{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T12:19:40Z","timestamp":1791893980597,"version":"4.3.4"},"reference-count":20,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2017,7,25]],"date-time":"2017-07-25T00:00:00Z","timestamp":1500940800000},"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":[[2017,12]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>Pediatric chronic rhinosinusitis has a substantial impact, but its epidemiology has yet to be elucidated. Our objectives were (1) to determine the associated national visit burden and (2) to assess its frequency relative to other frequent childhood otolaryngological illnesses.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Analysis of national survey databases.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Ambulatory care settings in the United States, 2005 to 2012.<\/jats:p><\/jats:sec><jats:sec><jats:title>Subjects and Methods<\/jats:title><jats:p>Cases with a diagnosis of chronic rhinosinusitis were assessed in total and as a proportion of all visits reported in National Ambulatory Medical Care Surveys. To place these data into context, results for acute rhinosinusitis, allergic rhinitis, upper respiratory tract infection, and otitis media were also extracted and compared. Data specific to individual age group and calendar year were assessed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Chronic rhinosinusitis accounted for 5.6\u00a0million visits per annum (range, 3.7\u20107.5\u00a0million) among patients 0 to 20 years of age. Children in the &gt;5\u2010 to 10\u2010year\u2010old and &gt;10\u2010 to 15\u2010year\u2010old age groups were more likely to be affected (<jats:italic>P<\/jats:italic> &lt;. 001). Among all visits, chronic rhinosinusitis was diagnosed in 2.1% (95% confidence interval [CI], 1.9%\u20102.4%), acute rhinosinusitis in 0.6% (95% CI, 0.5%\u20100.7%), allergic rhinitis in 2.6% (95% CI, 2.3%\u20102.8%), upper respiratory tract infection in 8.0% (95% CI, 7.5%\u20108.4%), and otitis media in 6.7% (95% CI, 6.5%\u20107.1%). Chronic rhinosinusitis visits were significantly more prevalent than for acute rhinosinusitis (relative risk, 3.40; 95% CI, 2.70\u20104.10; <jats:italic>P<\/jats:italic> &lt;. 0001). Among those &gt;15 to 20 years of age, chronic rhinosinusitis was 2.18\u2010fold (95% CI, 1.65\u20102.70) more frequently diagnosed than otitis media.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The visit burden from pediatric chronic rhinosinusitis exceeds that of acute rhinosinusitis and equals the burden from allergic rhinitis.<\/jats:p><\/jats:sec>","DOI":"10.1177\/0194599817721177","type":"journal-article","created":{"date-parts":[[2017,7,25]],"date-time":"2017-07-25T08:01:09Z","timestamp":1500969669000},"page":"1048-1052","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":81,"title":["The Burden and Visit Prevalence of Pediatric Chronic Rhinosinusitis"],"prefix":"10.1002","volume":"157","author":[{"given":"Sapideh","family":"Gilani","sequence":"first","affiliation":[{"name":"Division of Otolaryngology Department of Surgery University of California San Diego California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer J.","family":"Shin","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Harvard Medical School Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,7,25]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1067\/mhn.2003.41"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599814549302"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.4193\/Rhino50E2"},{"issue":"2","key":"e_1_2_9_5_1","first-page":"S99","article-title":"Canadian clinical practice guidelines for acute and chronic rhinosinusitis","volume":"40","author":"Desrosiers M","year":"2011","journal-title":"J Otolaryngol Head Neck Surg"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/alr.21695_c"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1001\/archpedi.152.3.244"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-200307000-00016"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/coa.12475"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1177\/000348941112000701"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.25180"},{"key":"e_1_2_9_12_1","unstructured":"Centers for Disease Control and Prevention.NAMCS. National Ambulatory Medical Care Survey.2015.http:\/\/www.cdc.gov\/nchs\/about\/major\/ahcd\/namcsdes.htm. Accessed March 25 2015."},{"key":"e_1_2_9_13_1","unstructured":"Centers for Disease Control and Prevention.NHAMCS. National Hospital Ambulatory Medical Care Survey.2015.http:\/\/www.cdc.gov\/nchs\/ahcd\/about_ahcd.htm. Accessed March 25 2015."},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2010-1340"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11882-006-0038-z"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaip.2013.07.012"},{"key":"e_1_2_9_17_1","first-page":"359","article-title":"Quality of life and psycho\u2010social development in children with otitis media with effusion","volume":"25","author":"Bellussi L","year":"2005","journal-title":"Acta Otorhinolaryngol Ital"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2004.02.002"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.113.5.1412"},{"issue":"9","key":"e_1_2_9_20_1","article-title":"Antihistamines and\/or decongestants for otitis media with effusion (OME) in children","author":"Griffin G","year":"2011","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599814542588"}],"container-title":["Otolaryngology\u2013Head and Neck Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1177\/0194599817721177","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1177\/0194599817721177","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1177\/0194599817721177","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T09:56:47Z","timestamp":1760954207000},"score":1,"resource":{"primary":{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/10.1177\/0194599817721177"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,7,25]]},"references-count":20,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2017,12]]}},"alternative-id":["10.1177\/0194599817721177"],"URL":"https:\/\/doi.org\/10.1177\/0194599817721177","archive":["Portico"],"relation":{},"ISSN":["0194-5998","1097-6817"],"issn-type":[{"value":"0194-5998","type":"print"},{"value":"1097-6817","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,7,25]]},"assertion":[{"value":"2017-05-02","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2017-06-27","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2017-07-25","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}