J Clin Outcomes Manage
The role of balloon sinuplasty in the treatment of chronic sinusitis
Cummings JP, Leong H, Matuszewski KA
Abstract Objective: To evaluate the status of balloon sinuplasty from a hospital-based perspective. Methods: A qualitative, systematic technology assessment. Results: The clinical evidence describing balloon sinuplasty comprises 6 published studies. The pivotal study was a phase 2?type prospective, nonrandomized case series with 6 months of patient follow-up. There were no randomized trials, long-term efficacy data, or cost-effectiveness studies. Analysis of the available evidence suggests balloon sinuplasty is a safe procedure, with a low rate of major complications. Data show balloon sinuplasty can effectively dilate the sinus ostia in 80% to 90% of cases. Ostial patency appears to be maintained at 6 months. Patient satisfaction with the procedure is favorable, with low postoperative pain and reduced follow-up care. The incremental costs associated with single-patient use balloon sinuplasty devices are approximately $1500 and may not be adequately reimbursed by some payers. Conclusions: Sinuplasty balloons are a viable surgical tool for use in selected patients during sinus surgery. There is no evidence comparing conventional tools with balloon sinuplasty for the same application, and the 2 techniques appear complementary.
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