Chronic Rhinosinusitis, Polyps Clinical Trial
Official title:
Comparison of Outcomes After Peri-operative Optimization and Standard Surgical Treatment or Standard of Care Surgical Treatment in Patients Who Have Chronic Rhinosinusitis With Polyposis.
Chronic rhinosinusits (CRS) is common disease with reports of prevalence ranging from 4-16%
in the western population. The main outcome measure for chronic disease treatment, such as
CRS, is quality of life. Several large multi-institutional studies have shown that
improvement in disease specific Quality of life was greater in patients who had surgery for
their CRS with polyps. The timing of surgery in these patients has not been well studied but
it is generally agreed upon that surgical candidates much had failed medical management. The
definition of medical management varies greatly but usually includes some form of nasal or
oral steroids and a prolonged ( >10 days) course of antibiotics.
Another known way to improve QOL is through education and individualized optimization. This
has been utilized successfully in other fields with good success and improved QOL. Similar
studies looking at combining non-surgical optimization and education have not been performed
in CRS. This study aims to address this potential area for improvement in patient quality of
life outcomes. Investigators plan to assess the potential role for pre-operative
non-surgical medical and educational optimization in CRS standard of care treatment.
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