{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,27]],"date-time":"2025-10-27T20:54:51Z","timestamp":1761598491122,"version":"3.40.5"},"reference-count":16,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2023,3,3]],"date-time":"2023-03-03T00:00:00Z","timestamp":1677801600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2023,11]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>Commonly used endoscopic grading scales, such as the\u00a0nasal polyp scale, inadequately describe the degree of polyposis found postoperatively in the paranasal sinus cavities. The purpose of this study was to create a novel grading system that more accurately characterizes polyp recurrence in postoperative sinus cavities, the Postoperative Polyp Scale (POPS).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A modified Delphi method was utilized to establish the POPS using consensus opinion among 13 general otolaryngologists, rhinologists, and allergists. Postoperative endoscopy videos from 50 patients with chronic rhinosinusitis with nasal polyps were reviewed by 7 fellowship\u2010trained rhinologists and scored according to the POPS. Videos were rated again 1\u2009month later by the same reviewers, and scores were assessed for test\u2013retest and inter\u2010rater reliability.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Overall inter\u2010rater reliability for the first and second reviews of the 52 videos was Kf\u00a0=\u00a00.49 (95% CI 0.42\u20130.57) and Kf\u00a0=\u00a00.50 (95% CI 0.42\u20130.57) for the POPS. Intra\u2010rater reliability showed near\u2010perfect test\u2013retest reliability for the POPS with Kf\u00a0=\u00a00.80 (95% CI 0.76\u20130.84).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The POPS is an easy\u2010to\u2010use, reliable, and novel objective endoscopic grading scale that more accurately describes polyp recurrence in the postoperative state which will be useful in the future for measuring the efficacy of various medical and surgical interventions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>5 <jats:italic>Laryngoscope<\/jats:italic>, 133:2885\u20132890, 2023<\/jats:p><\/jats:sec>","DOI":"10.1002\/lary.30623","type":"journal-article","created":{"date-parts":[[2023,3,3]],"date-time":"2023-03-03T10:12:07Z","timestamp":1677838327000},"page":"2885-2890","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Postoperative Polyp Scale (<scp>POPS<\/scp>): Development of a New Sinonasal Polyp Grading Scale"],"prefix":"10.1002","volume":"133","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8993-6355","authenticated-orcid":false,"given":"Arthur W.","family":"Wu","sequence":"first","affiliation":[{"name":"Snot Force Alliance, Inc.  Louisville Kentucky USA"},{"name":"Division of Otolaryngology\u2013Head and Neck Surgery Cedars\u2010Sinai Medical Center  Los Angeles California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Akaber M.","family":"Halawi","sequence":"additional","affiliation":[{"name":"Snot Force Alliance, Inc.  Louisville Kentucky USA"},{"name":"Division of Otolaryngology\u2010Head and Neck Surgery University of Florida Health College of Medicine Jacksonville  Jacksonville Florida USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elisa A.","family":"Illing","sequence":"additional","affiliation":[{"name":"Snot Force Alliance, Inc.  Louisville Kentucky USA"},{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Indiana University School of Medicine  Indianapolis Indiana USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dennis M.","family":"Tang","sequence":"additional","affiliation":[{"name":"Snot Force Alliance, Inc.  Louisville Kentucky USA"},{"name":"Division of Otolaryngology\u2013Head and Neck Surgery Cedars\u2010Sinai Medical Center  Los Angeles California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Philip G.","family":"Chen","sequence":"additional","affiliation":[{"name":"Snot Force Alliance, Inc.  Louisville Kentucky USA"},{"name":"Department of Otolaryngology\u2013Head and Neck Surgery University of Texas Health San Antonio  San Antonio Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3475-0718","authenticated-orcid":false,"given":"Edward C.","family":"Kuan","sequence":"additional","affiliation":[{"name":"Snot Force Alliance, Inc.  Louisville Kentucky USA"},{"name":"Department of Otolaryngology\u2010Head and Neck Surgery University of California Irvine  Orange California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jonathan Y.","family":"Ting","sequence":"additional","affiliation":[{"name":"Snot Force Alliance, Inc.  Louisville Kentucky USA"},{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Indiana University School of Medicine  Indianapolis Indiana USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel A.","family":"Norez","sequence":"additional","affiliation":[{"name":"College of Medicine\u2010Jacksonville, Center for Data Solutions University of Florida  Gainesville Florida USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stacey A.","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Pathology Cedars\u2010Sinai Medical Center  Los Angeles California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dhruv","family":"Sharma","sequence":"additional","affiliation":[{"name":"Snot Force Alliance, Inc.  Louisville Kentucky USA"},{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Indiana University School of Medicine  Indianapolis Indiana USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Douglas D.","family":"Reh","sequence":"additional","affiliation":[{"name":"Snot Force Alliance, Inc.  Louisville Kentucky USA"},{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Greater Baltimore Medical Center  Baltimore Maryland USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2568-271X","authenticated-orcid":false,"given":"Sanjeet V.","family":"Rangarajan","sequence":"additional","affiliation":[{"name":"Snot Force Alliance, Inc.  Louisville Kentucky USA"},{"name":"Department of Otolaryngology\u2010Head and Neck Surgery University of Tennessee  Memphis Tennessee USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1835-5390","authenticated-orcid":false,"given":"Kent K.","family":"Lam","sequence":"additional","affiliation":[{"name":"Snot Force Alliance, Inc.  Louisville Kentucky USA"},{"name":"Department of Otolaryngology\u2010Head and Neck Surgery Eastern Virginia Medical School  Norfolk Virginia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Randall A.","family":"Ow","sequence":"additional","affiliation":[{"name":"Snot Force Alliance, Inc.  Louisville Kentucky USA"},{"name":"Sacramento Ear, Nose, and Throat  Sacramento California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J. Wesley","family":"Sublett","sequence":"additional","affiliation":[{"name":"Snot Force Alliance, Inc.  Louisville Kentucky USA"},{"name":"Family Allergy &amp; Asthma  Louisville Kentucky USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2020-6386","authenticated-orcid":false,"given":"Thomas S.","family":"Higgins","sequence":"additional","affiliation":[{"name":"Snot Force Alliance, Inc.  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