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Institution: University of Washington, Seattle
Project Description: The goal of this project was to conduct a randomized control trial of patients with acute sinusitis symptoms whose physicians plan antibiotic treatment. The specific aims were:
Career Goals: Dr. Anzai is a Professor of Radiology and co-Director of the Health Services Research Section of the Department of Radiology at University of Washington. She is also program Director of Neuroradiology Fellowship. She specializes in head and neck radiology. Dr. Anzai will continue her independent research with a focus on the development and application of radiological technology, as well as the assessment of the role of such techniques in the health care system.
Progress to Date: This K award has been completed. Dr. Anzai found only 33% of patients had CT evidence of acute sinusitis which reflects an over-diagnosis of acute sinusitis in the primary care setting. Despite negative CT, 66% of patients received antibiotics prescription. Sinus CT did not reduce antibiotic use or affect clinical outcomes. Using a disease specific quality of life measure as an outcome, patients that received antibiotics recovered from sinusitis-related symptoms faster than those who did not receive antibiotics at one week, however, no significant difference in the two weeks outcome was seen.
Highlights and Specific Accomplishments:
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