{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T23:20:48Z","timestamp":1792797648577,"version":"4.5.0"},"reference-count":30,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2023,5,12]],"date-time":"2023-05-12T00:00:00Z","timestamp":1683849600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int Forum Allergy Rhinol"],"published-print":{"date-parts":[[2023,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>We identify chronic rhinosinusitis (CRS) manifestations associated with how rhinologists assess CRS control, with a focus on patient perspectives (patient\u2010reported CRS control).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Fifteen rhinologists were provided with real\u2010world data from 200 CRS patients. Participating rhinologists first classified patients\u2019 CRS control as \u201ccontrolled,\u201d \u201cpartly controlled,\u201d and \u201cuncontrolled\u201d using seven CRS manifestations reflecting European Position Paper on Rhinosinusitis and Nasal Polyps (EPOS) CRS control criteria (nasal obstruction, drainage, impaired smell, facial pain\/pressure, sleep disturbance, use of systemic antibiotics\/corticosteroids in past 6 months, and nasal endoscopy findings) and patient\u2010reported CRS control. They then classified patients\u2019 CRS control without knowledge of patient\u2010reported CRS control. Interrater reliability and agreement of rhinologist\u2010assessed CRS control with patient\u2010reported CRS control and EPOS guidelines were determined.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>CRS control classification with and without knowledge of patient\u2010reported CRS control was highly consistent across rhinologists (<jats:italic>\u03ba<\/jats:italic><jats:sub>w<\/jats:sub>\u00a0=\u00a00.758). Rhinologist\u2010assessed CRS control agreed with patient\u2010reported CRS control significantly better when rhinologists had knowledge of patient\u2010reported CRS control (<jats:italic>\u03ba<\/jats:italic><jats:sub>w<\/jats:sub>\u00a0=\u00a00.736\u00a0vs. <jats:italic>\u03ba<\/jats:italic><jats:sub>w<\/jats:sub>\u00a0=\u00a00.554, <jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.001). Patient\u2010reported CRS control, nasal obstruction, drainage, and endoscopy findings were most strongly associated with rhinologists\u2019 assessment of CRS control. Rhinologists\u2019 CRS control assessments weakly agreed with EPOS CRS control guidelines with (<jats:italic>\u03ba<\/jats:italic><jats:sub>w<\/jats:sub>\u00a0=\u00a00.529) and without (<jats:italic>\u03ba<\/jats:italic><jats:sub>w<\/jats:sub>\u00a0=\u00a00.538) patient\u2010reported CRS control. Rhinologists classified CRS as more controlled than EPOS guidelines in almost 50% of cases.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>This study directly demonstrates the importance of patient\u2010reported CRS control as a dominant influence on rhinologists\u2019 CRS control assessment. Knowledge of patient\u2010reported CRS control may better align rhinologists\u2019 CRS control assessments and treatment decisions with patients\u2019 perspectives.<\/jats:p><\/jats:sec>","DOI":"10.1002\/alr.23168","type":"journal-article","created":{"date-parts":[[2023,4,12]],"date-time":"2023-04-12T14:38:40Z","timestamp":1681310320000},"page":"2004-2017","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["Determinants of physician assessment of chronic rhinosinusitis disease control using EPOS 2020 criteria and the importance of incorporating patient perspectives of disease control"],"prefix":"10.1002","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6331-2325","authenticated-orcid":false,"given":"Ahmad R.","family":"Sedaghat","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery University of Cincinnati College of Medicine  Cincinnati Ohio 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Infirmary, Harvard Medical School  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashleigh A.","family":"Halderman","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery University of Texas Southwestern Medical Center  Dallas Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3993-1569","authenticated-orcid":false,"given":"Claire","family":"Hopkins","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2010Head and Neck Surgery Guys and St Thomas\u2019 Hospital  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3475-0718","authenticated-orcid":false,"given":"Edward C.","family":"Kuan","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery University of California Irvine  Orange California 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