Chronic rhinosinusitis with nasal polyps: Key considerations in the multidisciplinary team approach
Abstract Background Chronic rhinosinusitis with nasal polyps (CRSwNP) is a recurrent inflammatory disease associated with several comorbidities and a significant disease burden for patients. Treatments include corticosteroids and sinonasal surgery, but these can be associated with the risk of advers...
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| Format: | Article |
| Language: | English |
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Wiley
2025-01-01
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| Series: | Clinical and Translational Allergy |
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| Online Access: | https://doi.org/10.1002/clt2.70010 |
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| author | Oliver Pfaar Anju T. Peters Camille Taillé Thijs Teeling Jared Silver Robert Chan Peter W. Hellings |
| author_facet | Oliver Pfaar Anju T. Peters Camille Taillé Thijs Teeling Jared Silver Robert Chan Peter W. Hellings |
| author_sort | Oliver Pfaar |
| collection | DOAJ |
| description | Abstract Background Chronic rhinosinusitis with nasal polyps (CRSwNP) is a recurrent inflammatory disease associated with several comorbidities and a significant disease burden for patients. Treatments include corticosteroids and sinonasal surgery, but these can be associated with the risk of adverse events and nasal polyp recurrence. Biologic treatments such as mepolizumab can be used as an add‐on treatment and are effective at reducing surgery and corticosteroid use. Main text Patients with CRSwNP may be seen by a specialist in one of several different areas and often experience delayed diagnosis due to the need to see multiple physicians, as well as misdiagnosis resulting from lack of sufficient expertise within any one speciality. Multidisciplinary team (MDT) approaches have been shown to be effective in optimising the treatment and clinical management of other respiratory diseases, such as aspirin‐exacerbated respiratory disease and severe asthma. In CRSwNP, an MDT approach may reduce diagnostic delays, mitigate secondary disease burden, and reduce overprescription of corticosteroids and antibiotics. Conclusion This article provides an overview of the patient perspective of MDTs, existing approaches and barriers to adoption, lessons learnt from allied and rare diseases, how to address under‐recognised aspects of CRSwNP, and other key considerations for developing an MDT approach. |
| format | Article |
| id | doaj-art-c17c66cbb90f498c8552f4f40e11bd87 |
| institution | Kabale University |
| issn | 2045-7022 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Clinical and Translational Allergy |
| spelling | doaj-art-c17c66cbb90f498c8552f4f40e11bd872025-01-29T05:38:32ZengWileyClinical and Translational Allergy2045-70222025-01-01151n/an/a10.1002/clt2.70010Chronic rhinosinusitis with nasal polyps: Key considerations in the multidisciplinary team approachOliver Pfaar0Anju T. Peters1Camille Taillé2Thijs Teeling3Jared Silver4Robert Chan5Peter W. Hellings6Department of Otorhinolaryngology, Head and Neck Surgery Section of Rhinology and Allergy University Hospital Marburg Philipps‐Universität Marburg Marburg GermanyAllergy‐Immunology Division and the Sinus and Allergy Center Feinberg School of Medicine Northwestern University Chicago Illinois USAReference Center for Rare Pulmonary Diseases and University of Paris Cité Inserm 1152 Hospital Bichat ‐ Claude‐Bernard Paris FrancePatient Advisor The NetherlandsUS Medical Affairs—Respiratory GSK Durham North Carolina USAClinical Sciences, Respiratory GSK Brentford UKDepartment of ENT University of Leuven Leuven BelgiumAbstract Background Chronic rhinosinusitis with nasal polyps (CRSwNP) is a recurrent inflammatory disease associated with several comorbidities and a significant disease burden for patients. Treatments include corticosteroids and sinonasal surgery, but these can be associated with the risk of adverse events and nasal polyp recurrence. Biologic treatments such as mepolizumab can be used as an add‐on treatment and are effective at reducing surgery and corticosteroid use. Main text Patients with CRSwNP may be seen by a specialist in one of several different areas and often experience delayed diagnosis due to the need to see multiple physicians, as well as misdiagnosis resulting from lack of sufficient expertise within any one speciality. Multidisciplinary team (MDT) approaches have been shown to be effective in optimising the treatment and clinical management of other respiratory diseases, such as aspirin‐exacerbated respiratory disease and severe asthma. In CRSwNP, an MDT approach may reduce diagnostic delays, mitigate secondary disease burden, and reduce overprescription of corticosteroids and antibiotics. Conclusion This article provides an overview of the patient perspective of MDTs, existing approaches and barriers to adoption, lessons learnt from allied and rare diseases, how to address under‐recognised aspects of CRSwNP, and other key considerations for developing an MDT approach.https://doi.org/10.1002/clt2.70010chronic rhinosinusitisENT diseasesmultidisciplinary care teamnasal polypsstandard of care |
| spellingShingle | Oliver Pfaar Anju T. Peters Camille Taillé Thijs Teeling Jared Silver Robert Chan Peter W. Hellings Chronic rhinosinusitis with nasal polyps: Key considerations in the multidisciplinary team approach Clinical and Translational Allergy chronic rhinosinusitis ENT diseases multidisciplinary care team nasal polyps standard of care |
| title | Chronic rhinosinusitis with nasal polyps: Key considerations in the multidisciplinary team approach |
| title_full | Chronic rhinosinusitis with nasal polyps: Key considerations in the multidisciplinary team approach |
| title_fullStr | Chronic rhinosinusitis with nasal polyps: Key considerations in the multidisciplinary team approach |
| title_full_unstemmed | Chronic rhinosinusitis with nasal polyps: Key considerations in the multidisciplinary team approach |
| title_short | Chronic rhinosinusitis with nasal polyps: Key considerations in the multidisciplinary team approach |
| title_sort | chronic rhinosinusitis with nasal polyps key considerations in the multidisciplinary team approach |
| topic | chronic rhinosinusitis ENT diseases multidisciplinary care team nasal polyps standard of care |
| url | https://doi.org/10.1002/clt2.70010 |
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