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Hopkins, Claire, McKenzie, Jo-Lyn, Anari, Shahram, Carrie, Sean, Ramakrishnan, Yujay, Kara, Naveed, Philpott, Carl 
ORCID: https://orcid.org/0000-0002-1125-3236, Hobson, Jonathan, Qureishi, Ali, Stew, Ben, Bhalla, Raj, Gane, Simon, Walker, Abigail and Harries, Phil
(2021)
British Rhinological Society Consensus Guidance on the use of biological therapies for chronic rhinosinusitis with nasal polyps.
Clinical Otolaryngology, 46 (5).
pp. 1037-1043.
ISSN 1749-4478
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Abstract
Objectives: We set out to create Consensus Guidelines, based on current evidence and relative risks of adverse effects and the costs of different treatments, which reflect the views of the British Rhinological Society (BRS) Council on where the use of biologics should be positioned within treatment pathways for CRSwNP, specifically in the setting of the National Health Service (NHS). Design: An expert panel of 16 members was assembled. A review of the literature and evidence synthesis was undertaken and circulated to the panel. We used the RAND/UCLA methodology with a multi-step process to make recommendations on the use of biologics. Setting: N/A. Participants: N/A. Results: Recommendations were made, based on underlying disease severity, prior treatments and co-morbidities. A group of patients for whom biologics were considered an appropriate treatment option for CRSwNP was defined. Conclusions: Although biologics are not currently available for the treatment of CRSwNP, the BRS Council have defined a group of patients who have higher rates of “failure” with current treatment pathways, higher resource use and are more likely to suffer with uncontrolled symptoms. We would urge NICE to consider approval of biologics for such indications without applying further restrictions on use.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | nasal polyps,paranasal sinus disease,prevention and control,therapeutics,otorhinolaryngology ,/dk/atira/pure/subjectarea/asjc/2700/2733 |
| Faculty \ School: | Faculty of Medicine and Health Sciences > Norwich Medical School |
| UEA Research Groups: | Faculty of Medicine and Health Sciences > Research Groups > Respiratory and Airways Group Faculty of Medicine and Health Sciences > Research Centres > Lifespan Health |
| Related URLs: | |
| Depositing User: | LivePure Connector |
| Date Deposited: | 12 Apr 2021 23:49 |
| Last Modified: | 19 Oct 2023 02:56 |
| URI: | https://ueaeprints.uea.ac.uk/id/eprint/79690 |
| DOI: | 10.1111/coa.13779 |
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