Preoperative Pulmonary Function Testing to Predict Recurrence of Chronic Rhinosinusitis With Nasal Polyps

Nakamaru, Yuji; Suzuki, Masanobu; Honma, Aya; Nakazono, Akira; Kimura, Shogo; Fujiwara, Keishi; Morita, Shinya; Konno, Satoshi; Homma, Akihiro

Preoperative Pulmonary Function Testing to Predict Recurrence of Chronic Rhinosinusitis With Nasal Polyps

Nakamaru, Yuji; Suzuki, Masanobu; Honma, Aya et al.

Allergy & Rhinology, 2020, 11, 2152656720946994

Permalink : https://hdl.handle.net/2115/79480

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アクセス権	open access
URI	https://hdl.handle.net/2115/79480
タイトル	Preoperative Pulmonary Function Testing to Predict Recurrence of Chronic Rhinosinusitis With Nasal Polyps
著者	Nakamaru, Yuji ; Suzuki, Masanobu ; Honma, Aya ; Nakazono, Akira ; Kimura, Shogo ; Fujiwara, Keishi ; Morita, Shinya ; Konno, Satoshi ; Homma, Akihiro
e-Rad_Researcher 20344509 著者名 Nakamaru, Yuji
e-Rad_Researcher 70455658 著者名 Suzuki, Masanobu
著者名 Honma, Aya
e-Rad_Researcher 90581041 著者名 Nakazono, Akira
著者名 Kimura, Shogo
e-Rad_Researcher 70600146 著者名 Fujiwara, Keishi
著者名 Morita, Shinya
e-Rad_Researcher 20399835 著者名 Konno, Satoshi
e-Rad_Researcher 30312359 著者名 Homma, Akihiro
言語	英語
キーワード	asthma
	chronic rhinosinusitis
	post-operative
	eosinophilic rhinitis and nasal polyposis
	endoscopic sinus surgery
発行日	2020-07
出版者	SAGE Publications
収録物名	Allergy & Rhinology
巻(号)	11
ページ	2152656720946994
抄録	Background: Although the close relationship between the upper and lower airways has been highlighted previously, little is known about the association between lung function and the recurrence of chronic rhinosinusitis with nasal polyps (CRSwNP). This study aimed to evaluate the factors associated with pulmonary function that affect CRSwNP recurrence after surgery. Methods: We performed a series of routine pulmonary function tests for general anesthesia prior to CRSwNP surgery. The values for each parameter were compared in the presence or absence of recurrence. Results: Sixty-nine patients with CRSwNP were included. The percent predicted forced expiratory volume in one second (%FEV1) in the recurrent group was significantly lower than that in the non-recurrent group (P = .005). A multivariable logistic regression model revealed that %FEV1 was a positive predictor of recurrence (odds ratio: 0.96, 95% CI: 0.92-0.99, P = .023). There were no significant differences in the other pulmonary functions between the two groups. Conclusions: We found that %FEV1 may be a predictor of CRSwNP recurrence after surgery. As %FEV1 is a pulmonary function test that is routinely performed before surgery, this parameter is readily applicable. Moreover, as %FEV1 appears to have the potential to reveal concealed asthma, %FEV1 might be a particularly useful tool for the prediction of CRSwNP recurrence after surgery.
資源タイプ	学術雑誌論文
出版タイプ	Version of Record
権利情報	Creative Commons Attribution-NonCommercial 4.0 International
PISSN	2152-6567
関連情報 (isIdenticalTo)	出版社版DOI https://doi.org/10.1177/2152656720946994