British Rhinological Society Consensus Guidance on the use of biological therapies for Chronic Rhinosinusitis with Nasal Polyps

Hopkins, Claire, McKenzie, Jo-Lyn, Anari, Shahram, Carrie, Sean, Ramakrishnan, Yujay, Kara, Naveed, Philpott, Carl, 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. 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
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Depositing User: LivePure Connector
Date Deposited: 12 Apr 2021 23:49
Last Modified: 05 Jul 2021 00:14
URI: https://ueaeprints.uea.ac.uk/id/eprint/79690
DOI: 10.1111/coa.13779

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