Sinus Quality Measures
The Sinus Center strives to deliver top-quality care to all patients. As part of this commitment, we are dedicated to providing transparency for our patient outcome rates across a number of procedures.
The information below provides an in-depth look at the data for key procedures performed by the Cedars-Sinai, as well as their outcome rates. These reports aim to reduce ambiguity in procedure outcome data, so that patients and their loved ones can make decisions with the utmost confidence regarding their medical care.
To continually improve the care given to patients at the Cedars-Sinai Sinus Center, a number of factors that lead to a high quality of care are monitored. In addition, our doctors improve their skills by taking advanced courses in sinus surgery and participating in educational forums.
All patients of the Sinus Center also undergo quality assurance evaluations to assure high-quality care.
Volume of Procedures
Studies suggest that for many surgical procedures, hospitals performing a higher volume of procedures:
- Have lower short-term and long-term mortality and morbidity
- Indicate greater experience, which influences outcomes in multiple ways
- May institute specific care processes that improve outcomes
- Have infrastructure dedicated to particular clinical specialties, including related technology and intensive care personnel
Commitment to quality standards throughout the institution is another important factor for better outcomes.1,2 In addition, outcomes for high-risk procedures have been shown to be better when performed by highly trained surgeons than by general surgeons.3
Additionally, many surgical procedures done on an outpatient basis tend to be minimally invasive. Outpatient procedures are usually easier to recover from and present less disruption to a patient's daily activities.
The chart below shows the volumes of all sinus surgeries performed by Centers of Excellence physicians over the past 3 years.
Sino-Nasal Outcome Test
The Sino-Nasal Outcome Test (SNOT-22) is a tool that asks patients at 3 months, 6 months and 12 months after surgery to rate the severity of their symptoms, physical problems, functional limitations and the emotional impact they experience. It asks such questions as how much of a problem is sneezing, blockages in the nose, ear fullness, loss of smell or taste, facial pain or pressure, difficulty sleeping or emotional impacts such as embarrassment, frustration or irritability.
It has been deemed reliable with three aspects of validity and widely accepted as a measure of efficacy for both medical and surgical therapy. Efficacy evaluations have been found to be statistically significant at 3, 6 and 12 months after treatment. It's easy for patients to respond to and usually takes 5 to 10 minutes to complete.
The chart below shows the percent improvement of symptoms for patients after balloon sinuplasty at 3, 6 and 12 months after treatment. The data is based on patients surveyed April 2009 through January 2017.
1Bach PB, Ann Intern Med 2009; 150:729-30
2Greene FL, Ann Surg Oncol 2007; 15:14-15
3Kozower BD et al, Ann Thorac Surg 2008; 86:1405-08