{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,18]],"date-time":"2026-03-18T10:27:01Z","timestamp":1773829621826,"version":"3.50.1"},"reference-count":20,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2013,12,16]],"date-time":"2013-12-16T00:00:00Z","timestamp":1387152000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2014,3]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>To develop a chronic rhinosinusitis (CRS) disease control staging system that predicts patient and physician opinion. This involved exploring the predictive capacity of the proposed European Position Paper on Rhinosinusitis (EPOS) 2012 staging system and other potential scoring systems based on patient symptoms and objective criteria.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Prospective study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Tertiary hospitals.<\/jats:p><\/jats:sec><jats:sec><jats:title>Subjects and Methods<\/jats:title><jats:p>Adults CRS patients undergoing sinus surgery were prospectively enrolled from a tertiary clinic. The Sino\u2010Nasal Outcome Test 22, endoscopy score, and systemic medication were recorded at 6 and 12\u00a0months. A physician and patient report of their condition as either \u201ccontrolled,\u201d\u201cpartly controlled,\u201d or \u201cuncontrolled\u201d was also recorded. Ordinal regression was used for modeling a staging system. The EPOS criteria and various combinations were assessed. Kappa agreements between the staging systems and patient\/physician reports were analyzed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>One hundred six patients were assessed. Nasal obstruction (<jats:italic>P<\/jats:italic> =. 02), endoscopic mucosal inflammation (<jats:italic>P<\/jats:italic> &lt;. 001), and thick and\/or purulent discharge (<jats:italic>P<\/jats:italic> =. 01) associated with progress reports. A modified staging system of Nasal Obstruction, Systemic medication used, and Endoscopic inflammation (NOSE) was selected on predictive strengths. The EPOS and NOSE had significant agreement with physician's (<jats:italic>k<\/jats:italic> = 0.29, <jats:italic>P<\/jats:italic> &lt;. 01, and <jats:italic>k<\/jats:italic> = 0.45, <jats:italic>P<\/jats:italic> &lt;. 01) and patient's report (<jats:italic>k<\/jats:italic> = 0.18, <jats:italic>P<\/jats:italic> =. 01, and <jats:italic>k<\/jats:italic> = 0.32, <jats:italic>P<\/jats:italic> &lt;. 01).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The disease control assessment by EPOS has slight agreement with patients and a physician. A simpler NOSE system using nasal obstruction, mucosa, and discharge is proposed.<\/jats:p><\/jats:sec>","DOI":"10.1177\/0194599813517080","type":"journal-article","created":{"date-parts":[[2013,12,16]],"date-time":"2013-12-16T22:18:29Z","timestamp":1387232309000},"page":"479-486","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":31,"title":["Validity of European Position Paper on Rhinosinusitis Disease Control Assessment and Modifications in Chronic Rhinosinusitis"],"prefix":"10.1002","volume":"150","author":[{"given":"Kornkiat","family":"Snidvongs","sequence":"first","affiliation":[{"name":"Australian School of Advanced Medicine Macquarie University North Ryde Australia"},{"name":"Faculty of Medicine Chulalongkorn University Bangkok Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gillian Z.","family":"Heller","sequence":"additional","affiliation":[{"name":"Statistics Department Macquarie University North Ryde Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Raymond","family":"Sacks","sequence":"additional","affiliation":[{"name":"Australian School of Advanced Medicine Macquarie University North Ryde Australia"},{"name":"Department of Otolaryngology Concord General Hospital Sydney Australia"},{"name":"Sydney Medical School University of Sydney Sydney Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Richard J.","family":"Harvey","sequence":"additional","affiliation":[{"name":"Australian School of Advanced Medicine Macquarie University North Ryde Australia"},{"name":"Department of Otolaryngology\u2013Head and Neck, Skull Base Surgery St Vincent's Hospital Sydney Australia"},{"name":"St Vincent's Centre for Applied Medical Research University of New South Wales Kensington 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