{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T02:15:57Z","timestamp":1787019357280,"version":"build-2736575974"},"reference-count":33,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Otolaryngology - Head &amp; Neck Surgery"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:sec>\n                    <jats:title>Importance<\/jats:title>\n                    <jats:p>Chronic rhinosinusitis (CRS) is a common inflammatory disease of the paranasal sinuses with significant quality of life impairments. There is a need to implement outcome-based metrics to evaluate the outcomes of CRS treatment with endoscopic sinus surgery or biologics.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>We aimed to understand Canadian otolaryngologists\u2019 opinions on patient-related outcome measures (PROM) for CRS and identify potential barriers to implementation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Qualitative research.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting and Participants<\/jats:title>\n                    <jats:p>A cross-sectional survey was distributed via the Canadian Society of Otolaryngology-Head and Neck Surgery and direct emailing.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Measures<\/jats:title>\n                    <jats:p>Participants\u2019 demographics, practice information, and opinions on PROM were collected.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of 346 (23%) Canadian otolaryngologists, 78 responded to the survey (26 rhinology fellowship\u2013trained, 51 non-fellowship-trained, and 1 missing data). Thirty-eight responded that they collect PROM (69% with fellowship-trained, 39% non-fellowship-trained, P\u2009=\u2009.029). Regarding opinions on PROM, 74% of respondents agreed that it helps patients report their symptoms, 42% agreed that it improves the efficiency of the patient encounter, 54% agreed that it is easy for patients to understand, 62% agreed that it improves management and monitoring of clinical outcomes, and 71% disagreed that PROM is not helpful. Fellowship-trained otolaryngologists were 4 times more likely to agree that PROM improves management and monitoring of clinical outcomes ( P\u2009=\u2009.014), and no other differences in opinions were significant. The most-frequently-identified barriers to PROM usage were lack of time for 67% of respondents, difficulty integrating into clinical workflow for 64%, and lack of integration into the electronic medical record for 47%. If these barriers were addressed, 86% of respondents said they would use PROM in their practice.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions and Relevance<\/jats:title>\n                    <jats:p>Despite the low uptake of PROM among otolaryngologists without rhinology fellowship, opinions were generally favorable. We identified barriers that, if addressed, may increase their use in clinical practice. As resource-limited therapies such as biologics become more prevalent in CRS management, PROM may find more applications in shared clinical decision making.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/19160216241288806","type":"journal-article","created":{"date-parts":[[2024,10,17]],"date-time":"2024-10-17T14:09:48Z","timestamp":1729174188000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["Assessing the Use of Patient-Reported Outcome Measures in the Routine Clinical Care of Chronic Rhinosinusitis Patients: A Canadian Perspective"],"prefix":"10.1177","volume":"53","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8424-148X","authenticated-orcid":false,"given":"Hugh Andrew Jinwook","family":"Kim","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery, University of Toronto, Toronto, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel J.","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery, University of Toronto, Toronto, ON, Canada"},{"name":"Division of Rhinology, Department of Otolaryngology\u2014Head and Neck Surgery, University of Toronto, Toronto, ON, Canada"},{"name":"Department of Otolaryngology\u2014Head & Neck Surgery, St. Michael\u2019s Hospital, Toronto, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dongho","family":"Shin","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery, University of Toronto, Toronto, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Garret","family":"Horton","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery, University of Toronto, Toronto, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Monique","family":"Gignac","sequence":"additional","affiliation":[{"name":"Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John M.","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery, University of Toronto, Toronto, ON, Canada"},{"name":"Division of Rhinology, Department of Otolaryngology\u2014Head and Neck Surgery, University of Toronto, Toronto, ON, Canada"},{"name":"Department of Otolaryngology\u2014Head & Neck Surgery, St. Michael\u2019s Hospital, Toronto, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yvonne","family":"Chan","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery, University of Toronto, Toronto, ON, Canada"},{"name":"Division of Rhinology, Department of Otolaryngology\u2014Head and Neck Surgery, University of Toronto, Toronto, ON, Canada"},{"name":"Department of Otolaryngology\u2014Head & Neck Surgery, St. Michael\u2019s Hospital, Toronto, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,10,16]]},"reference":[{"key":"bibr1-19160216241288806","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-200307000-00016"},{"key":"bibr2-19160216241288806","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoto.2016.2227"},{"key":"bibr3-19160216241288806","doi-asserted-by":"publisher","DOI":"10.2500\/ajr.2008.22.3172"},{"key":"bibr4-19160216241288806","doi-asserted-by":"publisher","DOI":"10.1002\/alr.21217"},{"key":"bibr5-19160216241288806","doi-asserted-by":"publisher","DOI":"10.1002\/lary.21847"},{"key":"bibr6-19160216241288806","doi-asserted-by":"publisher","DOI":"10.1007\/s11882-010-0175-2"},{"key":"bibr7-19160216241288806","doi-asserted-by":"publisher","DOI":"10.1177\/01945998221082538"},{"key":"bibr8-19160216241288806","doi-asserted-by":"publisher","DOI":"10.1002\/lary.24630"},{"key":"bibr9-19160216241288806","doi-asserted-by":"publisher","DOI":"10.1002\/lary.25180"},{"key":"bibr10-19160216241288806","doi-asserted-by":"publisher","DOI":"10.2500\/ajra.2017.31.4452"},{"key":"bibr11-19160216241288806","doi-asserted-by":"publisher","DOI":"10.1002\/lary.27008"},{"key":"bibr12-19160216241288806","doi-asserted-by":"publisher","DOI":"10.1177\/0194599815602679"},{"key":"bibr13-19160216241288806","doi-asserted-by":"publisher","DOI":"10.1002\/lary.20777"},{"key":"bibr14-19160216241288806","doi-asserted-by":"publisher","DOI":"10.1002\/lary.25314"},{"key":"bibr15-19160216241288806","doi-asserted-by":"publisher","DOI":"10.1002\/alr.22154"},{"key":"bibr16-19160216241288806","doi-asserted-by":"publisher","DOI":"10.4193\/Rhin16.023"},{"key":"bibr17-19160216241288806","doi-asserted-by":"publisher","DOI":"10.1002\/alr.22741"},{"key":"bibr18-19160216241288806","doi-asserted-by":"publisher","DOI":"10.4193\/Rhin20.401"},{"key":"bibr19-19160216241288806","doi-asserted-by":"publisher","DOI":"10.1186\/s40463-021-00493-2"},{"key":"bibr20-19160216241288806","doi-asserted-by":"publisher","DOI":"10.14639\/0392-100X-N0364"},{"key":"bibr21-19160216241288806","doi-asserted-by":"publisher","DOI":"10.1177\/1945892419884789"},{"key":"bibr22-19160216241288806","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaci.2021.07.045"},{"key":"bibr23-19160216241288806","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaci.2019.12.108"},{"key":"bibr24-19160216241288806","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaci.2020.05.032"},{"key":"bibr25-19160216241288806","doi-asserted-by":"publisher","DOI":"10.4193\/Rhin22.412"},{"key":"bibr26-19160216241288806","doi-asserted-by":"publisher","DOI":"10.1186\/s13223-023-00823-1"},{"key":"bibr27-19160216241288806","doi-asserted-by":"publisher","DOI":"10.14639\/0392-100X-N1614"},{"key":"bibr28-19160216241288806","doi-asserted-by":"publisher","DOI":"10.2500\/105065801781329428"},{"key":"bibr29-19160216241288806","doi-asserted-by":"publisher","DOI":"10.1002\/alr.21057"},{"key":"bibr30-19160216241288806","doi-asserted-by":"publisher","DOI":"10.1002\/alr.22782"},{"issue":"7","key":"bibr31-19160216241288806","volume":"8","author":"Ghadersohi S","year":"2020","journal-title":"J Allergy Clin Immunol Pract"},{"key":"bibr32-19160216241288806","doi-asserted-by":"publisher","DOI":"10.1002\/alr.23002"},{"key":"bibr33-19160216241288806","doi-asserted-by":"publisher","DOI":"10.1002\/lio2.78"}],"container-title":["Journal of Otolaryngology - Head &amp; Neck Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/19160216241288806","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/19160216241288806","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/19160216241288806","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T22:53:12Z","timestamp":1777589592000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/19160216241288806"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,1]]},"references-count":33,"alternative-id":["10.1177\/19160216241288806"],"URL":"https:\/\/doi.org\/10.1177\/19160216241288806","relation":{},"ISSN":["1916-0216","1916-0216"],"issn-type":[{"value":"1916-0216","type":"print"},{"value":"1916-0216","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,1]]},"article-number":"19160216241288806"}}