Patient Support Strategies

Patient education is a critical component of successful management of CRSwNP, including setting patient expectations, establishing a daily sinus care routine, and demonstrating proper technique for delivery of intranasal corticosteroids (INCS).¹ It is important to emphasize to patients that CRSwNP is a chronic condition that can be managed but rarely cured, and the goals of treatment are to reduce symptoms, prevent exacerbations, and improve quality of life.¹

Although most patients with CRSwNP do experience symptom relief with INCS, adherence is often poor.³ Adherence, technique, and other barriers to medication use should be addressed at each visit.¹

Shared decision-making between clinicians and patients is crucial, especially given the variety of treatment options for CRSwNP without universally accepted guidelines.^1,4 The best treatment option for a given patient may vary and can depend on which symptoms are most bothersome, the patient’s goals for treatment, and the particular risks and benefits of each option.⁴

References

Buccheit K, Holbrook E. Chronic rhinosinusitis with nasal polyposis: Management and prognosis. UpToDate. https://www.uptodate.com/contents/chronic-rhinosinusitis-with-nasal-polyposis-management-and-prognosis
Mayo Clinic. Corticosteroid (Nasal Route). https://www.mayoclinic.org/drugs-supplements/corticosteroid-nasal-route/proper-use/drg-20070513
Barroso B, Valverde-Monge M, Betancor D, et al. Improvement in Smell Using Monoclonal Antibodies Among Patients With Chronic Rhinosinusitis With Nasal Polyps: A systematic review. J Investig Allergol Clin Immunol. 2023;33:419-430.
Ramkumar SP, Lal D, Miglani A. Considerations for shared decision-making in treatment of chronic rhinosinusitis with nasal polyps. Front Allergy. 2023;4:1137907.

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