Quality of life in children with chronic suppurative otitis media with or without cholesteatoma

Vlastos, Ioannis; Kandiloros, Dimitrios; Manolopoulos, Leonidas; Ferekidis, E.; Yiotakis, Ioannis

doi:10.1016/j.ijporl.2008.10.030

Cited by 42 publications

(54 citation statements)

References 15 publications

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“…Vlastos et al described the COM-5 questionnaire, which was very useful for evaluating the quality of life in children with chronic otitis media (COM). The COM-5 questionnaire is disease specific quality-of-life survey that demonstrated high reliability and adequate construct validity, as well as responsiveness, to justify its use in clinical studies of children who require tympanoplasty [13]. This is a comparative result between the subjective scores obtained by using the COM-5 in our study and the study by Habesoglu et al (Table 3).…”

Section: Total Cases Graft Taken Percentsupporting

confidence: 52%

Effect of Type 1 Tympanoplasty on the Quality of Life of CSOM Patients

Bhatia

Vaid

Taneja

2016

Indian J Otolaryngol Head Neck Surg

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Chronic suppurative otitis media (CSOM) continues to be an important public health problem despite significant advances in medical science. Ear discharge, pain, discomfort, difficulty in hearing, limitation of routine activities and emotional problems due to CSOM cause a significant impact on the health and general well being of the patient. We have done Type 1 tympanoplasty in tubotympanic type of COM to reconstruct the tympanic membrane and alleviate the symptoms of the patients. This study presents an analysis of the impact of the surgery on the patient subjectively and its correlation with objective outcomes. 45 patients were selected to fill the chronic otitis media-5 (COM-5) questionnaire and underwent pure tone audiometry preoperatively. All the patients underwent Type 1 tympanoplasty by using temporalis fascia graft. The status of the ossicles was checked and documented intraoperatively. Patients requiring ossicular reconstruction or with attico antral disease were excluded. Patients were followed up for a period of 6 months and those with an intact graft after 6 months were included in the study. These patients were again made to fill the questionnaire and undergo pure tone audiometry postoperatively. 37 out of 45 patients (82 %) had an intact graft 6 months after surgery. Marked improvement was observed in subjective scores as documented by the questionnaire, pre-and postoperatively with the mean improvement in total scores being 7.89 ± 4.81 on a Visual Analogue Scale. Also significant improvement was achieved in closure of air-bone gap with the mean improvement being 14.73 ± 8.58 dB. Significant correlation was found between subjective and objective scores in most patients. This study showed that Type 1 tympanoplasty brings about a significant improvement in the quality of life of chronic suppurative otitis media patients. Most patients showed a marked improvement in subjective scores which correlated well with the objective findings of the status of the graft and improvement in air-bone gap. Asymptomatic patients with less preoperative scores showed less improvement in subjective scores which did not correlate with the objective outcomes.

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Section: Total Cases Graft Taken Percentsupporting

confidence: 52%

Effect of Type 1 Tympanoplasty on the Quality of Life of CSOM Patients

Bhatia

Vaid

Taneja

2016

Indian J Otolaryngol Head Neck Surg

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“…In the assessment of healthcare, patient-based measuring instruments regarding the quality of life and perceived handicap have become increasingly important. Combining three COM-related quality of life questionnaires-the Chronic Ear Survey [1] , the Chronic Otitis Media Outcome Test 15 (COMOT-15) [2] , and the Chronic Otitis Media 5 (COM-5) [3] -the Chronic Otitis Media Questionnaire 12 (COMQ-12) is a disease-specific tool that was recently developed by Phillips et al [4] to meet that purpose. The COMQ-12 consists of 12 questions grouped in four categories regarding the severity of symptoms, impact on lifestyle and work, impact on the health service, and general impact on the patient.…”

Section: Introductionmentioning

confidence: 99%

Validity and Test-Retest Reliability of the Dutch Version of the Chronic Otitis Media Questionnaire 12 (COMQ-12)

J¹,

Droessaert²,

Camp³

et al. 2016

Int Adv Otol

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OBJECTIVE:To test the validity and test-retest reliability of the Dutch translation of the Chronic Otitis Media Questionnaire 12 (COMQ-12). MATERIALS and METHODS:Thirty-five healthy individuals with no history of chronic otitis media (COM) received the questionnaire as well as a group of 35 patients with complaints of COM. The healthy participants had to complete the questionnaire twice (control group 1 and control group 2) to estimate the test-retest reliability, and their scores were compared with those of the patients (group 3) to test the validity. RESULTS:The overall COMQ-12 score in control group 1 ranged from 0 to 11, in control group 2 from 0 to 6, and in group 3 from 7 to 46. The mean score in control group 1 was 1.43 [standard deviation (SD) 2.30], 1.34 in control group 2 (SD 2.06), and 27.80 in group 3 (SD 10.51). A comparison of the absolute COMQ-12 scores of the two control groups and the patient group showed a significantly higher COMQ-12 score in patients with COM than in controls. The diagnostic accuracy was investigated, and a COMQ-12 cut-off score of 8 was found to have a near-perfect sensitivity and specificity in distinguishing between the presence and absence of COM. The single-measures intraclass correlation coefficient for absolute agreement (ICCAA) was 0.859 (with a 95% confidence interval from 0.738 to 0.926). This clearly exceeded the ICC threshold for acceptable reliability (ICC≥0.75) and therefore confirmed that there was reasonable test-retest reliability when applying the questionnaire to control subjects. CONCLUSION:The Dutch version of the COMQ-12 has good validity, diagnostic accuracy, and test-retest reliability.

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“…A specific chronic suppurative otitis media tool was also identified, the Chronic Otitis Media-5 ('COM-5') survey. 13,14 For hearing loss, more frequently generic quality of life (QoL) measures were used. However, diseasespecific tools were also described; these included the adolescent-completed Hearing Environments and Reflection on Quality of Life ('HEAR-QL') questionnaire, 15 the Youth Quality of Life Instrument -Deaf and Hard of Hearing ('YQOL-DHH') module, 16 and the caregiver-reported Paediatric Hearing Impairment Caregiver Experience ('PHICE') questionnaire.…”

Section: Discussionmentioning

confidence: 99%

“…This is emphasised in the otolaryngology literature from the extensive number of tools used for certain conditions; for example, otitis media. [4][5][6][7][8][9][10][11][12][13][14] When assessing a patient-reported outcome measure, it is crucial to review the six key areas of: validity, test-retest reliability, precision, responsiveness, acceptance and response rate, and feasibility. [1][2][3] Regarding validity, one should consider whether the patient-reported outcome measure assesses what it is supposed to.…”

Section: Discussionmentioning

confidence: 99%

A systematic review of patient-reported outcome measures in paediatric otolaryngology

Powell

Robson

2017

J. Laryngol. Otol.

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Background:Recently, there has been increased emphasis on the development and application of patient-reported outcome measures. This drive to assess the impact of illness or interventions, from the patient's perspective, has resulted in a greater number of available questionnaires. The importance of selecting an appropriate patient-reported outcome measure is specifically emphasised in the paediatric population. The literature on patient-reported outcome measures used in paediatric otolaryngology was reviewed.Methods:A comprehensive literature search was conducted using the databases Medline, Embase, Cumulative Index to Nursing and Allied Health Literature, and PsycInfo, using the terms: ‘health assessment questionnaire’, ‘structured questionnaire’, ‘questionnaire’, ‘patient reported outcome measures’, ‘PROM’, ‘quality of life’ or ‘survey’, and ‘children’ or ‘otolaryngology’. The search was limited to English-language articles published between 1996 and 2016.Results:The search yielded 656 articles, of which 63 were considered relevant. This included general paediatric patient-reported outcome measures applied to otolaryngology, and paediatric otolaryngology disease-specific patient-reported outcome measures.Conclusion:A large collection of patient-reported outcome measures are described in the paediatric otolaryngology literature. Greater standardisation of the patient-reported outcome measures used in paediatric otolaryngology would assist in pooling of data and increase the validation of tools used.

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Quality of life in children with chronic suppurative otitis media with or without cholesteatoma

Cited by 42 publications

References 15 publications

Effect of Type 1 Tympanoplasty on the Quality of Life of CSOM Patients

Effect of Type 1 Tympanoplasty on the Quality of Life of CSOM Patients

Validity and Test-Retest Reliability of the Dutch Version of the Chronic Otitis Media Questionnaire 12 (COMQ-12)

A systematic review of patient-reported outcome measures in paediatric otolaryngology

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