Navigation Links
Primary care doctors get little information about chronic sinusitis
Date:8/14/2010

Washington, DC -- Facial pain. Nasal congestion. Postnasal drip. Fatigue. These are hallmark signs of chronic sinusitis, a swelling of tissue in the nasal and sinus cavity. The illness strikes millions of Americans each year and is one of the top five reasons patients visit their primary care doctor. Treating sinusitis is difficult in part because it's often not known if the cause is viral or bacterial. Unfortunately little information on the subject is available to internists says a new study by a Georgetown University Medical Center (GUMC) internist.

"Chronic sinusitis is an often debilitating illness with symptoms comparable to those of serious medical diseases," says Alexander C. Chester, M.D., a clinical professor at GUMC and practicing internist at Foxhall Internists based in Washington, DC.

Awareness of new developments and findings is crucial for physicians who care for patients with chronic rhinosinusitis or CRS, but Chester's new study finds such new information to be "scant and occasionally inaccurate." His findings are published online in the August issue of the Ear, Nose & Throat Journal.

Rhinosinusitis, also called sinusitis, is an inflammation or swelling of the lining in the sinus cavities. The sinuses are in the hollow spaces in the cheeks and around the eyes. The illness can come and go fast, or hang around for many weeks. It's estimated that more than one out of every 10 Americans presently suffer from it.

Chester says despite 15 years of advances about what is known of the illness, the information isn't making its way to internists because it is not been published in journals or other sources often reviewed by internists.

"Internists who rely on traditional sources of information provided to their specialty may conclude that CRS is not an illness that is often associated with significant morbidity and that endoscopic sinus surgery is not an effective treatment," says Chester. He adds that many internists are unaware that chronic sinusitis can cause serious chronic fatigue.

Traditional sources of information for internists include journals, textbooks, board preparation review material, and Internet databases. Much of this information is provided, directly or indirectly, by the American College of Physicians, the nation's largest medical specialty society.

Chester says if new information is more readily accessible, it would help physicians better treat their patients. He specifically sites the benefits of endoscopic sinus surgery which has replaced older procedures as a safe and effective treatment for CRS that does not respond to medical therapy.

Chester concludes by encouraging "More studies, review articles, and evidence-based analyses need to be submitted for publication in general medical journals." He says papers on chronic sinusitis should be not be presented only at specialty meetings but also at general internal medicine meetings. Finally, Chester suggests establishing formal communication between appropriate otorhinolaryngologic societies and the American College of Physicians to facilitate the education of internists with regard to CRS.


'/>"/>

Contact: Karen Mallet
km463@georgetown.edu
215-514-9751
Georgetown University Medical Center
Source:Eurekalert

Related medicine news :

1. Key Pillars of Patient Centered Medical Home Will Be Focus of March 30 Patient-Centered Primary Care Collaborative Stakeholders Meeting
2. Residency match results not encouraging for adults needing primary care
3. Primary Care Physician Shortage: Texas Tech University Health Sciences Center Has the Solution
4. Thomas E. Mower Makes Generous Donations To Primary Children's Medical Center
5. Primary care physicians nationwide face clinical ethical conflicts with religious hospitals
6. Holistic Primary Care now Available at National Integrated Health Associates in Washington D.C.
7. Researchers define traits associated with prescription drug disorders in a primary care setting
8. Primary Care Docs Handling More HIV Cases
9. Physician assistants and internists reaffirm need for team-based primary care
10. Pivotal data for the investigational treatment PSD502 for primary premature ejaculation
11. ACP supports announcement of investments in expansion of primary care workforce
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:12/8/2016)... ... December 08, 2016 , ... Peter Zipp ... in and around the greater Phoenix metropolitan region, is announcing a charity event ... mission of the Homeless Youth Connection is to promote community awareness of the ...
(Date:12/7/2016)... ... December 07, 2016 , ... DrugDev again demonstrated its dedication ... one of the early adopters completing EU-U.S. Privacy Shield Certification from the U.S. Department ... on both sides of the Atlantic with a mechanism to comply with EU data ...
(Date:12/7/2016)... , ... December 07, 2016 , ... ... treat wrinkles and deep lines by smoothing and tightening the skin of the ... out there to address facial aging with very little downtime, Silhouette Instalift is ...
(Date:12/7/2016)... , ... December 07, 2016 , ... It is vital ... is with useful, properly analyzed data. The team at Beckman Coulter has designed Kaluza, ... 'need for speed' and the need to operate in a GLP (Good Laboratory Practice) ...
(Date:12/7/2016)... ... December 07, 2016 , ... When it came time to blow out his candles on his ... the Pediatric Heart Transplant team at Joe DiMaggio Children’s Hospital surprised his family ... hospital’s 30th heart transplant recipient. , “He was playing at home, when we got ...
Breaking Medicine News(10 mins):
(Date:12/7/2016)... Dec. 7, 2016 A new investigational drug originally ... clinical trials in search of the world,s first treatment to ... of research findings today in the journal Science ... be a watershed moment for millions of people living with ... of Van Andel Research Institute,s Center for ...
(Date:12/7/2016)... 2016 DelveInsight,s, "Janus Kinase 3 ... depth insights on the pipeline drugs and ... 3 (JAK3) Inhibitors. The DelveInsight,s Report covers ... development including Discovery, Pre-clinical, IND, Phase I, ... covers the product clinical trials information and ...
(Date:12/7/2016)... Dec. 7, 2016 Hoovers Research ... performed using the combinational analytical tools. The report ... varied research sources to present unique and reliable ... on the market during the next five years, ... which comprises of sub markets, regional and country ...
Breaking Medicine Technology: