reduction (coefficient = 0.24, P = 0.02) complication rates (odds ratio, 1.08, 95%CI 1.06 to 1.1), and revision rates (odds ratio, 1.03, 95% CI 1.001 to 1.06). Conclusions: The Lund‐Mackay score measures a different aspect of disease to “subjective” symptom scores. However, it correlates well with other markers of disease severity, the nature of surgery offered, and its outcome. Significance: This demonstrates the strengths and limitations of a commonly used staging system.

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Metadata

Authors
Hopkins, C., Browne, J. P., Slack, R., Lund, V., & Brown, P.
Venue
Otolaryngology–Head and Neck Surgery
Publisher
Wiley
Published
2007-10
Volume
137
Issue
4
Pages
555-561
ISSN
  • 0161-6439 (ISSN-L)
  • 0194-5998
  • 1097-6817
OpenAlex
W2062624963
Cited by
553
References
1
FWCI
6.70
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: The Lund‐Mackay staging system for chronic rhinosinusitis: How is it used and what does it predict? https://app.cochat.ai/papers/10.1016/j.otohns.2007.02.004
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Hopkins, C., Browne, J. P., Slack, R., Lund, V., & Brown, P. (2007). The Lund‐Mackay staging system for chronic rhinosinusitis: How is it used and what does it predict? Otolaryngology–Head and Neck Surgery. https://doi.org/10.1016/j.otohns.2007.02.004

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