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Wu AW, Garcia Ruiz EA, Higgins TS, Tang DM, Illing EA, Carle TR, Vasquez M, Ting JY, Sreenath SB, Halawi A, Chen PG. Sinonasal Symptom Correlation With the Postoperative Polyp Scale (POPS). Ann Otol Rhinol Laryngol 2024; 133:485-489. [PMID: 38344993 DOI: 10.1177/00034894241232475] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/17/2024]
Abstract
BACKGROUND Commonly used endoscopic nasal polyp grading scales have been shown to correlate poorly with symptom scores and quality of life metrics. The recently described Postoperative Polyp Scale (POPS) is a grading system that more accurately characterizes polyp recurrence in postoperative sinus cavities by describing incremental recurrence in relation to the surgically opened sinus cavities. OBJECTIVE The objective of this study was to determine if the POPS correlated with sinonasal symptoms. METHODS CRSwNP patients were prospectively administered SNOT-22 questionnaires and graded according to the POPS starting at their 1-month postoperative appointments. Total POPS scores (sum of each side) and Max POPS score (larger value of left and right) were correlated with SNOT-22 total scores and subdomains using Kendall correlation testing. RESULTS A total of 127 patients were enrolled in the study. Both Total POPS or Max POPS were significantly correlated to the SNOT-22 total score (P < .001, P < .001), Rhinologic (P < .001, P < .001), Extra-Nasal Rhinologic (P < .001, P < .001), Ear/Facial (P < .001, P < .001), and Psychologic (P = .028, P = .017) subdomains. Kendall's tau indicated strong correlation (≥0.3) with Rhinologic subdomain, moderate correlation (.21-.29) with Extra-Nasal Rhinologic and Ear/Facial subdomains, and weak correlation (.1-.19) with Psychologic subdomain. CONCLUSION Previous endoscopic nasal polyp grading scales poorly correlate with symptoms and patient reported outcome measures. The new POPS moderately correlates with the total SNOT-22 score and strongly correlates with the Rhinologic subdomain, indicating that it may have good potential as a tool to evaluate postoperative CRSwNP patients.
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Affiliation(s)
- Arthur W Wu
- Snot Force Alliance, Inc., Louisville, KY, USA
- Division of Otolaryngology-Head and Neck Surgery, Cedars-Sinai Medical Center, Los Angeles, CA, USA
| | - Erika A Garcia Ruiz
- Division of Otolaryngology-Head and Neck Surgery, Cedars-Sinai Medical Center, Los Angeles, CA, USA
| | - Thomas S Higgins
- Snot Force Alliance, Inc., Louisville, KY, USA
- Department of Otolaryngology-Head and Neck Surgery, University of Louisville, Louisville, KY, USA
| | - Dennis M Tang
- Snot Force Alliance, Inc., Louisville, KY, USA
- Division of Otolaryngology-Head and Neck Surgery, Cedars-Sinai Medical Center, Los Angeles, CA, USA
| | - Elisa A Illing
- Snot Force Alliance, Inc., Louisville, KY, USA
- Department of Otolaryngology-Head and Neck Surgery, Indiana University School of Medicine, Indianapolis, IN, USA
| | - Taylor R Carle
- Snot Force Alliance, Inc., Louisville, KY, USA
- Division of Otolaryngology-Head and Neck Surgery, Cedars-Sinai Medical Center, Los Angeles, CA, USA
| | - Missael Vasquez
- Division of Otolaryngology-Head and Neck Surgery, Cedars-Sinai Medical Center, Los Angeles, CA, USA
| | - Jonathan Y Ting
- Snot Force Alliance, Inc., Louisville, KY, USA
- Department of Otolaryngology-Head and Neck Surgery, Indiana University School of Medicine, Indianapolis, IN, USA
| | - Satyan B Sreenath
- Snot Force Alliance, Inc., Louisville, KY, USA
- Department of Otolaryngology-Head and Neck Surgery, Indiana University School of Medicine, Indianapolis, IN, USA
| | - Akaber Halawi
- Snot Force Alliance, Inc., Louisville, KY, USA
- Marlyand ENT Center, Lutherville, MD, USA
| | - Philip G Chen
- Snot Force Alliance, Inc., Louisville, KY, USA
- Department of Otolaryngology-Head and Neck Surgery, University of Texas Health San Antonio, San Antonio, TX, USA
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