Prevalence of the chronic sinusitis diagnosis in Olmsted County, Minnesota.

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  • Author(s): Shashy RG;Shashy RG; Moore EJ; Weaver A
  • Source:
    Archives of otolaryngology--head & neck surgery [Arch Otolaryngol Head Neck Surg] 2004 Mar; Vol. 130 (3), pp. 320-3.
  • Publication Type:
    Journal Article
  • Language:
    English
  • Additional Information
    • Source:
      Publisher: American Medical Association Country of Publication: United States NLM ID: 8603209 Publication Model: Print Cited Medium: Print ISSN: 0886-4470 (Print) Linking ISSN: 08864470 NLM ISO Abbreviation: Arch Otolaryngol Head Neck Surg Subsets: MEDLINE
    • Publication Information:
      Original Publication: [Chicago, IL] : American Medical Association, [c1986-
    • Subject Terms:
      Sinusitis/*epidemiology; Adult ; Chronic Disease ; Databases, Factual/statistics & numerical data ; Female ; Humans ; International Classification of Diseases ; Male ; Minnesota/epidemiology ; Prevalence ; Sinusitis/classification
    • Abstract:
      Background: Commonly cited estimates from the National Health Interview Survey rank chronic sinusitis as one of the most prevalent chronic diseases in the United States. These data rely on patient self-reporting of the disease. However, chronic sinusitis is difficult to diagnose because its symptoms overlap those of many other disease processes. As such, these prevalence data may be unreliable.
      Objective: To provide an estimate of the prevalence of chronic sinusitis based on assigned International Classification of Diseases, Ninth Revision (ICD-9) codes for the year 2000 in a population-based sample. This study establishes the individual patient as the unit of measure vs previous ICD-9-based estimates that measured physician encounters.
      Design: Using existing databases, we identified all residents of Olmsted County, Minnesota, who were assigned an ICD-9 diagnosis code for chronic sinusitis (473.x) in the year 2000.
      Setting: Primary care and referral center serving the general community.
      Participants: All residents of Olmsted County who provided research authorization were eligible.
      Main Outcome Measure: Age- and sex-specific prevalence of chronic sinusitis based on assigned ICD-9 diagnosis codes.
      Results: In the year 2000, 2405 residents of Olmsted County were given an ICD-9 diagnosis code for chronic sinusitis. Among these, 1627 (67.7%) were female and 778 (32.3%) were male. The overall age- and sex-adjusted prevalence per 100,000 was 1955 (1.96%). The mean (SD) age at the time of diagnosis was 39.4 (17.6) years (age range, 4.2 months to 94 years). Eighty-seven percent were diagnosed at Mayo Clinic, and the balance were from the Olmsted Medical Center. At Mayo, family practitioners and internists diagnosed most of the cases (70%); only 8% were diagnosed by the Department of Otolaryngology. The diagnosis code 473.9 for unspecified chronic sinusitis made up 95% of cases.
      Conclusions: Current prevalence estimates of chronic sinusitis may be exaggerated. Chronic sinusitis has been reported to affect 14% to 16% of the US population according to a National Health Interview Survey. In Olmsted County, we found a much lower prevalence (1.96%) of chronic sinusitis using ICD-9 codes as an identifier.
    • Publication Date:
      Date Created: 20040317 Date Completed: 20040402 Latest Revision: 20220408
    • Publication Date:
      20221213
    • Accession Number:
      10.1001/archotol.130.3.320
    • Accession Number:
      15023840