The Triple Aim and its implications on the management of chronic rhinosinusitis.

Abstract:

INTRODUCTION:Accountable care organizations (ACO) and alternative payment models are a sign of the change in reimbursement from fee-for-service to value-based reimbursement. The focus of health care under ACOs is represented by the Triple Aim: to improve the experience of health care, improve the health of populations, and reduce the per capita costs. Individuals with chronic rhinosinusitis (CRS) are heavy consumers of health care services. Results of recent studies have indicated that there is the potential for improved outcomes and cost savings from early surgical intervention. Adhering to the principles of the Triple Aim may signal a paradigm shift in regard to timing of intervention for CRS in certain patients. METHODS:A scoping review was performed to analyze the current literature related to management of CRS and the impact on cost, population health outcomes, and the patient's experience of health care. RESULTS:A growing body of literature indicates that, in appropriately selected patients, when compared with medical management, endoscopic sinus surgery has the potential to improve patient outcomes and reduce the long-term cost burden of CRS. CONCLUSION:With the advent of ACOs, a paradigm shift in the treatment of CRS is inevitable to better conform to the goals of the Triple Aim. Future treatment algorithms will need to account for the heterogeneity within CRS and seek to identify appropriate timing and interventions for patients on an individual basis if the value of health care is to be improved.

journal_name

Am J Rhinol Allergy

authors

Barry JY,McCrary HC,Kent S,Saleh AA,Chang EH,Chiu AG

doi

10.2500/ajra.2016.30.4348

subject

Has Abstract

pub_date

2016-09-01 00:00:00

pages

344-50

issue

5

eissn

1945-8924

issn

1945-8932

journal_volume

30

pub_type

杂志文章,评审
  • Ivacaftor, a Cystic Fibrosis Transmembrane Conductance Regulator Potentiator, Enhances Ciprofloxacin Activity Against Pseudomonas aeruginosa.

    abstract:BACKGROUND:Methods to improve the clinical efficacy of currently available antibiotics against multidrug resistant bacteria in cystic fibrosis (CF) chronic rhinosinusitis (CRS) are greatly needed. Ivacaftor, a cystic fibrosis transmembrane conductance regulator potentiator, was recently identified as having potentially...

    journal_title:American journal of rhinology & allergy

    pub_type: 杂志文章

    doi:10.1177/1945892418815615

    authors: Cho DY,Lim DJ,Mackey C,Skinner D,Zhang S,McCormick J,Woodworth BA

    更新日期:2019-03-01 00:00:00

  • Long-term postoperative azithromycin in patients with chronic rhinosinusitis: A randomized clinical trial.

    abstract:BACKGROUND:Chronic rhinosinusitis (CRS) is recognized as a common disease that imposes a big burden on the health system worldwide. There is ongoing evidence of the anti-inflammatory effect of long-term macrolide in the management of patients with CRS. OBJECTIVE:The aim of this randomized clinical trial was to evaluat...

    journal_title:American journal of rhinology & allergy

    pub_type: 杂志文章,随机对照试验

    doi:10.2500/ajra.2015.29.4244

    authors: Amali A,Saedi B,Rahavi-Ezabadi S,Ghazavi H,Hassanpoor N

    更新日期:2015-11-01 00:00:00

  • Dupilumab as Add-on Therapy for Chronic Rhinosinusitis With Nasal Polyposis in Aspirin Exacerbated Respiratory Disease.

    abstract:BACKGROUND:Aspirin-exacerbated respiratory disease (AERD) affects 7% of asthmatics. Usual therapies are inadequate for asthma and/or nasal polyposis, leading to decreased quality of life. OBJECTIVE:Our objective was to evaluate the efficacy of dupilumab in AERD patients with uncontrolled, chronic rhinosinusitis with n...

    journal_title:American journal of rhinology & allergy

    pub_type: 杂志文章

    doi:10.1177/1945892420961969

    authors: Mustafa SS,Vadamalai K,Scott B,Ramsey A

    更新日期:2020-09-23 00:00:00

  • Outcomes and Complications of Balloon and Conventional Functional Endoscopic Sinus Surgery.

    abstract::Background Since the Food and Drug Administration approval of balloon sinuplasty (BSP) in 2005, no nationally representative population-based studies have examined the outcomes and adverse events of BSP. Objective To assess the rates of complications and revision surgery in patients who received BSP, functional endosc...

    journal_title:American journal of rhinology & allergy

    pub_type: 杂志文章

    doi:10.1177/1945892418782248

    authors: Chaaban MR,Rana N,Baillargeon J,Baillargeon G,Resto V,Kuo YF

    更新日期:2018-09-01 00:00:00

  • Characterization of bacterial and fungal biofilms in chronic rhinosinusitis.

    abstract:BACKGROUND:Conclusive evidence exists that biofilms are present on the mucosa of chronic rhinosinusitis (CRS) patients. Less is known about the species constituting these biofilms. This study developed a fluorescence in situ hybridization (FISH) protocol for characterization of bacterial and fungal biofilms in CRS. ME...

    journal_title:American journal of rhinology & allergy

    pub_type: 杂志文章

    doi:10.2500/ajra.2009.23.3413

    authors: Foreman A,Psaltis AJ,Tan LW,Wormald PJ

    更新日期:2009-11-01 00:00:00

  • Efficacy of lidocaine with or without epinephrine in rigid nasal endoscopy.

    abstract:BACKGROUND:This study evaluates if there is any benefit of adding epinephrine to lidocaine in patients undergoing diagnostic rigid nasal endoscopy. A prospective, randomized, double-blinded study was performed. METHODS:Seventy patients were randomized to receive either 2% lidocaine or 2% lidocaine with 0.2% epinephrin...

    journal_title:American journal of rhinology & allergy

    pub_type: 杂志文章,随机对照试验

    doi:10.2500/ajra.2014.28.4110

    authors: Al-Qudah M

    更新日期:2014-11-01 00:00:00

  • Does oxymetazoline increase the efficacy of nasal steroids in treating nasal polyposis?

    abstract:BACKGROUND:Although nasal steroids are the mainstay treatments in nasal polyposis, up to one-half of patients do not respond and need surgical treatment. This study aimed to evaluate whether oxymetazoline administration produces any additive effect on nasal steroid therapy and whether rebound congestion develops after ...

    journal_title:American journal of rhinology & allergy

    pub_type: 杂志文章,随机对照试验

    doi:10.2500/ajra.2016.30.4294

    authors: Kirtsreesakul V,Khanuengkitkong T,Ruttanaphol S

    更新日期:2016-05-01 00:00:00

  • Presentation, workup, and management of penetrating transorbital and transnasal injuries: A case report and systematic review.

    abstract:BACKGROUND:A foreign body (FB) penetrating intracranially after passing transorbitally or transnasally is a rare occurrence. However, otolaryngologists are increasingly being asked to participate in the care of these patients for both endoscopic removal of the object and repair of any skull base defects. OBJECTIVE:To ...

    journal_title:American journal of rhinology & allergy

    pub_type: 杂志文章,评审

    doi:10.2500/ajra.2017.31.4421

    authors: Ghadersohi S,Ference EH,Detwiller K,Kern RC

    更新日期:2017-03-01 00:00:00

  • The Role of Endoscopic Sinus Surgery in Children Undergoing External Drainage of Non-Medial Subperiosteal Orbital Abscess.

    abstract:BACKGROUND:The extent of surgery required in the management of pediatric non-medial subperiosteal orbital abscess (SPOA) due to medically refractory complicated acute sinusitis is unknown. OBJECTIVES:The primary objective is to compare operative outcomes of children treated with combined endoscopic sinus surgery (ESS)...

    journal_title:American journal of rhinology & allergy

    pub_type: 杂志文章

    doi:10.1177/1945892420953790

    authors: Chorney SR,Buzi A,Rizzi MD

    更新日期:2020-08-25 00:00:00

  • A time course study on the development of allergen-induced nasal airway remodeling in a rat model.

    abstract:BACKGROUND:Only a few studies have investigated the airway remodeling process in allergic rhinitis (AR), and the results reported are conflicting. We established an allergen-induced nasal remodeling model for AR using brown Norway rats and investigated time-dependent histological changes and the reversibility of the e...

    journal_title:American journal of rhinology & allergy

    pub_type: 杂志文章

    doi:10.2500/ajra.2012.26.3823

    authors: Chung YJ,Kim HY,Chung SK,Dhong HJ

    更新日期:2012-11-01 00:00:00

  • Association of pediatric allergic rhinitis with the ratings of attention-deficit/hyperactivity disorder.

    abstract:BACKGROUND:Allergic rhinitis (AR) is currently the most prevalent allergic disease in children and adolescents. OBJECTIVE:Surveys conducted by population-based studies of East Asia revealed an increased prevalence of behavioral disorders in patients with AR. Thus, in this study, we explored the prevalence of attention...

    journal_title:American journal of rhinology & allergy

    pub_type: 杂志文章

    doi:10.2500/ajra.2017.31.4439

    authors: Feng B,Jin H,Xiang H,Li B,Zheng X,Chen R,Shi Y,Chen S,Chen B

    更新日期:2017-05-01 00:00:00

  • Development and testing for an operative competency assessment tool for nasal septoplasty surgery.

    abstract:BACKGROUND:Assessing surgical competency in otolaryngology is challenging, and residency programs are now responsible for ensuring the surgical competency of their graduates. Therefore, more objective assessment tools are being incorporated into the evaluation process. Objective structured assessment of technical skill...

    journal_title:American journal of rhinology & allergy

    pub_type: 杂志文章

    doi:10.2500/ajra.2014.28.4051

    authors: Obeid AA,Al-Qahtani KH,Ashraf M,Alghamdi FR,Marglani O,Alherabi A

    更新日期:2014-07-01 00:00:00

  • Outcomes after endoscopic sinus surgery for unilateral versus bilateral chronic rhinosinusitis with nasal polyposis.

    abstract:BACKGROUND:Endoscopic sinus surgery (ESS) is a safe and reliable procedure for the treatment of chronic rhinosinusitis (CRS) and nasal polyposis (NP). Although most cases of CRS with NP occur bilaterally, we occasionally encounter patients with unilateral sinus disease with NP. Because no study has been conducted on th...

    journal_title:American journal of rhinology & allergy

    pub_type: 杂志文章

    doi:10.2500/ajra.2010.24.3482

    authors: Lee JY,Byun JY,Shim SS,Lee SW

    更新日期:2010-05-01 00:00:00

  • The feasibility of 18F-fluorodeoxyglucose-positron emission tomography uptake as a prognostic factor for paranasal sinus malignancy.

    abstract:BACKGROUND:There is a correlation between (18)F-fluorodeoxyglucose (FDG) uptake and the level of intracellular metabolic tumor activity, which in turn may be associated with active proliferation, invasion, and prognosis as well as distant metastases in head and neck cancer. This study was designed to assess whether tum...

    journal_title:American journal of rhinology & allergy

    pub_type: 杂志文章

    doi:10.2500/ajra.2013.27.3848

    authors: Seol JH,Kim J,Lee JD,Lee JG,Yoon JH,Kim CH

    更新日期:2013-03-01 00:00:00

  • Nasal septal deviation with obstructive symptoms: Association found with asthma but not with other general health problems.

    abstract:BACKGROUND:Nasal septal deviation (NSD) is a very common deformity. Because it may induce chronic upper airway obstruction in the nose, clinicians encounter some patients who have concerns about whether this can be a risk factor for general health. However, the influence of NSD on general health has rarely been studied...

    journal_title:American journal of rhinology & allergy

    pub_type: 杂志文章

    doi:10.2500/ajra.2016.30.4277

    authors: Ahn JC,Lee WH,We J,Rhee CS,Lee C,Kim JW

    更新日期:2016-03-01 00:00:00

  • Efficacy of preoperative itraconazole in allergic fungal rhinosinusitis.

    abstract:INTRODUCTION:Criterion standard treatment of allergic fungal sinusitis (AFS) is primary surgery followed by adjuvant therapy. Even after good surgery, recurrence rates vary from 10 to 79%. Antifungals, e.g., itraconazole, and steroids have shown varying success rates in delaying recurrences given after surgery. Itracon...

    journal_title:American journal of rhinology & allergy

    pub_type: 杂志文章,随机对照试验

    doi:10.2500/ajra.2015.29.4187

    authors: Patro SK,Verma RK,Panda NK,Chakrabarti A,Singh P

    更新日期:2015-07-01 00:00:00

  • Intranasal landmarks for adequate L-strut preservation during endoscopic septoplasty.

    abstract:BACKGROUND:A 10- to 15-mm L-strut in the dorsal and caudal areas of the nasal septum is preserved during septoplasty to maintain structural stability and prevent external deformity. However, during endoscopically performed septoplasty the surgeon has a very different perspective, which may create a more challenging sit...

    journal_title:American journal of rhinology & allergy

    pub_type: 杂志文章

    doi:10.2500/ajra.2014.28.4042

    authors: Seth R,Haffey T,McBride JM,Sindwani R

    更新日期:2014-05-01 00:00:00

  • Comparison between endoscopic and external dacryocystorhinostomy by using the Lacrimal Symptom Questionnaire: A pilot study.

    abstract:BACKGROUND:Epiphora has a significant impact on the patient's quality of life and is commonly caused by nasolacrimal duct obstruction. Dacryocystorhinostomy (DCR) has traditionally been performed via an external approach, which involves a skin incision. With the advent of endoscopes, the endonasal approach to DCR has g...

    journal_title:American journal of rhinology & allergy

    pub_type: 杂志文章

    doi:10.2500/ajra.2018.32.4494

    authors: Wong WK,Dean S,Nair S

    更新日期:2018-01-01 00:00:00

  • Evaluation of the presence of B-cell attractant chemokines in chronic rhinosinusitis.

    abstract:BACKGROUND:B-cell responses may play a role in the pathogenesis of nasal polyposis via local IgA and IgE production and activation of eosinophils and mast cells. B-cell attracting chemokines may therefore have relevance in the pathogenesis of chronic rhinosinusitis with nasal polyps (CRSwNPs) Methods: Polyp and inferio...

    journal_title:American journal of rhinology & allergy

    pub_type: 杂志文章

    doi:10.2500/ajra.2010.24.3386

    authors: Patadia M,Dixon J,Conley D,Chandra R,Peters A,Suh LA,Kato A,Carter R,Harris K,Grammer L,Kern R,Schleimer R

    更新日期:2010-01-01 00:00:00

  • Platelet-activating factor nasal challenge induces nasal congestion and reduces nasal volume in both healthy volunteers and allergic rhinitis patients.

    abstract:BACKGROUND:Platelet-activating factor (PAF) is a lipid mediator produced by most inflammatory cells. Clinical and experimental findings suggest that PAF participates in allergic rhinitis (AR) pathogenesis. The aim was to assess the PAF ability to induce clinical response in nasal airway after local stimulation. METHOD...

    journal_title:American journal of rhinology & allergy

    pub_type: 杂志文章

    doi:10.2500/ajra.2013.27.3856

    authors: Muñoz-Cano R,Valero A,Roca-Ferrer J,Bartra J,Sanchez-Lopez J,Mullol J,Picado C

    更新日期:2013-03-01 00:00:00

  • The congestion quantifier five-item test for nasal congestion: refinement of the congestion quantifier seven-item test.

    abstract:BACKGROUND:Patients report that nasal congestion is the most bothersome symptom of allergic rhinitis (AR). Recently, a short, patient-reported congestion screener questionnaire, the Congestion Quantifier Seven-Item Test (CQ7), was developed to identify a level of congestion that may warrant patients seeking evaluation ...

    journal_title:American journal of rhinology & allergy

    pub_type: 杂志文章

    doi:10.2500/ajra.2010.24.3394

    authors: Stull DE,Meltzer EO,Krouse JH,Roberts L,Kim S,Frank L,Naclerio R,Lund V,Long A

    更新日期:2010-01-01 00:00:00

  • A novel use of a landmark to avoid injury of the anterior ethmoidal artery during endoscopic sinus surgery.

    abstract:BACKGROUND:The aim of this study was to describe and correlate radiographically the anterior ethmoidal artery (AEA) to useful endoscopic surgical landmarks, such as the nasal beak (NB), nasal crest (NC), and axilla of the middle turbinate, because these are commonly encountered during endoscopic sinus surgery and skull...

    journal_title:American journal of rhinology & allergy

    pub_type: 杂志文章

    doi:10.2500/ajra.2011.25.3541

    authors: Pernas FG,Coughlin AM,Hughes SE,Riascos R,Maeso PA

    更新日期:2011-01-01 00:00:00

  • The effect of dilute baby shampoo on nasal mucociliary clearance in healthy subjects.

    abstract:BACKGROUND:Biofilm formation has been implicated as an etiologic factor in the development of chronic rhinosinusitis (CRS). Nasal irrigation with surfactants including dilute baby shampoo have been proposed as an antibiofilm treatment for CRS patients. The effect of dilute baby shampoo on normal sinonasal mucosal funct...

    journal_title:American journal of rhinology & allergy

    pub_type: 杂志文章

    doi:10.2500/ajra.2011.25.3583

    authors: Isaacs S,Fakhri S,Luong A,Whited C,Citardi MJ

    更新日期:2011-01-01 00:00:00

  • Reliability of basophil activation test using CD203c expression in diagnosis of pollen allergy.

    abstract:BACKGROUND:CD203c is a basophil surface marker and its expression is rapidly up-regulated after cross-linking of high-affinity immunoglobulin E (IgE) receptor (FcepsilonR1) by an allergen. CD203c basophil activation tests have been studied for the in vitro diagnosis of several allergic conditions. However, there is li...

    journal_title:American journal of rhinology & allergy

    pub_type: 杂志文章

    doi:10.2500/ajra.2011.25.3723

    authors: Özdemir SK,Güloğlu D,Sin BA,Elhan AH,Ikincioğulları A,Mısırlıgil Z

    更新日期:2011-11-01 00:00:00

  • A comparison of the psychometric properties of the Mini-Rhinitis Quality of Life Questionnaire and the Rhinitis Control Assessment Test.

    abstract:BACKGROUND:The relationships between validated quality of life tools and control tools have not been explored for rhinitis. This study was designed to determine relationships of the Mini-Rhinitis Quality of Life Questionnaire (MiniRQLQ) and the Rhinitis Control Assessment Test (RCAT) to each other regarding content an...

    journal_title:American journal of rhinology & allergy

    pub_type: 杂志文章

    doi:10.2500/ajra.2012.26.3744

    authors: Schatz M,Zeiger RS,Chen W,Yang SJ,Stanford RH,Garris CP

    更新日期:2012-03-01 00:00:00

  • A retrospective comparison of acute rhinosinusitis outcomes in patients prescribed antibiotics, mometasone furoate nasal spray, or both.

    abstract:BACKGROUND:Antibiotics are frequently used to treat acute rhinosinusitis (ARS; acute sinusitis), although many episodes are viral. Because of community resistance concerns, current evidence provides limited support for the use of antibiotics in ARS. We conducted a retrospective comparative effectiveness outcomes asses...

    journal_title:American journal of rhinology & allergy

    pub_type: 杂志文章

    doi:10.2500/ajra.2012.26.3781

    authors: de Moor C,Reardon G,McLaughlin J,Maiese EM,Navaratnam P

    更新日期:2012-07-01 00:00:00

  • Diagnostic and staging accuracy of magnetic resonance imaging for the assessment of sinonasal disease.

    abstract:BACKGROUND:Concerns over radiation exposure with paranasal sinus computed tomography (CT) have recently evolved. Magnetic resonance imaging (MRI) may be more advantageous in this regard, but the diagnostic assessment of MRI in chronic rhinosinusitis (CRS) has not been reported. The purpose of this study was to determin...

    journal_title:American journal of rhinology & allergy

    pub_type: 杂志文章,随机对照试验

    doi:10.2500/ajra.2009.23.3260

    authors: Lin HW,Bhattacharyya N

    更新日期:2009-01-01 00:00:00

  • Immunohistochemical dissimilarity between allergic fungal and nonfungal chronic rhinosinusitis.

    abstract:BACKGROUNDS:Diagnosis of allergic fungal rhinosinusitis (AFRS) is complicated because of the presence of fungi on mucosal surfaces of sinonasal passages. The objectives of this study were to define, using immunohistochemistry, lymphocyte populations associated with noninvasive fungal-related chronic rhinosinusitis (CRS...

    journal_title:American journal of rhinology & allergy

    pub_type: 杂志文章

    doi:10.2500/ajra.2013.27.3882

    authors: Ragab A,Samaka RM

    更新日期:2013-05-01 00:00:00

  • Chapter 4: Chronic rhinosinusitis.

    abstract::Chronic rhinosinusitis (CRS) is the second most common chronic medical condition in the United States. It represents a group of disorders characterized by inflammation of the nasal mucosa and paranasal sinuses of at least 12 weeks duration. CRS with or without nasal polyps is defined as inflammation of the nose charac...

    journal_title:American journal of rhinology & allergy

    pub_type: 杂志文章

    doi:10.2500/ajra.2013.27.3925

    authors: Settipane RA,Peters AT,Chandra R

    更新日期:2013-05-01 00:00:00

  • Efficacy and safety of bupivacaine versus lidocaine in local anesthesia of the nasopharynx: A meta-analysis.

    abstract:PURPOSE:To assess the efficacy and safety of bupivacaine compared with lidocaine in local anesthesia of nasopharynx through meta-analysis. METHODS:A number of medical literature data bases were searched electronically. Relevant journals and references of included studies were manually searched. Two reviewers independe...

    journal_title:American journal of rhinology & allergy

    pub_type: 杂志文章,meta分析

    doi:10.2500/ajra.2016.30.4357

    authors: Yu X,Wang J,Huang L,Yu X,He Z

    更新日期:2016-09-30 00:00:00