Analiza map potrzeb zdrowotnych w zakresie chorób zatok przynosowych w Polsce

Introduction: Chronic rhinosinusitis (CRS) is considered to be one of the most common chronic diseases in developed countries, but also has a significant negative impact on the quality of life of patients, daily work and expenses on healthcare, including hospitalization. In CRS therapy, pharmacological and surgical treatment are used with an increasing role of endoscopic sinus surgery (ESS). Aim: The aim of the study was to analyze the maps of healthcare needs in the field of CRS in Poland and to review the latest reports regarding CRS treatment. Diseases of the nose and paranasal sinuses are the most common disorders among diseases in the field of otorhinolaryngology, therefore the analysis of the map of healthcare needs in this area is important and had its justification. Adres autora: Piotr H. Skarżyński, Światowe Centrum Słuchu, Instytut Fizjologii i Patologii Słuchu, ul. Mokra 17, 05-830 Nadarzyn, e-mail: p.skarzynski@ifps.org.pl 9 Prace poglądowe Now Audiofonol, 2019; 8(2): 9–19 DOI: 10.17431/1003317 CC BY-NC-ND 3.0 PL, © autorzy Wkład autorów: A Projekt badania B Gromadzenie danych C Analiza danych D Interpretacja danych E Przygotowanie pracy F Przegląd literatury G Gromadzenie funduszy Materials and methods: We analyzed the maps of healthcare needs from all voivodeships in 2014 regarding CRS, which were published by the Polish Ministry of Health. We also conducted an electronic literature search using the PubMed database to detect the newest articles about the treatment of CRS published between 2012 and 2018. Results: The incidence rate of the diseases of the nose, paranasal sinuses, ear, throat and larynx in 2014 in Poland was 5762.8 cases per 100 000, and the prevalence rate – 41 258.7 cases per 100 000. There were 5 132 000 outpatient consultations reported and 47.5% of them were visits of patients who visited the doctor at least 3 times. There were 288 400 hospitalizations registered at Ear, Nose and Throat Departments. Conclusions: The maps of healthcare needs is a tool which supports systemic decision-making as well as actions taken in relation to individual participants of the healthcare system.