Rhinosinusitis in morbidity registrations in Dutch General Practice: a retro-spective case-control study

BMC Family Practice

Research Article

Ruth Hoffmans¹  Wytske Fokkens¹  Kees van Boven²  Hans Bor²  Karin van der Linde²  Tjard Schermer²  Chris van Weel³ 

[1] Department of Otorhinolaryngology, Academic Medical Center, Amsterdam, The Netherlands;Department of Primary and Community Care, Radboudumc, Nijmegen, The Netherlands;Department of Primary and Community Care, Radboudumc, Nijmegen, The Netherlands;Australian Primary Health Care Research Institute, Australian National University, Canberra, Australia;

关键词: Allergic Rhinitis;    Nasal Polyp;    Chronic Rhinosinusitis;    Maxillary Sinusitis;    Separate Code;   

DOI  :  10.1186/s12875-015-0332-8

 received in 2015-03-09, accepted in 2015-08-28,  发布年份 2015

来源: Springer

【 摘 要 】

BackgroundThere is only limited accurate data on the epidemiology of rhinosinusitis in primary care.This study was conducted to assess the incidence of acute and chronic rhinosinusitis by analysing data from two Dutch general practice registration projects. Several patient characteristics and diseases are related to the diagnosis rhinosinusitis.MethodsThe Continuous Morbidity Registration (CMR) and the Transitionproject (TP) are used to analyse the data on rhinosinusitis in primary practice. Both registries use codes to register diagnoses.ResultsIn the CMR 3244 patients are registered with rhinosinusitis and in the TP 5424 CMR: The absolute incidence of (acute) rhinosinusitis is 5191 (18.8 per 1000 patient years). Regarding an odds ratio of 5.58, having nasal polyps is strongest related to rhinosinusitis compared to the other evaluated comorbidities. A separate code for chronic rhinosinusitis exists, but is not in use.TP: Acute and chronic rhinosinusitis are coded as one diagnosis. The incidence of rhinosinusitis is 5574 or 28.7 per 1000 patient years. Patients who visit their general practitioner with “symptoms/complaints of sinus”, allergic rhinitis and “other diseases of the respiratory system” have the highest chances to be diagnosed with rhinosinusitis. Medication is prescribed in 90.6 % of the cases.ConclusionsRhinosinusitis is a common diagnosis in primary practice. In the used registries no difference could be made between acute and chronic rhinosinusitis, but they give insight in comorbidity and interventions taken by the GP in case of rhinosinusitis.

【 授权许可】

CC BY   
© Hoffmans et al. 2015