xRead - Nasal Obstruction (September 2024) Full Articles

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International consensus statement on rhinosinusitis

Treatment cost values In patients meeting symptom criteria for CRS but without endoscopic evidence of

inflammation, upfront CT scanning is more cost-beneficial than

empiric medical therapy

Utilizing CT imaging during the initial encounter reduced unnecessary

antibiotic prescriptions by

60% and improved patient follow-up compliance

Use of CT in the primary care setting can save

USD$297-USD$321 in costs

per patient when compared to diagnosing based on symptoms alone.

Study Year LOE Study Design Study Groups Clinical Endpoint Conclusions

Compliance with follow-up as well as number and costs of antibiotic prescriptions

Standardized costs incurred for diagnostic, treatment,

and potential adverse event costs were calculated for each study group

Symptoms suggestive of CRS but negative nasal endoscopy who received

point-of-care CT scan at the initial visit

Symptoms suggestive of CRS but negative nasal endoscopy who received

empiric medical therapy

evaluated: 1. upfront CT for patients with

CRS-associated symptoms but negative endoscopy

2. empiric medical therapy for patients with CRS-associated symptoms but negative endoscopy

Patients with presumed CRS diagnosis based on symptomatology but

negative endoscopy in the primary care setting

Patients who received upfront CT scans in the primary care setting Two algorithms were

Tan 561 2011 2 Randomized control trial

decision analysis model

decision analysis model

Leung 558 2014 4 Economics-based

Leung 560 2011 4 Economics-based

TABLE IX-2 (Continued)

Diagnostic Imaging