Abstract
Objective
Patient reported outcome measures (PROMs) for assessment of chronic rhinosinusitis (CRS) employ a variety of recall periods and response scales for reporting CRS symptom burden. CRS patient perspective is unknown with respect to recall periods and response scales in PROMs.
Design
Cross‐sectional study.
Setting
Tertiary rhinology clinic.
Participants
63 adults with CRS.
Main outcome measures
Participants were asked to choose which CRS symptom recall period – one day, two weeks, one month, or greater than one month – was most reflective of their current disease state and best to base treatment recommendations (including surgery) upon. Participants were also asked to report on which of six response scales (one visual analogue scale [VAS] and five Likert scales ranging from four to eight items) was easiest to use and understand, and most preferred.
Results
A majority of participants felt the current state of their CRS symptoms was best reflected by a recall period of two weeks to one month; however, patients preferred that recommendations about treatments, including endoscopic sinus surgery, be determined by symptoms experienced over at least a one‐month period. Participants generally found the VAS and seven‐item Likert scale to be the easiest to use and understand, and their most preferred scales. No patient characteristics associated with preferences for recall periods or response scales.
Conclusion
Future PROMs for CRS symptoms should consider assessment of symptoms over a one‐month time frame and use either a VAS or seven‐item Likert response scale to optimally balance reflection of current disease state, need for intervention and patient preference.
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