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Assessment of subjective scales for selection of patients for nasal septal surgery.
Clin Otolaryngol 2006; 31(4):297-302CO

Abstract

OBJECTIVE

To investigate the use of subjective measures to assist the surgeon in patient selection for septal surgery.

STUDY DESIGN

Prospective, observational. Approved by local ethics committee.

SETTING

ENT outpatient department, University Hospital of Wales.

PARTICIPANTS

Forty-six participants on the waiting list for septal surgery for nasal obstruction.

MAIN OUTCOME MEASURE

Measurement of nasal partitioning of airflow by rhinospirometer (GM Instruments, Scotland), subjective scales, and investigator's assessment of septal deviation.

RESULTS

The subjective scores, and investigator's assessment of septal deviation, were compared with the rhinospirometer objective measurements for correlation, sensitivity and specificity. The rhinospirometry results showed that 20% of the patients on the waiting list had objective measures of partitioning of nasal airflow within a normal range for healthy subjects. The ordinal scale proved to be more useful than the visual analogue scale for patient selection. The subjective scores of airflow partitioning from the double ordinal scale correlated well with the rhinospirometry measurements (r = 0.8). The ordinal scale also had a sensitivity of 81% and a specificity of 60%. The investigator's subjective assessment of septal deviation had a high sensitivity at around 100% but had a lower specificity (30%).

CONCLUSIONS

The use of a subjective ordinal scale to measure partitioning of airflow greatly increased the specificity of patient selection and it is proposed that this scale may be useful to the surgeon when assessing patients for septal surgery.

Authors+Show Affiliations

Common Cold Centre, Cardiff School of Biosciences, Cardiff University, Cardiff, UK.No affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

16911648

Citation

Boyce, J M., and R Eccles. "Assessment of Subjective Scales for Selection of Patients for Nasal Septal Surgery." Clinical Otolaryngology : Official Journal of ENT-UK ; Official Journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery, vol. 31, no. 4, 2006, pp. 297-302.
Boyce JM, Eccles R. Assessment of subjective scales for selection of patients for nasal septal surgery. Clin Otolaryngol. 2006;31(4):297-302.
Boyce, J. M., & Eccles, R. (2006). Assessment of subjective scales for selection of patients for nasal septal surgery. Clinical Otolaryngology : Official Journal of ENT-UK ; Official Journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery, 31(4), pp. 297-302.
Boyce JM, Eccles R. Assessment of Subjective Scales for Selection of Patients for Nasal Septal Surgery. Clin Otolaryngol. 2006;31(4):297-302. PubMed PMID: 16911648.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Assessment of subjective scales for selection of patients for nasal septal surgery. AU - Boyce,J M, AU - Eccles,R, PY - 2006/8/17/pubmed PY - 2006/12/13/medline PY - 2006/8/17/entrez SP - 297 EP - 302 JF - Clinical otolaryngology : official journal of ENT-UK ; official journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery JO - Clin Otolaryngol VL - 31 IS - 4 N2 - OBJECTIVE: To investigate the use of subjective measures to assist the surgeon in patient selection for septal surgery. STUDY DESIGN: Prospective, observational. Approved by local ethics committee. SETTING: ENT outpatient department, University Hospital of Wales. PARTICIPANTS: Forty-six participants on the waiting list for septal surgery for nasal obstruction. MAIN OUTCOME MEASURE: Measurement of nasal partitioning of airflow by rhinospirometer (GM Instruments, Scotland), subjective scales, and investigator's assessment of septal deviation. RESULTS: The subjective scores, and investigator's assessment of septal deviation, were compared with the rhinospirometer objective measurements for correlation, sensitivity and specificity. The rhinospirometry results showed that 20% of the patients on the waiting list had objective measures of partitioning of nasal airflow within a normal range for healthy subjects. The ordinal scale proved to be more useful than the visual analogue scale for patient selection. The subjective scores of airflow partitioning from the double ordinal scale correlated well with the rhinospirometry measurements (r = 0.8). The ordinal scale also had a sensitivity of 81% and a specificity of 60%. The investigator's subjective assessment of septal deviation had a high sensitivity at around 100% but had a lower specificity (30%). CONCLUSIONS: The use of a subjective ordinal scale to measure partitioning of airflow greatly increased the specificity of patient selection and it is proposed that this scale may be useful to the surgeon when assessing patients for septal surgery. SN - 1749-4478 UR - https://www.unboundmedicine.com/medline/citation/16911648/Assessment_of_subjective_scales_for_selection_of_patients_for_nasal_septal_surgery_ L2 - https://doi.org/10.1111/j.1749-4486.2006.01243.x DB - PRIME DP - Unbound Medicine ER -