Economics of Chronic Rhinosinusitis.
OBJECTIVE
The objective of this article is to provide an updated review of the economic burden of chronic rhinosinusitis (CRS) and discuss how both medical and surgical interventions impact direct and indirect costs related to CRS. By understanding the economics of CRS, clinicians may improve the patient-centeredness of their care and help distinguish between low and high value interventions.


RESULTS
Direct costs related to CRS are primarily driven by outpatient physician visits, prescription medical therapy, and endoscopic sinus surgery (ESS). CRS produces large indirect costs and these costs often vary based on the severity of the patients CRS-specific QoL impairment. The overall direct cost related to CRS is estimated to range between $10 and $13 billion per year in the USA. The overall indirect cost related to CRS-related losses in work productivity is estimated to be in excess of $20 billion per year. In the appropriate patients with refractory CRS, ESS provides significant reductions in both direct and indirect costs; however, continued medical therapy alone may be a high value intervention in select patients who have lower severity in their baseline QoL and work productivity.
Division of Otolaryngology-Head and Neck Surgery, Department of Surgery, Richmond Road Diagnostic and Treatment Centre, University of Calgary, 1820 Richmond Road SW, Calgary, AB, T2T 5C7, Canada. Lukerudmik@gmail.com.
Luke
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Rudmik
D002908:Chronic Disease; D017281:Cost of Illness; D017048:Health Care Costs; D006801:Humans; D018802:Patient-Centered Care / Q000592:standards; D012220:Rhinitis / Q000191:economics* / Q000628:therapy; D012852:Sinusitis / Q000191:economics* / Q000628:therapy; D014481:United States
Burden of disease; Chronic sinusitis; Cost; Economic; Pharmacoeconomics; Rhinosinusitis; Value of care