NASALPROM

Nasal Airway Surgery Assessment using Longitudinal Patient-Reported Outcome Measures (NASALPROM) – A National Prospective Audit

Background

Functional nasal surgery, including septoplasty, turbinate surgery and functional septorhinoplasty, is commonly performed to relieve nasal obstruction and improve nasal airflow. Despite the high volume of procedures undertaken across the UK, there is currently no national audit of patient-reported symptom outcomes following these operations.

Validated patient-reported outcome measures (PROMs), such as the Sino-Nasal Outcome Test-22 (SNOT-22) and the Nasal Obstruction Symptom Evaluation (NOSE) score, are widely used in clinical practice and increasingly viewed as essential to inform patient-centred care.

This project aims to support clinicians and services to benchmark outcomes, understand variation in current practice, and inform quality improvement.

Aims

• Evaluate patient-reported symptom change following surgery
• Assess current use of PROMs and Peak Nasal Inspiratory Flow (PNIF) across UK centres
• Determine the variation in duration and methods of post-operative follow-up

Strategy

NASALPROM is a national, multicentre, prospective audit evaluating patient-reported outcomes following functional nasal surgery. We are looking for both local site leads and collaborators to help with the data collection for this project.

Study Setting: We are accepting data from sites across the United Kingdom

Prospective data collection will take place across participating centres for a period of 3 months following local site initiation.

Eligible patients undergoing surgery between 1st February 2026 and 1st May 2026 may be included. Post-operative PROMs will be collected at approximately 3 months, with follow-up completed within 6 months of surgery.

Recognition

All site leads, collaborators and supervising consultants from sites that complete the data collection will be acknowledged as a PubMed citable collaborative author in all publications arising from the collected data.

For anyone wishing to apply for ENT ST3, this contribution to a collaborative project will score you points on your application.

Key Dates

Site lead recruitment: now open

Data collection opens: 01/02/2026

Data collection closes: 01/08/2026

CHECKLIST

1. Register your site by completing the Study Registration Form (see below)
2. Local audit approval
   • Register the audit with your local audit department/governance team
   • The study protocol and audit registration letter template will support this process. These are available below
3. Identify your patients
4. Age ≥ 16 years old
   • Undergoing Septoplasty, Turbinate Surgery, Functional Septorhinoplasty
   • Procedure date between 01/02/2026 – 01/05/2026
   • PROMs from follow-up appointment between 01/02/2026 – 31/07/2026
5. Collect your data
   • Use the Standardised Data Collection Tool (see below)
   • Record demographics, procedure details, pre- and post-operative PROMs, and complications
   • PNIF data may be included if routinely collected locally and applicable to the patient
6. Data handling
   • Retain a secure local copy
   • Pseudonymise data before submission by deleting the hospital number and retaining only the case number
   • No identifiable patient data should be shared outside the local site
7. Submit the anonymised dataset using the template by 1st August to email nasalprom@entintegrate.co.uk

Key Documents

• Study registration form
• Study Protocol
• Audit Registration Letter Template
• Standardised Data Collection Tool

Contact Us

If you want further information, please feel free to contact us: nasalprom@entintegrate.co.uk