RESUMO
Our aim was to know the clinical performance and management results of Functional Endoscopic Sinus Surgery (FESS) in Spanish hospitals. We sent a survey on the use and results of FESS to 160 Spanish public hospitals in June of 2002, obtaining a response rate of 69%. 82.9% of the interviewed hospitals carried out FESS and 17.1% of the remaining used the classic techniques of approaching the paranasal sinuses. The reported length of stay in hospital was 1.4 days for the FESS and 2.4 for the traditional surgery. The surgical time was 15 minutes shorter for the CENS, and the rate of recurrence was 16% less than for the classic surgery. As years of experience in the practice of the CENS go by, the surgical times tend to decrease, that didn't happen with the rate of recurrence. In conclusion, we consider that FESS seems to improve the analyzed clinical performance and assistential results.
Assuntos
Endoscopia , Procedimentos Cirúrgicos Otorrinolaringológicos/métodos , Avaliação de Processos e Resultados em Cuidados de Saúde , Doenças dos Seios Paranasais/cirurgia , Hospitais Públicos/normas , Hospitais Públicos/estatística & dados numéricos , Humanos , Tempo de Internação , Recidiva , Espanha , Inquéritos e QuestionáriosRESUMO
The purpose of this study is to find out more about the implementation of functional endoscopic sinus surgery (FESS) in our country. To do that, we designed a survey which was sent to 160 public hospitals (June 2002). We received the answers of 111 hospitals. 82.9% of hospitals and 58% of surgeons performed FESS, with some differences among autonomic regions. The percentage of surgeons who performed FESS was higher in small hospitals and their mean experience time was 6.2 years. We consider the implementation of endoscopic sinus surgery very high, this can reflect that there are evident advantages for those who specialists who use it.
Assuntos
Endoscopia/métodos , Otolaringologia/organização & administração , Doenças dos Seios Paranasais/cirurgia , Humanos , Pólipos Nasais/cirurgia , Sinusite/cirurgia , EspanhaRESUMO
Nuestro objetivo fue conocer los resultados clínicos y asistenciales de la Cirugía Endoscópica Nasosinusal (CENS) en hospitales españoles. Enviamos una encuesta sobre su utilización y resultados a 160 hospitales públicos españoles en junio de 2002, obteniendo una tasa de respuesta del 69 por ciento de los centros. El 82,9 por ciento de los hospitales encuestados realizaba CENS y el 17,1 por ciento restante utilizaba las técnicas clásicas de abordaje de senos paranasales. La estancia media hospitalaria declarada fue de 1,4 días para la CENS y 2,4 para la cirugía tradicional. El tiempo quirúrgico medio fue 15 minutos menor para la CENS, obteniéndose un 16 por ciento menos de recidivas frente a la cirugía clásica. A más años de experiencia en la práctica de la CENS, los tiempos quirúrgicos tienden a reducirse, lo que no ocurrió con el porcentaje de recidivas. En conclusión, consideramos que la CENS parece mejorar los parámetros clínicos y asistenciales analizados (AU)
Our aim was to know the clinical performance and management results of Functional Endoscopic Sinus Surgery (FESS) in Spanish hospitals. We sent a survey on the use and results of FESS to 160 Spanish public hospitals in June of 2002, obtaining a response rate of 69%. 82.9% of the interviewed hospitals carried out FESS and 17.1% of the remaining used the classic techniques of approaching the paranasal sinuses. The reported length of stay in hospital was 1.4 days for the FESS and 2.4 for the traditional surgery. The surgical time was 15 minutes shorter for the CENS, and the rate of recurrence was 16% less than for the classic surgery. As years of experience in the practice of the CENS go by, the surgical times tend to decrease, that didn't happen with the rate of recurrence. In conclusion, we consider that FESS seems to improve the analyzed clinical performance and assistential results (AU)
Assuntos
Humanos , Avaliação de Processos e Resultados em Cuidados de Saúde , Endoscopia , Procedimentos Cirúrgicos Otorrinolaringológicos/métodos , Doenças dos Seios Paranasais/cirurgia , Hospitais Públicos , Tempo de Internação , Inquéritos e Questionários , Recidiva , EspanhaRESUMO
El objetivo del trabajo es conocer la implantación existente de la Cirugía Endoscópica Nasosinusal (CENE) en nuestro país. Para ello, se diseñó una encuesta que se envió a 160 hospitales de la red pública española (junio / 2002). Se obtuvo una participación de 111 hospitales; de los cuales el 82,9 por ciento realizaban CENS con un porcentaje de especialistas implicados en la técnica del 58 por ciento, existiendo algunas diferencias entre Comunidades Autónomas. En los hospitales más pequeños el porcentaje de facultativos que realizaban CENS fue mucho mayor que en los grandes hospitales regionales. La experiencia media obtenida se situó en 6,2 años. Consideramos que el grado de implantación de CENS obtenido es muy elevado, lo que puede reflejar que las ventajas de su uso son muy evidentes para los clínicos que la utilizan (AU)
The purpose of this study is to find out more about the implementation of functional endoscopic sinus surgery (FESS) in our country. To do that, we designed a survey which was sent to 160 public hospitals (June 2002). We received the answers of 111 hospitals. 82.9% of hospitals and 58% of surgeons performed FESS, with some differences among autonomic regions. The percentage of surgeons who performed FESS was higher in small hospitals and their mean experience time was 6.2 years. We consider the implementation of endoscopic sinus surgery very high, this can reflect that there are evident advantages for those who specialists who use it (AU)
