title: The health and resource utilization of Canadians with chronic rhinosinusitis.
abstract: OBJECTIVE
  To determine the impact of chronic rhinosinusitis (CRS) on the physical and mental health and health-resource utilization of Canadians.
  
  
  METHODS
  Cross-sectional.
  
  
  METHODS
  Data from the detailed health portion of cycle 3 (1998-1999) of the National Population Health Survey (NPHS), which involved 17,000 Canadians, were used to evaluate Canadians with self-reported CRS.
  
  
  RESULTS
  NPHS data confirmed lower mental and physical health, with CRS sufferers being almost three times more likely to report their health as poor (4.6% vs. 1.7%). Health Utility Index data identified a significant decline in the mental health of patients with CRS, which was associated with more depression (8.4% vs. 4.1%), more antidepressant use (9.1% vs. 4.6%), and more visits to mental-health professionals (11.8% vs. 7.0%).
  
  
  CONCLUSIONS
  CRS significantly affects both physical and mental health. The mental impact of CRS remains largely unrecognized and should be of greater focus during patient care and in further research.
authors.affiliation: Division of Otolaryngology-Head and Neck Surgery, Dalhousie University, Halifax, Nova Scotia, Canada. kimacdon@dal.ca
authors.forename: Kristian I
authors.initials: KI
authors.lastname: Macdonald
authors.forename: J Dayre
authors.initials: JD
authors.lastname: McNally
authors.forename: Emad
authors.initials: E
authors.lastname: Massoud
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002170:Canada / Q000453:epidemiology; D002648:Child; D002908:Chronic Disease; D016001:Confidence Intervals; D003430:Cross-Sectional Studies; D005260:Female; D006296:Health Services / Q000706:statistics & numerical data*; D006304:Health Status; D006306:Health Surveys; D006801:Humans; D008297:Male; D008875:Middle Aged; D012307:Risk Factors; D012852:Sinusitis / Q000453:epidemiology* / Q000523:psychology