The potential role of biological treatment of chronic rhinosinusitis with nasal polyps: A nationwide cohort study*
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The potential role of biological treatment of chronic rhinosinusitis with nasal polyps : A nationwide cohort study*. / Eriksen, Patrick René Gerhard; Jakobsen, Kathrine K.; Aanæs, Kasper; Backer, Vibeke; von Buchwald, Christian.
I: Rhinology, Bind 59, Nr. 4, 2021, s. 374-379.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - The potential role of biological treatment of chronic rhinosinusitis with nasal polyps
T2 - A nationwide cohort study*
AU - Eriksen, Patrick René Gerhard
AU - Jakobsen, Kathrine K.
AU - Aanæs, Kasper
AU - Backer, Vibeke
AU - von Buchwald, Christian
N1 - Publisher Copyright: © 2021, International Rhinologic Society. All rights reserved.
PY - 2021
Y1 - 2021
N2 - Background: Chronic rhinosinusitis with nasal polyps (CRSwNP) can be a challenge to treat despite appropriate pharmacological therapy and endoscopic sinus surgery. With the introduction of biological treatment, costs will increase. In this study, we determine the number of patients with CRSwNP treated with endoscopic sinus surgery and revision surgery and thereby fulfil the main criterion for treatment with biologics in the newest European guidelines. Furthermore, we estimate a potential number of recipients of biologics nationwide. Methods: All adult patients registered in the Danish National Patient Registry as having undergone first endoscopic sinus surgery for CRSwNP from 2012–2018 were included. The number of operations, surgery dates, and comorbidities were extracted. The Kaplan-Meier method was used to calculate the revision rate over time. Revision surgery was used as a surrogate to determine the pool of potential recipients of biologics, as these would fulfil the eligibility criteria and ensure the necessary cost-effectiveness. Results: A total of 4667 operated patients with CRSwNP were included out of a population of 4.7 million adults (incidence 14/100,000 person-years). Approximately 18% (120 per year) was estimated to have revision surgery within seven years. The median time to revision surgery was 22 months. Of all analysed patients, 21% had registered asthma and/or allergic rhinitis, while these diseases were registered in 34% of patients treated with revision surgery. Conclusion: In Denmark, an average of 120 operated patients annually will have revision surgery within seven years and may benefit from treatment with biologics as an alternative option to revision surgery.
AB - Background: Chronic rhinosinusitis with nasal polyps (CRSwNP) can be a challenge to treat despite appropriate pharmacological therapy and endoscopic sinus surgery. With the introduction of biological treatment, costs will increase. In this study, we determine the number of patients with CRSwNP treated with endoscopic sinus surgery and revision surgery and thereby fulfil the main criterion for treatment with biologics in the newest European guidelines. Furthermore, we estimate a potential number of recipients of biologics nationwide. Methods: All adult patients registered in the Danish National Patient Registry as having undergone first endoscopic sinus surgery for CRSwNP from 2012–2018 were included. The number of operations, surgery dates, and comorbidities were extracted. The Kaplan-Meier method was used to calculate the revision rate over time. Revision surgery was used as a surrogate to determine the pool of potential recipients of biologics, as these would fulfil the eligibility criteria and ensure the necessary cost-effectiveness. Results: A total of 4667 operated patients with CRSwNP were included out of a population of 4.7 million adults (incidence 14/100,000 person-years). Approximately 18% (120 per year) was estimated to have revision surgery within seven years. The median time to revision surgery was 22 months. Of all analysed patients, 21% had registered asthma and/or allergic rhinitis, while these diseases were registered in 34% of patients treated with revision surgery. Conclusion: In Denmark, an average of 120 operated patients annually will have revision surgery within seven years and may benefit from treatment with biologics as an alternative option to revision surgery.
KW - Allergic rhinitis
KW - Asthma
KW - Monoclonal antibodies
KW - Nasal polyps
KW - Paranasal sinus disease
U2 - 10.4193/Rhin20.480
DO - 10.4193/Rhin20.480
M3 - Journal article
C2 - 34185823
AN - SCOPUS:85112385356
VL - 59
SP - 374
EP - 379
JO - Rhinology. Supplement
JF - Rhinology. Supplement
SN - 1013-0047
IS - 4
ER -
ID: 304868265