A review of sinonasal outcome scoring systems - which is best?

Clin Otolaryngol. 2006 Apr;31(2):103-9. doi: 10.1111/j.1749-4486.2006.01155.x.


* In patients undergoing endoscopic sinus surgery for chronic rhinosinusitis, there is a lack of a universally accepted system for the evaluation of outcome. * This makes critical comparison between results less meaningful. * To determine the most suitable sinonasal outcome scoring system for use in our own practice, we reviewed the available literature and known systems in existence. * We analysed 15 known disease-specific sinonasal outcome indices with emphasis on reliability, validity and responsiveness. * We concluded by choosing one quality of life outcome tool for our departmental use, the Sinonasal Outcome Test-22, due to its reliability, validity, responsiveness and ease of use. * It has been validated to distinguish between disease-affected patient groups and those without rhinosinusitis, demonstrate a worse score if the condition gets worse and show an appropriateness of items and scales in the questionnaire. This has been demonstrated in 3128 British patients.

Publication types

  • Review

MeSH terms

  • Chronic Disease
  • Evaluation Studies as Topic*
  • Humans
  • Psychometrics
  • Quality of Life*
  • Reproducibility of Results
  • Rhinitis / psychology
  • Rhinitis / surgery*
  • Sickness Impact Profile
  • Sinusitis / psychology
  • Sinusitis / surgery*
  • Surveys and Questionnaires
  • Treatment Outcome