{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T11:57:06Z","timestamp":1791633426764,"version":"4.3.4"},"reference-count":30,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2024,2,12]],"date-time":"2024-02-12T00:00:00Z","timestamp":1707696000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Ann Otol Rhinol Laryngol"],"published-print":{"date-parts":[[2024,5]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>Variations in management of sinusitis in primary care settings can be associated with inappropriate antibiotic prescriptions and delays in treatment. The objective of this study was to identify patient and provider characteristics associated with possible inaccurate diagnosis and management of sinusitis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We performed a cross-sectional retrospective analysis using an established regional healthcare database of patients who received a diagnosis of sinusitis between 2011 and 2022 from a non-otolaryngologist provider. Patient\u2019s comorbidities, insurance status, chronicity of sinusitis, and prescriptions were included. We noted if patients were referred to an otolaryngology practice and if they received a diagnosis of sinusitis from an otolaryngologist.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>We analyzed 99\u2009581 unique patients and 168\u2009137 unique encounters. The mean age was 41.5 (\u00b120.4\u2009years) and 35.7% were male. Most patients had private insurance (88.5%), acute sinusitis (81.2%), and were seen at a primary care office (97.8%). Approximately 30% of patients were referred to an otolaryngology practice for sinusitis. Of referred patients, 50.6% did not receive a diagnosis of sinusitis from an otolaryngology practice. Patients without a sinusitis diagnosis by an otolaryngology practice received significantly more mean courses of antibiotics (5.04 vs 2.39, P\u2009&lt;\u2009.0001) and oral steroids (3.53 vs 2.08, P\u2009&lt;\u2009.0001).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Over half of the patients referred to an otolaryngology practice from primary care for sinusitis did not receive a diagnosis of sinusitis from an otolaryngology practice. Further research should investigate implications for increased healthcare costs and inappropriate prescription trends associated with the management of sinusitis.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/00034894241230365","type":"journal-article","created":{"date-parts":[[2024,2,12]],"date-time":"2024-02-12T06:12:38Z","timestamp":1707718358000},"page":"476-484","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":6,"title":["Characterizing Trends in Diagnosis and Management of Sinusitis in a Large Health Care System: From Primary Care to Otolaryngology"],"prefix":"10.1177","volume":"133","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9877-3658","authenticated-orcid":false,"given":"Christopher M.","family":"Hornung","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery, University of Minnesota School of Medicine, Minneapolis, MN, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashwin","family":"Ganti","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Mayo Clinic College of Medicine and Science, Rochester, MN, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Scott","family":"Lunos","sequence":"additional","affiliation":[{"name":"Biostatistical Design and Analysis Center, Clinical and Translational Science Institute, University of Minnesota, Minneapolis, MN, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew A.","family":"Tyler","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery, University of Minnesota School of Medicine, Minneapolis, MN, USA"},{"name":"Center for Skull Base and Pituitary Surgery, University of Minnesota School of Medicine, Minneapolis, MN, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,2,12]]},"reference":[{"key":"bibr1-00034894241230365","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaci.2013.02.002"},{"key":"bibr2-00034894241230365","doi-asserted-by":"publisher","DOI":"10.1002\/lio2.30"},{"key":"bibr3-00034894241230365","doi-asserted-by":"publisher","DOI":"10.1177\/1945892419863223"},{"key":"bibr4-00034894241230365","doi-asserted-by":"publisher","DOI":"10.1177\/01945998211017486"},{"key":"bibr5-00034894241230365","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2018-022643"},{"key":"bibr6-00034894241230365","doi-asserted-by":"publisher","DOI":"10.1002\/alr.21691"},{"key":"bibr7-00034894241230365","doi-asserted-by":"publisher","DOI":"10.1007\/s11910-021-01127-w"},{"key":"bibr8-00034894241230365","doi-asserted-by":"publisher","DOI":"10.1186\/1129-2377-14-97"},{"key":"bibr9-00034894241230365","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215106003495"},{"key":"bibr10-00034894241230365","doi-asserted-by":"publisher","DOI":"10.3402\/meo.v17i0.17350"},{"key":"bibr11-00034894241230365","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2016.4151"},{"key":"bibr12-00034894241230365","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.c2096"},{"key":"bibr13-00034894241230365","doi-asserted-by":"publisher","DOI":"10.1136\/jech-2013-202744"},{"key":"bibr14-00034894241230365","doi-asserted-by":"publisher","DOI":"10.1002\/alr.21801"},{"key":"bibr15-00034894241230365","doi-asserted-by":"publisher","DOI":"10.1002\/lary.29588"},{"key":"bibr16-00034894241230365","doi-asserted-by":"publisher","DOI":"10.1002\/alr.22165"},{"key":"bibr17-00034894241230365","unstructured":"Biomedical Informatics and Data Access. 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