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Surgical therapy vs continued medical therapy for medically refractory chronic rhinosinusitis: a systematic review and meta-analysis.

Author: HwangPeter H, NayakJayakar V, PatelZara M, RudmikLuke, SmithTimothy L, ThambooAndrew

Journal ArticleAn article published in an academic or professional journal that reports original research or scholarly analysis.
Meta-AnalysisA statistical technique that integrates the results of multiple studies to draw more general conclusions about a particular issue.
ReviewAn article that critically examines existing research on a particular topic and summarizes the current state of knowledge in the field.
Systematic ReviewA review that systematically collects, evaluates, and integrates relevant research to answer a specific research question.

Overview

This study reassessed the literature to establish the highest level of evidence possible regarding the management of chronic rhinosinusitis (CRS) patients refractory to appropriate medical therapy (AMT).
Paper Details　
Original Abstract of the Article :
The currently accepted treatment paradigm of treating chronic rhinosinusitis (CRS) first with appropriate medical therapy (AMT) and then with surgery if patients are refractory to AMT, has been criticized for lack of evidence. The objective of this study was to reassess the literature and establish ...See full text at original site
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引用元：
https://doi.org/10.1002/alr.21872

データ提供：米国国立医学図書館（NLM）

Surgical Therapy vs. Medical Therapy for Chronic Rhinosinusitis: A Critical Reassessment

Chronic rhinosinusitis (CRS) is a common condition affecting the sinuses, often requiring a combination of medical and surgical interventions. This study reexamines the evidence for the current treatment paradigm of treating CRS with [medical therapy] first and then considering surgery for refractory cases. Researchers conduct a [systematic review and meta-analysis], evaluating the available evidence to determine the optimal management approach for patients with CRS who are not responding to medical therapy. This study challenges the current treatment paradigm, highlighting the need for a more nuanced approach based on the specific characteristics of each patient.

Rethinking the Treatment of Chronic Rhinosinusitis

This critical reassessment of the evidence suggests that the current approach to treating chronic rhinosinusitis (CRS), with medical therapy followed by surgery for refractory cases, may need to be reevaluated. The study found that the evidence supporting this paradigm is lacking, suggesting that a more individualized approach based on patient characteristics and the severity of their condition may be more effective.

Understanding Chronic Rhinosinusitis

Chronic rhinosinusitis (CRS) can significantly impact quality of life. This study emphasizes the importance of a comprehensive assessment of each patient’s condition, including their response to medical therapy, to determine the most appropriate treatment approach. If you experience persistent symptoms of sinusitis, it’s crucial to seek medical attention for proper diagnosis and management.

Dr. Camel's Conclusion

Just like the desert, which can be a place of stark beauty but also requires careful navigation, the field of medicine is constantly evolving in its understanding of chronic rhinosinusitis. This study calls for a more nuanced approach to managing this condition, emphasizing the importance of individualized care and a thorough assessment of each patient's unique needs.

Date :
  1. Date Completed 2017-12-04
  2. Date Revised 2022-04-08
Further Info :

Pubmed ID

27863163

DOI: Digital Object Identifier

10.1002/alr.21872

Related Literature

Article Analysis
・Effective treatment of sinusitis
SNS
PICO Info
in preparation
Languages

English

Positive IndicatorAn AI analysis index that serves as a benchmark for how positive the results of the study are. Note that it is a benchmark and requires careful interpretation and consideration of different perspectives.

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