European position paper on rhinosinusitis and nasal polyps 2020

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dc.contributor.author Fokkens, Wytske J.
dc.contributor.author Lund, Valerie J.
dc.contributor.author Hopkins, Claire
dc.contributor.author Hellings, Peter W.
dc.contributor.author Kern, Robert
dc.contributor.author Reitsma, Sietze
dc.contributor.author Toppila-Salmi, Sanna
dc.contributor.author Bernal-Sprekelsen, Manuel
dc.contributor.author Mullol, Joaquim
dc.contributor.author Alobid, Isam
dc.contributor.author Anselmo-Lima, Wilma Terezinha
dc.contributor.author Bachert, Claus
dc.contributor.author Baroody, Fuad
dc.contributor.author von Buchwald, Christian
dc.contributor.author Cervin, Anders
dc.contributor.author Cohen, Noam
dc.contributor.author Constantinidis, Jannis
dc.contributor.author De Gabory, Ludovic
dc.contributor.author Desrosiers, Martin
dc.contributor.author Diamant, Zuzana
dc.contributor.author Douglas, Richard G.
dc.contributor.author Gevaert, Philippe H.
dc.contributor.author Hafner, Anita
dc.contributor.author Harvey, Richard J.
dc.contributor.author Joos, Guy F.
dc.contributor.author Kalogjera, Livije
dc.contributor.author Knill, Andrew
dc.contributor.author Kocks, Janwillem H.
dc.contributor.author Landis, Basile N.
dc.contributor.author Limpens, Jacqueline
dc.contributor.author Lebeer, Sarah
dc.contributor.author Lourenco, Olga
dc.contributor.author Matricardi, Paolo M.
dc.contributor.author Meco, Cem
dc.contributor.author O’Mahony, Liam
dc.contributor.editor Fokkens, Wytske J.
dc.date.accessioned 2020-03-24T11:29:49Z
dc.date.available 2020-03-24T11:29:49Z
dc.date.issued 2020-02
dc.identifier.citation Fokkens, W. J., Lund, V. J., Hopkins, C., Hellings, P. W., Kern, R., Reitsma, S., Toppila-Salmi, S., Bernal-Sprekelsen, M., Mullol, J., Alobid, I., Anselmo-Lima, W. T., et al. (2020) 'European position paper on rhinosinusitis and nasal polyps 2020', Rhinology, 58(Supplement 29), pp. 1-464. doi: 10.4193/Rhin20.600 en
dc.identifier.volume 58 en
dc.identifier.issued Supplement 29 en
dc.identifier.startpage 1 en
dc.identifier.endpage 464 en
dc.identifier.issn 0300-0729
dc.identifier.uri http://hdl.handle.net/10468/9784
dc.identifier.doi 10.4193/Rhin20.600 en
dc.description.abstract The European Position Paper on Rhinosinusitis and Nasal Polyps 2020 is the update of similar evidence based position papers published in 2005 and 2007 and 2012. The core objective of the EPOS2020 guideline is to provide revised, up-to-date and clear evidence-based recommendations and integrated care pathways in ARS and CRS. EPOS2020 provides an update on the literature published and studies undertaken in the eight years since the EPOS2012 position paper was published and addresses areas not extensively covered in EPOS2012 such as paediatric CRS and sinus surgery. EPOS2020 also involves new stakeholders, including pharmacists and patients, and addresses new target users who have become more involved in the management and treatment of rhinosinusitis since the publication of the last EPOS document, including pharmacists, nurses, specialised care givers and indeed patients themselves, who employ increasing self-management of their condition using over the counter treatments. The document provides suggestions for future research in this area and offers updated guidance for definitions and outcome measurements in research in different settings. EPOS2020 contains chapters on definitions and classification where we have defined a large number of terms and indicated preferred terms. A new classification of CRS into primary and secondary CRS and further division into localized and diffuse disease, based on anatomic distribution is proposed. There are extensive chapters on epidemiology and predisposing factors, inflammatory mechanisms, (differential) diagnosis of facial pain, allergic rhinitis, genetics, cystic fibrosis, aspirin exacerbated respiratory disease, immunodeficiencies, allergic fungal rhinosinusitis and the relationship between upper and lower airways. The chapters on paediatric acute and chronic rhinosinusitis are totally rewritten. All available evidence for the management of acute rhinosinusitis and chronic rhinosinusitis with or without nasal polyps in adults and children is systematically reviewed and integrated care pathways based on the evidence are proposed. Despite considerable increases in the amount of quality publications in recent years, a large number of practical clinical questions remain. It was agreed that the best way to address these was to conduct a Delphi exercise . The results have been integrated into the respective sections. Last but not least, advice for patients and pharmacists and a new list of research needs are included. en
dc.format.mimetype application/pdf en
dc.language.iso en en
dc.publisher International and European Rhinologic Societies en
dc.relation.uri https://www.rhinologyjournal.com/Documents/Supplements/supplement_29.pdf
dc.rights © 2020, Rhinology. All rights reserved. en
dc.subject Paranasal sinus diseases en
dc.subject Nasal polyps en
dc.subject Therapeutics en
dc.subject Diagnosis en
dc.subject Asthma en
dc.subject Prevention and control en
dc.title European position paper on rhinosinusitis and nasal polyps 2020 en
dc.type Article (peer-reviewed) en
dc.internal.authorcontactother Liam O’Mahony, Medicine, University College Cork, Cork, Ireland. +353-21-490-3000 Email: liam.omahony@ucc.ie en
dc.internal.availability Full text available en
dc.description.version Published Version en
dc.description.status Peer reviewed en
dc.identifier.journaltitle Rhinology en
dc.internal.IRISemailaddress liam.omahony@ucc.ie en


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