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      Defining appropriateness criteria for endoscopic sinus surgery during management of uncomplicated adult chronic rhinosinusitis: a RAND/UCLA appropriateness study.

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          Abstract

          Appropriate indications for endoscopic sinus surgery (ESS) for chronic rhinosinusitis (CRS) are currently poorly defined. The lack of clear surgical indications for ESS likely contributes to the large geographic variation in surgical rates and contributes to reduced quality of care. The objective of this study was to define appropriateness criteria for ESS during management of adult patients with uncomplicated CRS.

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          Author and article information

          Journal
          Int Forum Allergy Rhinol
          International forum of allergy & rhinology
          2042-6984
          2042-6976
          Jun 2016
          : 6
          : 6
          Affiliations
          [1 ] Division of Otolaryngology-Head and Neck Surgery, Department of Surgery, University of Calgary, Calgary, Alberta, Canada.
          [2 ] Division of Rhinology and Sinus Surgery, Department of Otolaryngology-Head and Neck Surgery, Medical University of South Carolina, Charleston, SC.
          [3 ] Department of ENT, Guy's and St Thomas' NHS Trust, London, UK.
          [4 ] Ralph H. Johnson VA Medical Center, Charleston, SC.
          [5 ] Department of Internal Medicine, Northwestern University Allergy Division, Chicago, IL.
          [6 ] Division of Allergy and Immunology, Scripps Clinic, La Jolla, CA.
          [7 ] Division of Otolaryngology-Head and Neck Surgery, University of Utah, Salt Lake City, UT.
          [8 ] Department of Otorhinolaryngology, Academic Medical Center, Amsterdam, The Netherlands.
          [9 ] Department of Surgery, University of Auckland, Auckland, New Zealand.
          [10 ] Division of Rhinology and Sinus Surgery, Oregon Sinus Center, Department of Otolaryngology-Head and Neck Surgery, Oregon Health and Science University, Portland, OR.
          Article
          10.1002/alr.21769
          26970538
          4edaeb99-2dda-444a-ab79-96253f1f5ec9
          © 2016 ARS-AAOA, LLC.
          History

          RAND,appropriateness criteria,chronic rhinosinusitis,maximal medical therapy,patient selection,quality of health care,sinus surgery,sinusitis,surgery indications

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