title: A new model for collection of clinical outcomes data in patients with chronic rhinosinusitis.
abstract: BACKGROUND
  The need for objective assessment of patient outcomes is becoming an essential component of clinical practice for both private and academic otolaryngologists. The purpose of this study is to describe the implementation of an online model for collection of clinical outcomes data in patients with chronic rhinosinusitis (CRS).
  
  
  METHODS
  Patients completed the Sinonasal Outcome Test (SNOT-22), Chronic Sinusitis Survey (CSS), and EuroQol 5-dimension assessment (EQ-5D), before and after sinus surgery. One year after initial patient enrollment, an online tool was developed to facilitate collection of postoperative data. Response rates preimplementation and postimplementation of online data collection were compared.
  
  
  RESULTS
  A total of 520 sinus surgery patients provided outcomes data from the practices of 7 private practice (n = 308) and 4 academic otolaryngologists (n = 212). With implementation of the online collection instrument, the response rate at 3 months increased from 67% to 78.8% (p = 0.004). The overall follow-up rate at 3 months was higher in patients recruited from private as compared to academic practices (77.9% vs 69.8%, respectively, p = 0.04).
  
  
  CONCLUSIONS
  Quality of life data can be effectively collected from CRS patients in both the private and academic practice setting. The addition of an online data collection tool can significantly increase response rates, and allow a comprehensive capture of meaningful clinical outcomes. Such a model is not difficult to implement and has increasing relevance as payers begin to request outcome data from providers.
authors.affiliation: Department of Otolaryngology, Massachusetts Eye and Ear Infirmary, Boston, MA; Department of Otology and Laryngology, Harvard Medical School, Boston, MA.
authors.forename: Josh C
authors.initials: JC
authors.lastname: Meier
authors.forename: Aaron K
authors.initials: AK
authors.lastname: Remenschneider
authors.forename: Laura
authors.initials: L
authors.lastname: D'Amico
authors.forename: Eric H
authors.initials: EH
authors.lastname: Holbrook
authors.forename: Stacey T
authors.initials: ST
authors.lastname: Gray
authors.forename: Ralph
authors.initials: R
authors.lastname: Metson
mesh_terms: D000046:Academic Medical Centers / Q000706:statistics & numerical data; D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002908:Chronic Disease; D003198:Computer Simulation / Q000706:statistics & numerical data; D003625:Data Collection; D004724:Endoscopy / Q000706:statistics & numerical data; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D010036:Otolaryngology / Q000379:methods*; D017063:Outcome Assessment, Health Care / Q000379:methods*; D010256:Paranasal Sinuses / Q000601:surgery; D011331:Private Practice / Q000706:statistics & numerical data; D011788:Quality of Life; D012220:Rhinitis / Q000175:diagnosis* / Q000453:epidemiology; D012852:Sinusitis / Q000175:diagnosis* / Q000453:epidemiology; D012984:Software / Q000706:statistics & numerical data*; D055815:Young Adult
keywords: Quality of life; chronic rhinosinusitis; endoscopic sinus surgery; internet; outcomes measures