The Development of Dry Eye Disease after Surgery-Indicated Chronic Rhinosinusitis

A Population-Based Cohort Study

Bibliographic Data

ID15470233
AuthorsChia‐Yi Lee (0000-0002-5719-0488, Chung Hwa University of Medical Technology), Kun‐Lin Yang (0000-0002-8968-0844, Kaohsiung Chang Gung Memorial Hospital), Kun-Lin Yang (Department of Otolaryngology–Head and Neck Surgery, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung 833, Taiwan), Chi‐Chin Sun (0000-0001-9466-6986, Chang Gung University), Chi-Chin Sun (Department of Ophthalmology, Chang Gung Memorial Hospital, Keelung 20402, Taiwan), Jing‐Yang Huang (0000-0002-0794-9388, Chung Shan Medical University Hospital), Hung-Chih Chen (0000-0002-2579-9723, Chang Gung University), Hung‐Chi Chen (0000-0002-1117-7878, Chang Gung University, corresponding author), Shun‐Fa Yang (0000-0002-0365-7927, Chung Shan Medical University Hospital, corresponding author)
Year2020
Volume17
Issue11
Pages3829-3829
Publication date2020-05-28
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph17113829
PMID32481640
OpenAlexW3030874722
LanguageEN
Citations received1
References cited33

We aim to evaluate the risk of dry eye disease (DED) occurrence in patients with surgery-indicated chronic rhinosinusitis (CRS) via the national health insurance research database in Taiwan. After exclusion, patients with a diagnostic code of CRS and had received functional endoscopic sinus surgery (FESS) were regarded as having surgery-indicated CRS and enrolled in the study group, then each patient in the study group was age- and gender-matched to four non-CRS patients that served as the control group. The outcome was considered as the development of DED and Cox proportional hazard regression was used for the statistical analysis, which involved multiple potential risk factors of DED. A total of 6076 patients with surgery-indicated CRS that received FESS and another 24,304 non-CRS individuals were enrolled after exclusion. There were 317 and 770 DED events in the study group and the control group during the 16-year follow-up interval, and the study group demonstrated a significantly higher adjusted hazard ratio (1490, 95% confidence intervals (CI): 1.303-1.702) of DED development compared to the control group in the multivariable analysis. In addition, the cumulative probability analysis illustrated a positive correlation of DED occurrence and the disease period of surgery-indicated CRS ( p < 0.0001). In the subgroup analysis, both genders revealed a higher but not significant incidence of developing DED in the study group. In conclusion, the existence of surgery-indicated CRS will increase the risk of developing DED, which correlated to the disease interval

Chronic rhinosinusitis · Cohort · Cohort study · Confidence interval · Disease · Functional endoscopic sinus surgery · Hazard ratio · Incidence (geometry · Nasal polyps · Sinusitis · Subgroup analysis · Allergic Rhinitis and Sensitization · Medicine · Ocular Surface and Contact Lens · Sinusitis and nasal conditions · Internal Medicine · Surgery

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