Reliability Assessment of the Endoscopic Examination in Patients with Allergic Rhinitis
Objective To study if nasal endoscope can be a reliable tool in assessing patients with allergic rhinitis. Materials and Methods A prospective study. Patients who were diagnosed with allergic rhinitis underwent a nasal endoscopic examination performed by two physicians blinded to the scoring of each...
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Published in | Allergy & rhinology (Providence, R.I.) Vol. 7; no. 3; pp. 135 - 138 |
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Main Authors | , , , , , , |
Format | Journal Article |
Language | English |
Published |
Los Angeles, CA
SAGE Publications
01.01.2016
OceanSide Publications, Inc SAGE Publishing |
Online Access | Get full text |
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Summary: | Objective
To study if nasal endoscope can be a reliable tool in assessing patients with
allergic rhinitis.
Materials and Methods
A prospective study. Patients who were diagnosed with allergic rhinitis
underwent a nasal endoscopic examination performed by two physicians blinded
to the scoring of each other. A correlation was made among symptom severity,
endoscopic findings, and interrater variability.
Results
Ninety patients were included in the study: 34 patients had mild disease and
56 had moderate-to-severe allergic rhinitis according to the Allergic
Rhinitis and its Impact on Asthma guidelines. Increases in mucosal edema and
bluish discoloration were predictive of the severity of allergic rhinitis
disease (p < 0.05). The presence of nasal secretions was not predictive
of allergic rhinitis. Interrater reliability was fair for mucosal edema,
moderate-to-almost perfect for the rest of the endoscopic findings.
Conclusion
Nasal endoscopy may reveal signs that are predictive of the severity of
allergic rhinitis. A detailed checklist is needed for the nasal endoscopic
examination to decrease interrater variability. |
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Bibliography: | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 |
ISSN: | 2152-6575 2152-6567 2152-6567 |
DOI: | 10.2500/ar.2016.7.0176 |