{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,6]],"date-time":"2026-03-06T09:13:49Z","timestamp":1772788429798,"version":"3.50.1"},"reference-count":20,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2013,5,13]],"date-time":"2013-05-13T00:00:00Z","timestamp":1368403200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2014,1]]},"abstract":"<jats:sec><jats:title>Objectives\/Hypothesis<\/jats:title><jats:p>To define long\u2010term health\u2010state utility outcomes in patients undergoing endoscopic sinus surgery (ESS) for refractory chronic rhinosinusitis (CRS).<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Prospective, longitudinal, cohort study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The short\u2010form (SF)\u221212 survey was issued to the 168 patients who were enrolled in an initial study evaluating short\u2010term utility outcomes following ESS. SF\u201012 responses were converted into SF\u20106D utility scores using the University of Sheffield algorithm. The primary outcome was mean overall long\u2010term utility level following ESS. Secondary outcomes evaluated annual utility level following ESS and utility outcomes for different subgroups of patients with CRS.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 83 patients provided long\u2010term health\u2010state utility outcomes. The mean overall long\u2010term utility level was 0.80 at a mean follow\u2010up of 5.2 years after ESS. Compared to the baseline (0.67) and short\u2010term follow\u2010up (0.75) utility levels in this group, there was a significant improvement at the long\u2010term period (<jats:italic>P<\/jats:italic>\u2009=\u2009.002). A total of 54% (45\/83) of patients achieved long\u2010term postoperative utility scores higher than the United States norm of 0.81. There was a significant improvement in utility scores for all subsequent years after ESS compared to preoperative responses (all <jats:italic>P<\/jats:italic>\u2009&lt;\u2009.028). All subgroups of CRS received significant long\u2010term utility improvements (all <jats:italic>P<\/jats:italic>\u2009&lt;\u2009.001), and those undergoing revision ESS demonstrated continued improvement past the short\u2010term postoperative period.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>This study has demonstrated that patients with refractory CRS achieve stable mean long\u2010term utility levels following ESS and often return to a health state comparable to US population norms.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>2b. <jats:italic>Laryngoscope<\/jats:italic>, 124:19\u201323, 2014<\/jats:p><\/jats:sec>","DOI":"10.1002\/lary.24135","type":"journal-article","created":{"date-parts":[[2013,5,13]],"date-time":"2013-05-13T16:29:19Z","timestamp":1368462559000},"page":"19-23","source":"Crossref","is-referenced-by-count":72,"title":["Long\u2010term utility outcomes in patients undergoing endoscopic sinus surgery"],"prefix":"10.1002","volume":"124","author":[{"given":"Luke","family":"Rudmik","sequence":"first","affiliation":[{"name":"Rhinology and Sinus Surgery, Division of Otolaryngology, Department of Surgery University of Calgary Calgary Alberta Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jess","family":"Mace","sequence":"additional","affiliation":[{"name":"Division of Rhinology and Sinus Surgery, Oregon Sinus Center, Department of Otolaryngology\u2013Head and Neck Surgery Oregon Health and Science University Portland Oregon"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zachary M.","family":"Soler","sequence":"additional","affiliation":[{"name":"Division of Rhinology and Sinus Surgery, Department of Otolaryngology\u2013Head and Neck Surgery Medical University of South Carolina Charleston South Carolina U.S.A"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Timothy L.","family":"Smith","sequence":"additional","affiliation":[{"name":"Division of Rhinology and Sinus Surgery, Oregon Sinus Center, Department of Otolaryngology\u2013Head and Neck Surgery Oregon Health and Science University Portland Oregon"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2013,5,13]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/0168-8510(96)00822-6"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/hec.4730020307"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.3109\/07853890109002092"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/1477-7525-1-54"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0167-6296(01)00130-8"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1186\/1477-7525-1-4"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.21847"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005650-199603000-00003"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.mlr.0000135827.18610.0d"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/0272989X06290497"},{"key":"e_1_2_6_12_1","volume-title":"Health at a Glance 2011: OECD Indicators","author":"OECD"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMp1200390"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2009.10.009"},{"key":"e_1_2_6_15_1","first-page":"1","article-title":"United States life tables, 2007","volume":"59","author":"Arias E","year":"2011","journal-title":"Natl Vital Stat Rep"},{"key":"e_1_2_6_16_1","unstructured":"NICE. 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