This review goes through the various different ways of assessing outcomes and describes the pros, cons and limitations of each. The different methods are described in the context of guidelines in diagnosis and management and compared with other conditions such as rheumatological conditions. This is a useful and compact update which is authoritative and includes discussion of: symptoms, examination, endoscopy, imaging, correlation symptoms-CT-endoscopy, olfaction, cultures, allergy tests, nasal airflow and the difficulties in putting it all together for the purpose of trials or clinical outcomes analysis. There are as many questions as answers but this is a useful summary of the current position. 

Measuring outcomes in rhinosinusitis.
Benninger MS, Hopkins C, Tantilipikorn P.
AMERICAN JOURNAL OF RHINOLOGY AND ALLERGY
2014:28(3):249-54.
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CONTRIBUTOR
Edward W Fisher

MA DM FRCS, University Hospitals Birmingham NHS Trust (Heartlands and Good Hope Hospitals); Editor, Journal of Laryngology and Otology.

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