Differences in men and women suffering from CRSwNP and AERD in quality of life

Eur Arch Otorhinolaryngol. 2021 May;278(5):1419-1427. doi: 10.1007/s00405-020-06418-5. Epub 2020 Oct 15.

Abstract

Purpose: While the overall impact of chronic rhinosinusitis (CRS) on patients' health is diverse, many affected individuals have a substantially impaired quality of life (QoL). The aim of this study was to evaluate the impact of sex-associated differences specifically in the subgroups of CRS with nasal polyps (CRSwNP) and aspirin-exacerbated respiratory disease (AERD) by assessing QoL parameters in women and men separately.

Methods: In a retrospective single-center study, 59 patients with CRSwNP (39 males and 20 females) and 46 patients with AERD (18 males and 28 females) were included. Patient-reported outcome measures (PROM) evaluating QoL via the Sino-Nasal Outcome Test-20 German Adapted Version (SNOT-20 GAV) as well as the total polyp score (TPS) were analysed.

Results: There was no significant difference in TPS (p = 0.5550) and total SNOT-20 GAV scores (p = 0.0726) between male or female patients with CRSwNP or AERD. Furthermore, no significant sex differences were found within disease groups regarding the subcategories of the SNOT-20 GAV items.

Conclusion: Thus, quality of life is severely impaired in patients suffering from various forms of CRS regardless of their sex.

Keywords: AERD; Aspirin-exacerbated respiratory disease; Chronic rhinosinusitis; Polyps; SNOT-20 GAV; Samter’s triad; Sex.

MeSH terms

  • Asthma, Aspirin-Induced*
  • Chronic Disease
  • Female
  • Humans
  • Male
  • Nasal Polyps* / complications
  • Nasal Polyps* / epidemiology
  • Quality of Life
  • Retrospective Studies
  • Rhinitis* / complications
  • Rhinitis* / epidemiology
  • Sinusitis* / complications
  • Sinusitis* / epidemiology