{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T04:03:48Z","timestamp":1785297828138,"version":"3.55.0"},"reference-count":19,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2013,12,10]],"date-time":"2013-12-10T00:00:00Z","timestamp":1386633600000},"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":[[2014,6]]},"abstract":"<jats:sec><jats:title>Objectives\/Hypothesis<\/jats:title><jats:p>Previous studies showed that chronic rhinosinusitis (CRS) accounts for billions of dollars in healthcare resource utilization. However, all such study estimates of the economic burden of CRS were based on subpopulations in Western societies. This study aimed to investigate differences in the utilization of healthcare services between subjects with CRS and comparison subjects using Taiwan's National Health Insurance database.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>A cross\u2010sectional study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>In total, 5,849 CRS subjects and 17,547 selected comparison subjects were included in this study. We evaluated healthcare resource utilization in a 1\u2010year period. Variables of healthcare resource utilization included the following: numbers of outpatient visits and inpatient days, and the mean costs of outpatient and inpatient treatment. We also divided healthcare resource utilization into ear, nose, and throat (ENT) and non\u2010ENT services.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>On the utilization of ENT services, CRS subjects had significantly more outpatient visits (3.9 vs. 1.4, <jats:italic>P<\/jats:italic>\u2009&lt;\u2009.001) and significantly higher outpatient costs (US$77.7 vs. US$19.4, <jats:italic>P<\/jats:italic>\u2009&lt;\u2009.001) than comparison subjects. As for the use and costs of all healthcare services, CRS subjects had significantly more outpatient visits (27.9 vs. 18.3, <jats:italic>P<\/jats:italic>\u2009&lt;\u2009.001) and significantly higher outpatient (US$953 vs. US$665, <jats:italic>P<\/jats:italic>\u2009&lt;\u2009.001) and total (US$1319 vs. US$946, <jats:italic>P<\/jats:italic>\u2009&lt;\u2009.001) costs than comparison subjects. Namely, on average, CRS subjects had 152% more outpatient visits and 139% higher total costs than comparison subjects.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>This study found that subjects with CRS had significantly higher use of all healthcare services and costs than aged\u2010matched controls.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>2c <jats:italic>Laryngoscope<\/jats:italic>, 124:1285\u20131289, 2014<\/jats:p><\/jats:sec>","DOI":"10.1002\/lary.24500","type":"journal-article","created":{"date-parts":[[2013,11,6]],"date-time":"2013-11-06T18:30:45Z","timestamp":1383762645000},"page":"1285-1289","source":"Crossref","is-referenced-by-count":33,"title":["Health care service utilization among patients with chronic rhinosinusitis: A population\u2010based study"],"prefix":"10.1002","volume":"124","author":[{"given":"Shiu\u2010Dong","family":"Chung","sequence":"first","affiliation":[{"name":"Division of Urology Department of Surgery Far Eastern Memorial Hospital New Taipei City Taiwan"},{"name":"Department of Otolaryngology Far Eastern Memorial Hospital New Taipei City Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shih\u2010Han","family":"Hung","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Far Eastern Memorial Hospital New Taipei City Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Herng\u2010Ching","family":"Lin","sequence":"additional","affiliation":[{"name":"Sleep Research Center Far Eastern Memorial Hospital New Taipei City Taiwan"},{"name":"Graduate Institute of Biomedical Informatics College of Medical Science and Technology, Taipei Medical University, Taipei Medical University Hospital Taipei Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ching\u2010Chun","family":"Lin","sequence":"additional","affiliation":[{"name":"Graduate Institute of Biomedical Informatics College of Medical Science and Technology, Taipei Medical University, Taipei Medical University Hospital Taipei Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2013,12,10]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.20034"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1997.03550220055009"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0091-6749(97)80037-1"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0194-5998(95)70152-4"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/00043764-200301000-00007"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.2500\/aap.2013.34.3675"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaci.2011.08.004"},{"key":"e_1_2_6_9_1","first-page":"1","article-title":"Summary health statistics for U.S. adults: National Health Interview Survey, 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