title: Update on evidence-based reviews with recommendations in adult chronic rhinosinusitis.
abstract: Chronic rhinosinusitis (CRS) has a significant impact not only on individuals who are afflicted but also on society as a whole. An increasing emphasis is being placed on incorporating the best available evidence into the care of patients, in association with an individual clinician's expertise and the patient's values. Recent evidence-based reviews with recommendations (EBRRs) have distilled our knowledge of CRS treatment options and have also pointed out continued gaps in this knowledge. This review synthesizes the findings of 8 EBRRs regarding CRS published in the International Forum of Allergy and Rhinology between 2011 and 2014. The recommendations in this review are based on the best available evidence and are meant to be incorporated into each patient's individual care, along with the practitioner's expertise and the individual patient's values and expectations. It is hoped that the EBRRs, and the process that spawned them, can provide the foundation for future guidelines in the diagnosis and management of CRS.
authors.affiliation: Division of Otolaryngology-Head and Neck Surgery, University of Utah School of Medicine, Salt Lake City, UT.
authors.forename: Richard R
authors.initials: RR
authors.lastname: Orlandi
authors.forename: Timothy L
authors.initials: TL
authors.lastname: Smith
authors.forename: Bradley F
authors.initials: BF
authors.lastname: Marple
authors.forename: Richard J
authors.initials: RJ
authors.lastname: Harvey
authors.forename: Peter H
authors.initials: PH
authors.lastname: Hwang
authors.forename: Robert C
authors.initials: RC
authors.lastname: Kern
authors.forename: Todd T
authors.initials: TT
authors.lastname: Kingdom
authors.forename: Amber
authors.initials: A
authors.lastname: Luong
authors.forename: Luke
authors.initials: L
authors.lastname: Rudmik
authors.forename: Brent A
authors.initials: BA
authors.lastname: Senior
authors.forename: Elina
authors.initials: E
authors.lastname: Toskala
authors.forename: David W
authors.initials: DW
authors.lastname: Kennedy
mesh_terms: D000328:Adult; D002908:Chronic Disease; D019317:Evidence-Based Medicine; D006801:Humans; D017410:Practice Guidelines as Topic; D057285:Precision Medicine; D012220:Rhinitis / Q000175:diagnosis / Q000628:therapy*; D012852:Sinusitis / Q000175:diagnosis / Q000628:therapy*
keywords: CRS; EBM; EBRR; chronic rhinosinusitis; evidence-based medicine; evidence-based review with recommendation