{
  "abstract": "Objective\n\nEndoscopic sinus surgery (ESS) is the standard surgical intervention for chronic rhinosinusitis (CRS), yet its economic value is not fully understood. This scoping review aims to synthesize economic evaluation of ESS, with emphasis on cost drivers, methodological approaches, and gaps in current literature.Data sources\n\nThis is a scoping review.Review methods\n\nA scoping review was conducted in accordance with PRISMA-ScR guidelines. A literature search was done using major databases (MEDLINE, Embase, Cochrane CENTRAL, Web of Science) from inception to July 2025. Studies were screened and selected based on predetermined inclusion criteria, and the data regarding study characteristics, economic methodology, and reported cost components were extracted.Results\n\nOf 1660 screened records, 35 studies met the inclusion criteria. Considerable heterogeneity was observed in study design, economic methodology, cost definitions, and reporting practices of the included studies. Across studies, operative time, surgical extent, and surgical setting were among the factors associated with variation in procedural costs. Indirect costs were inconsistently reported, while patient out-of-pocket costs were not explicitly evaluated.Conclusion\n\nEconomic evaluations of ESS are highly heterogeneous, limiting direct comparison between studies. Although several studies reported favorable cost-effectiveness estimates for ESS, methodological heterogeneity limits conclusions regarding its long-term economic value. Standardized economic reporting frameworks are needed to improve comparability and clinical applicability.",
  "abstract_shown": true,
  "affiliations": [
    "Georgetown University School of Medicine Washington DC USA.",
    "Department of Otolaryngology-Head and Neck Surgery MedStar Georgetown University Hospital Washington DC USA.",
    "Dahlgren Memorial Library Georgetown University Medical Center Washington DC USA.",
    "College of William & Mary Williamsburg Virginia USA."
  ],
  "article_type": "review article",
  "arxiv": null,
  "author_total": 6,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Neha Rana",
      "orcid": "0009-0009-5008-0778"
    },
    {
      "affs": [
        0,
        1
      ],
      "name": "Daniel Swanson"
    },
    {
      "affs": [
        0
      ],
      "name": "Ethan Tsao"
    },
    {
      "affs": [
        2
      ],
      "name": "C Scott Dorris",
      "orcid": "0000-0002-4664-6793"
    },
    {
      "affs": [
        3
      ],
      "name": "Raj Wasan"
    },
    {
      "affs": [
        0,
        2
      ],
      "name": "Daniel Spielman"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/ex7nwffmz5xpq.bib",
  "cited_by": 0,
  "doi": "10.1002/lio2.70611",
  "fulltext_url": "https://europepmc.org/articles/PMC13686951",
  "id": "ex7nwffmz5xpq",
  "issns": [
    "2378-8038"
  ],
  "landing_url": "https://europepmc.org/article/MED/42922887",
  "language": "eng",
  "licence": "CC-BY-NC-ND",
  "licence_label": "CC BY-NC-ND",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by-nc-nd/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "openalex",
      "2733|Sinusitis and nasal conditions"
    ]
  ],
  "openalex": "W7223114649",
  "pdf_url": "https://europepmc.org/articles/PMC13686951?pdf=render",
  "pmcid": "PMC13686951",
  "pmid": "42922887",
  "published": "2026-10-21",
  "publisher": null,
  "ris": "https://research.draconitic.com/paper/ex7nwffmz5xpq.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:20:33Z",
      "native_id": "MED:42922887",
      "source": "europepmc",
      "url": "https://europepmc.org/article/MED/42922887"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2733|Sinusitis and nasal conditions",
      "subfield": "general"
    }
  ],
  "title": "A Scoping Review of Cost Analyses in Endoscopic Sinus Surgery: Economic Trends, Cost Drivers, and Methodological Gaps.",
  "title_text": "A Scoping Review of Cost Analyses in Endoscopic Sinus Surgery: Economic Trends, Cost Drivers, and Methodological Gaps.",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T12:20:33Z",
  "url": "https://research.draconitic.com/paper/ex7nwffmz5xpq",
  "venue": "Laryngoscope investigative otolaryngology",
  "versions": []
}