International Rhinologic Society Rhinology 0300-0729 2026 06 04 Otolaryngologist’s role in European CRSwNP care: clinical needs versus economic considerations EN P. Petrone Directorate General, ASL BA, Bari, Italy Journal Article 3372 10.4193/Rhin25.483 In recent years, the role of the medical specialist has undergone a substantial evolution, increasingly intersecting with the fields of healthcare management and economics. Many clinicians are now gaining skills in areas such as cost-effectiveness analysis, health policy, and service organization. While such competencies can enhance awareness of the broader healthcare context, it is critical to reaffirm that the primary duty of a specialist — particularly in the field of otorhinolaryngology — is to ensure clinical appropriateness based on current evidence and guidelines, not to account for economic variables.