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Otolaryngol Head Neck Surg. 2007 Oct;137(4):555-61.

The Lund-Mackay staging system for chronic rhinosinusitis: how is it used and what does it predict?

Author information

1
Clinical Effectiveness Unit, Royal College of Surgeons of England, London. clairehopkins@yahoo.com

Abstract

OBJECTIVES:

The Lund-Mackay score is widely used in assessment of chronic rhinosinusitis. We aimed to describe its relationship to other measures of pre- and post-treatment health status.

STUDY DESIGN:

Multicenter prospective study of 1840 patients undergoing surgery for chronic rhinosinusitis in the UK.

RESULTS:

There was no absolute threshold for surgery, but patients with higher Lund-Mackay scores underwent more extensive surgery. There was no correlation between Lund-Mackay and SNOT-22 scores. The Lund-Mackay increased with increasing grade of polyposis. The Lund-Mackay score was associated with symptom reduction (coefficient = 0.24, P = 0.02) complication rates (odds ratio, 1.08, 95%CI 1.06 to 1.1), and revision rates (odds ratio, 1.03, 95% CI 1.001 to 1.06).

CONCLUSIONS:

The Lund-Mackay score measures a different aspect of disease to "subjective" symptom scores. However, it correlates well with other markers of disease severity, the nature of surgery offered, and its outcome.

SIGNIFICANCE:

This demonstrates the strengths and limitations of a commonly used staging system.

PMID:
17903570
DOI:
10.1016/j.otohns.2007.02.004
[Indexed for MEDLINE]

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