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British Rhinological Society Consensus Guidance on the use of biological therapies for chronic rhinosinusitis with nasal polyps

Lookup NU author(s): Sean Carrie


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© 2021 John Wiley & Sons LtdObjectives: 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.

Publication metadata

Author(s): Hopkins C, McKenzie J-L, Anari S, Carrie S, Ramakrishnan Y, Kara N, Philpott C, Hobson J, Qureishi A, Stew B, Bhalla R, Gane S, Walker A, Harries P, Hathorn I, Lund V

Publication type: Article

Publication status: Published

Journal: Clinical Otolaryngology

Year: 2021

Volume: 46

Issue: 5

Pages: 1037-1043

Print publication date: 01/09/2021

Online publication date: 05/04/2021

Acceptance date: 28/03/2021

ISSN (print): 1749-4478

ISSN (electronic): 1749-4486

Publisher: Blackwell Publishing Ltd


DOI: 10.1111/coa.13779

PubMed id: 33817954


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