Chronic rhinosinusitis: patients frustrated with GPs and specialists

  • Vennik J & al.
  • BMJ Open
  • 23 Apr 2019

  • curated by Dawn O'Shea
  • UK Medical News
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Patients with chronic rhinosinusitis (CRS) feel dismissed by GPs and rushed by specialists, research published in the BMJ Open suggests.

The qualitative study - part of the Defining best Management for Adults with Chronic Rhinosinusitis (MACRO) programme - included information collected during semi-structured telephone interviews with 25 CRS patients attending primary care and secondary care ear, nose and throat outpatient clinics in the United Kingdom.

The median age of participants was 49 years (range 20-74) and 56 per cent were men. Participants had a median history of CRS of 10 years (range 1-40). Fifty-six per cent reported being diagnosed with nasal polyps and 40 per cent reported previous sinus surgery.

Participants often described frustration about not being listened to by their GPs, or felt GPs were dismissive or disinterested in their symptoms of CRS and did not understand the full impact on quality of life.

There was also some dissatisfaction with secondary care, with some expressing the view that specialists do not always take a ‘holistic’ approach to CRS, especially if participants have asthma and allergy, and are not always open-minded to other causes or treatments for CRS. Some participants feel rushed through the consultation.

The authors say better coordinated care between general practice and specialist settings, with evidence-based treatment options and a clear, integrated care pathway, is needed to optimise CRS patient management across both settings.

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