| Content Provider |
World Health Organization (WHO)-Global Index Medicus |
| Author |
Lu-Myers, Yemeng Deal, Allison M. Miller, Justin D. Thorp, Brian D. Sreenath, Satyan B. McClurg, Stanley M. Senior, Brent A. Zanation, Adam M. Ebert, Charles S. |
| Spatial Coverage |
North Carolina |
| Description |
Country affiliation: United States Author Affiliation: Lu-Myers Y ( Department of Otolaryngology-Head and Neck Surgery, University of North Carolina, Chapel Hill, North Carolina, USA.); Deal AM ( Department of Otolaryngology-Head and Neck Surgery, University of North Carolina, Chapel Hill, North Carolina, USA.); Miller JD ( Department of Otolaryngology-Head and Neck Surgery, University of North Carolina, Chapel Hill, North Carolina, USA.); Thorp BD ( Department of Otolaryngology-Head and Neck Surgery, University of North Carolina, Chapel Hill, North Carolina, USA.); Sreenath SB ( Department of Otolaryngology-Head and Neck Surgery, University of North Carolina, Chapel Hill, North Carolina, USA.); McClurg SM ( Department of Otolaryngology-Head and Neck Surgery, University of North Carolina, Chapel Hill, North Carolina, USA.); Senior BA ( Department of Otolaryngology-Head and Neck Surgery, University of North Carolina, Chapel Hill, North Carolina, USA.); Zanation AM ( Department of Otolaryngology-Head and Neck Surgery, University of North Carolina, Chapel Hill, North Carolina, USA.); Ebert CS ( Department of Otolaryngology-Head and Neck Surgery, University of North Carolina, Chapel Hill, North Carolina, USA cebert@med.unc.edu.) |
| Abstract |
OBJECTIVE: The primary objective of this study is to evaluate the differences in socioeconomic, demographic, and disease severity factors between patients with chronic rhinosinusitis (CRS) and those with allergic fungal rhinosinusitis (AFRS). STUDY DESIGN: A retrospective cohort analysis was performed. SETTING: The study was conducted at the hospital of the University of North Carolina at Chapel Hill. SUBJECTS AND METHODS: A total of 186 patients were included (93 AFRS, 93 CRS with and without nasal polyps). Socio- economic and demographic data were obtained from the North Carolina State Data Center. Indicators of disease severity were measured by Lund-Mackay scores, serum immunoglobulin E (IgE) levels, diagnosis of asthma and/or allergic rhinitis, and the number of surgeries and computed tomography scans performed. Associations were analyzed with Fisher's exact, Wilcoxon rank sum, and Pearson's correlations tests. RESULTS: Compared with patients with AFRS, patients in both CRS groups were predominantly white (P < .0001), were older at the time of diagnosis (P < .0001), had higher county-based income per capita (P = .004), had lower quantitative serum IgE level (P < .001), and had lower Lund-Mackay scores (P < .0001). No associations between disease severity, socioeconomic status, and demographic factors were found within the CRS groups. CONCLUSION: Within our cohort of patients residing in North Carolina, those with CRS have higher income, more access to primary care, and lower markers of disease severity than those with AFRS. These data continue to support the notion that AFRS merits classification as a distinct subtype of CRS. |
| File Format |
HTM / HTML |
| ISSN |
01945998 |
| Issue Number |
1 |
| Volume Number |
153 |
| e-ISSN |
10976817 |
| Journal |
Otolaryngology -- Head and Neck Surgery |
| Language |
English |
| Publisher |
SAGE Publications |
| Publisher Date |
2015-07-01 |
| Publisher Place |
Great Britain (UK) |
| Access Restriction |
One Nation One Subscription (ONOS) |
| Subject Keyword |
North Carolina Demography Comparative Study Rhinitis, Allergic Humans Middle Aged Mycoses Nasal Polyps Male Epidemiology Sinusitis Socioeconomic Factors Journal Article Young Adult Health Services Accessibility Adult Female Retrospective Studies Severity Of Illness Index Complications Risk Factors Discipline Otolaryngology Adolescent Aged Chronic Disease |
| Content Type |
Text |
| Resource Type |
Article |
| Subject |
Otorhinolaryngology Surgery |
