Burden of Nasal Polyps in the United States

被引:3
作者
Ference, Elisabeth H. [1 ]
Reddy, Sheila R. [2 ]
Tieu, Ryan [2 ]
Gokhale, Sohum [2 ]
Park, Siyeon [3 ]
LeCocq, Jason [4 ]
机构
[1] Univ Southern Calif, Keck Sch Med, Caruso Dept Otolaryngol, Los Angeles, CA 90007 USA
[2] Partnership Hlth Analyt Res LLC, Beverly Hills, CA USA
[3] Univ Maryland, Dept Pharmaceut Hlth Serv Res, Sch Pharm, Baltimore, MD 21201 USA
[4] Novartis Pharmaceut, E Hanover, NJ USA
关键词
chronic rhinosinusitis; nasal polyps; retrospective analysis; burden of illness; administrative claims; health care utilization;
D O I
10.1177/2473974X20950727
中图分类号
R76 [耳鼻咽喉科学];
学科分类号
100213 ;
摘要
Objective. To investigate the clinical and health care burden of chronic rhinosinusitis (CRS) with nasal polyps (CRSwNP) in the United States. Study Design. Retrospective, cross-sectional design with analyses of patient visits from 2 databases. Setting. National Ambulatory Medical Care Survey (NAMCS, 2012-2016) and State Ambulatory Surgery and Services Databases (SASD, 2012-2015) in available states. Methods. In each analysis, we identified patients (>= 18 years old) with a diagnosis of CRSwNP (ICD-9-CM: 471.x; ICD-10-CM: J33.x) in the visit record during the study period. CRS patients without polyps (CRSsNP: ICD-9-CM: 473.x, ICD-10-CM: J32.x; without CRSwNP codes) were identified for comparison. In the SASD, we focused on visits involving relevant sinus procedures. Outcomes included comorbidities, diagnostic testing, and prescribed medication (NAMCS) and surgery visit characteristics (SASD). Results. We identified 2272 NAMCS records from physician offices (183 CRSwNP, 2089 CRSsNP). Most visits were for patients aged <65 years (78.8%, 80.6%) and privately insured (67.7%, 61.5%); CRSwNP visits had a male majority (56.3%, 35.4%). CRSwNP vs CRSsNP visits more often reported asthma (40.2%, 10.3%), allergic rhinitis (14.0%, 8.7%), and congestion (22.0%, 21.1%), with the use of glucocorticoids (21.0%, 17.7%) and nasal allergy medication (26.2%, 10.2%). In the SASD, 427,306 surgery visits were identified (71,195 CRSwNP, 356,111 CRSsNP); demographics were similar to NAMCS. CRSwNP surgeries involved more sinus types (59.3%, 41.4%). Surgeries were mostly elective (>99%) and completed quickly (<2 hours), without perioperative complications (>99%), followed by routine discharge (>91%); follow-up visits were common (14.9%, 13.9%). Conclusion. CRSwNP compared to CRSsNP patients have a distinct clinical experience, with moderately higher medication need and more extensive surgery.
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页数:8
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