AI Article Synopsis

  • The study aimed to identify factors that contribute to delays in endoscopic sinus surgery (ESS) for patients with chronic rhinosinusitis (CRS).
  • It included a retrospective review of 103 patients, highlighting demographic information such as age and ethnicity, and finding that the average wait time for surgery was about 72 days after the preoperative visit.
  • The results indicated that being of Hispanic ethnicity correlated with longer wait times for surgery, suggesting it might be an important factor to consider when scheduling such procedures.

Article Abstract

Objectives: Determine factors associated with delayed endoscopic sinus surgery (ESS) in patients with chronic rhinosinusitis (CRS).

Methods: This is a retrospective cohort study conducted at a tertiary care academic center. Patients were included in the study if they were at least 18 years old and underwent surgery for CRS. Electronic medical records were retrospectively reviewed to collect demographic and clinical data. Patients with CRS secondary to another pathology such as malignancy were excluded. Multiple linear regression was performed to determine factors associated with the number of days between a patient's preoperative consultation and the date of surgery.

Results: A total of 103 patients with a mean age of 46.6 ± 16.8 years were included in the analysis; 51.5% of patients were females, 46.6% identified as White, and 29.1% identified as Hispanic. The majority of patients (67.0%) had preferred provider organization health insurance; 43.7% of patients had nasal polyps, 70.9% had a deviated nasal septum, and the mean preoperative Sinonasal Outcomes Test-22 (SNOT-22) score was 41.0 ± 23.8. The mean time to surgery after the final preoperative visit was 71.7 days ± 65.6 days. Hispanic ethnicity was associated with increased time to surgery ( < .05) when controlling for other variables. No other variables were associated with time to surgery on multivariate analysis.

Conclusion: Hispanic ethnicity may be an independent predictor of increased time to sinus surgery independent of disease severity and other demographic variables.

Level Of Evidence: 2b.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10731491PMC
http://dx.doi.org/10.1002/lio2.1159DOI Listing

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