The development of a General Nasal Patient Inventory.
Most available clinical outcome measures for rhinology patients relate to specific nasal disease or general quality of life. Fairley's validated 12-item questionnaire measures general nasal symptoms, but is a 'physician-derived' clinical tool and may not reflect all the problems that rhinology patients experience. Our aims were to develop a patient-orientated questionnaire, representing the concerns of a large number of rhinology patients, called the General Nasal Patient Inventory (GNPI) and compare this with the Fairley nasal questionnaire (FNQ). The GNPI was developed from the open-ended problem lists of 211 rhinology patients, from the 45 most frequent complaints. Both questionnaires were then administered to 153 general rhinology patients and the results compared. The highest-ranking items for each questionnaire were different, but the total scores were highly correlated (r = 0.79, P < 0.0001). Factor analysis showed six factors to account for 75% of FNQ variance and 18 factors for 78% of GNPI variance. The 45-item GNPI, the first patient-derived, comprehensive nasal questionnaire could be a time-saving tool in rhinology clinics and more sensitive to change after intervention than other available measures.
Douglas
S A
SA
Department of Otolaryngology and Head and Neck Surgery, The Freeman Hospital, Newcastle-upon-Tyne, UK. suedoc1jam@netscape.net
Marshall
A H
AH
Walshaw
D
D
Robson
A K
AK
Wilson
J A
JA
D000293:Adolescent; D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009668:Nose Diseases / Q000503:physiopathology*; D010358:Patient Participation; D018802:Patient-Centered Care; D011336:Probability; D012042:Registries; D012680:Sensitivity and Specificity; D011795:Surveys and Questionnaires; D006113:United Kingdom