Health Utility Score in Thai Patients with Chronic Rhinosinusitis: Pre- and Postoperative Analyses
5
Issued Date
2023-01-01
Resource Type
ISSN
0023852X
eISSN
15314995
Scopus ID
2-s2.0-85173661156
Pubmed ID
37819654
Journal Title
Laryngoscope
Rights Holder(s)
SCOPUS
Bibliographic Citation
Laryngoscope (2023)
Suggested Citation
Sangubol M., Snidvongs K., Lawpoolsri S., Mongkolkul K., Kowatanamongkon P., Chitsuthipakorn W. Health Utility Score in Thai Patients with Chronic Rhinosinusitis: Pre- and Postoperative Analyses. Laryngoscope (2023). doi:10.1002/lary.31108 Retrieved from: https://repository.li.mahidol.ac.th/handle/123456789/90701
Title
Health Utility Score in Thai Patients with Chronic Rhinosinusitis: Pre- and Postoperative Analyses
Other Contributor(s)
Abstract
Background: Endoscopic sinus surgery (ESS) can increase the health utility score (HUS) of patients with chronic rhinosinusitis (CRS) who require the surgery. HUS varies depending on the geographical or living environment. HUS in CRS has never been evaluated in Thailand. The objective of this study was to evaluate the HUS of Thai patients with CRS before and after ESS through multiple approaches. Methods: Thai patients (age ≥ 18) with CRS scheduled for ESS were enrolled in this prospective study. The preoperative (baseline) demographics, 22-items sinonasal outcome test, endoscopic score, and CT score were recorded. The HUS was evaluated using four methods: the EuroQoL-5 Dimension-5 level (EQ-5D-5L), Visual Analog Scale (VAS), Standard gamble (SG), and Time trade-off (TTO); at baseline, three months and six months post-operation. Results: Data from 60 patients were analyzed. The mean baseline HUS scores by EQ-5D-5L, VAS, SG, and TTO were 0.75, 0.65, 0.79, and 0.85, respectively. The postoperative HUS significantly improved to 0.96, 0.91, 0.96, 0.97 at three months, and 0.97, 0.92, 0.97, and 0.98 at six months, respectively. ESS raised the HUS by 0.12–0.27 points. Among the four methods, VAS showed the lowest HUS at all time points. Conclusion: The preoperative HUS in Thai patients with CRS generally increased to near-perfect values after the ESS. The increase in HUS reflecting the improved general quality of life, was demonstrated at three and up to six months after ESS. Level of Evidence: 4 Laryngoscope, 2023.