scholarly journals A novel Turkish instrument for assessing quality of life in chronic otitis media –translation and validation of Zurich chronic middle ear inventory

2020 ◽  
Vol 50 (8) ◽  
pp. 1922-1929
Author(s):  
Belgin TUTAR ◽  
Ziya SALTÜRK ◽  
Güler BERKİTEN ◽  
Muhammed Enis EKİNCİOĞLU ◽  
Semih KARAKETİR ◽  
...  
Author(s):  
Susen Lailach ◽  
Theresa Langanke ◽  
Thomas Zahnert ◽  
Susan Garthus-Niegel ◽  
Marcus Neudert

Abstract Purpose The aim of this study was to determine whether preoperative depressive symptoms influence health-related quality of life (HRQOL) after middle ear surgery in patients with chronic otitis media (COM). Methods This prospective clinical case study was conducted at a tertiary referral center. All 102 patients who had undergone middle ear surgery for COM were assessed clinically and by audiometric testing (pure tone audiometry) in pre- and postoperative settings. Disease-specific HRQOL was assessed by the validated chronic otitis media outcome test 15 (COMOT-15) and the Zurich chronic middle ear inventory (ZCMEI-21). General HRQOL was measured using the short form 36 (SF-36). Depressive symptoms were assessed using the patient health questionnaire (PHQ-D). The Charlson comorbidity index (CCI) was used to classify comorbidities. The middle ear status was determined using the ossiculoplasty outcome parameter staging (OOPS) index. Results After middle ear surgery, the total COMOT-15 and ZCMEI-21 scores improved significantly (p < 0.001). General HRQOL (total SF-36 score) was unaffected by surgery (p < 0.05). Patients without elevated depressive symptoms had significantly better total scores for the COMOT-15 (p < 0.01), ZCMEI-21 (p < 0.001), and for SF-36 (p < 0.001) postoperatively. The results of the multiple regression analyses show that, after adjusting for the OOPS, CCI, and hearing improvement, preoperative depressiveness was significantly associated with worse postoperative COMOT-15 and ZCMEI-21 outcome scores (β = 0.425 and β = 0.362, p < 0.001). Conclusion Preoperative depressiveness was an essential predictive factor for HRQOL in patients with COM. This should be considered during patient selection to provide more suitable preoperative counseling.


2021 ◽  
Vol 2 (5) ◽  
pp. 14-18
Author(s):  
E. P. Setiawan ◽  
M. R. R. D. Meregawa

Introduction: Chronic suppurative otitis media (CSOM) is a chronic infection in the middle ear with perforation of the tympanic membrane and persistent or intermittent secretion from the middle ear which is more than two months. It causes a pathological condition in the ear which results in limited hearing function in a person and will affect the quality of life of the patients. Quality of life assessment is carried out to assess the patient's condition and an instrument is needed to be able to evaluate the condition of CSOM patients. Currently, there are several questionnaires that can be used to assess the quality of life of people with CSOM. One of them is the Chronic Otitis Media Outcome Test (COMOT-15) which is a valid measuring tool to subjectively assess the quality of life of people with CSOM.  Methods: This study was an observational study with a cross sectional study design. Results: There was a difference in quality-of-life scores between CSOM patients with and without cholesteatoma types with mean score 26.87 (95% CI 22.28- 31.47) (p<0.001). Conclusion: There was a difference in quality-of-life scores between CSOM patients with and without cholesteatoma types at Sanglah General Hospital, Denpasar.


2017 ◽  
Vol 131 (5) ◽  
pp. 425-428 ◽  
Author(s):  
B B Montaño-Velázquez ◽  
J Nolasco-Renero ◽  
J E Parada-Bañuelos ◽  
F Garcia-Vázquez ◽  
S Flores-Medina ◽  
...  

AbstractObjective:To assess quality of life of children and teenagers with recurrent respiratory papillomatosis, according to the evidence of infection by human papillomavirus types 6 and 11, compared with healthy volunteers and patients with chronic otitis media.Method:Participants and their parents completed the Pediatric Quality of Life Inventory 4.0.Results:Patients with recurrent respiratory papillomatosis and their parents reported lower quality of life than healthy subjects (p < 0.01), but similar quality of life to patients with chronic otitis media. Those with human papillomavirus type 11 showed the lowest scores among all participants (p < 0.05).Conclusion:Young Mexican patients with recurrent respiratory papillomatosis and their parents perceive a poor quality of life, and they may experience limitations in interactions with their peers. Infection by human papillomavirus type 11 may increase the impact of the disease on quality of life.


2017 ◽  
Vol 22 (02) ◽  
pp. 108-112 ◽  
Author(s):  
Prashanth Prabhu ◽  
Anusha Chandrashekar ◽  
Anita Jose ◽  
Aishwarya Ganeshan ◽  
Lavanya Kiruthika

Introduction It is essential to determine the quality of life among individuals with chronic suppurative otitis media (CSOM). However, there is limited literature on health-related quality of life measurements in Kannada-speaking individuals with CSOM. Objectives The present study attempted to translate and validate Chronic Suppurative Otitis Media Questionnaire-12 (COMQ-12) and Chronic Otitis Media Outcome Test-15 (COMOT-15) in Kannada. Method The English questionnaires were translated and back-translated, and they were later verified for content validity. The developed questionnaires were then administered to 100 individuals with CSOM for further validation. Results The results of the study showed that the translated questionnaires have good internal consistency for measuring quality of life among individuals with CSOM. The study also showed that Kannada-speaking individuals with CSOM show significant impairment in their health-related quality of life measures. Conclusions The impairments were more related to ear symptoms and psychological issues. However, test-retest reliability of the developed questionnaire and its further validation are essential. Thus, these questionnaires attempt to understand the problems of the individuals with CSOM from the patients' perspective and help clinicians provide the appropriate management.


2013 ◽  
Vol 127 (5) ◽  
pp. 442-447 ◽  
Author(s):  
E J Maile ◽  
R Youngs

AbstractDisabling hearing impairment is the world's most common disability. Traditionally, hearing levels measured by pure tone audiometry have been used to define and quantify hearing loss. The effects of disabling hearing loss on patients' quality of life can be profound, and audiometric data alone may not correlate with quality of life measures. Generic measures of quality of life can be used to compare different diseases, and as such are useful in resource allocation and burden of disease studies. Their disadvantage is that they are not disease-specific and can therefore under-estimate the effects of a disease on patients' quality of life. Disease-specific measures are more sensitive. In chronic otitis media, additional factors such as discharge augment the effect of hearing loss alone on quality of life. Many of the quality of life measures developed for chronic otitis media have been used to assess improvement following reconstructive surgery. Quality of life measures have also been used to assess the effect of paediatric otitis media. Quality of life measures also have utility in the developing world, where hearing impairment is a huge burden.


2020 ◽  
Author(s):  
Ana M. Otoya Tono ◽  
Lucía C. Pérez Herrera ◽  
Daniel Peñaranda García ◽  
Sergio Moreno López ◽  
Ricardo Sánchez Pedraza ◽  
...  

Abstract Background Evaluation of health-related quality of life (HRQoL) is considered an important aspect of clinical assessment and health research. Chronic Otitis Media (COM) is related to the quality of life deterioration subsequent to COM symptoms, social communication impairments and lower work performance. However, there is no reliable information regarding the impact of this disease on health and quality of life in many resource-poor countries. Therefore, we translated into Spanish and culturally adapted the Chronic Otitis Media Questionnaire-12 (COMQ-12) for the evaluation of Health-Related Quality of Life (HRQoL) of Chronic Otitis Media (COM) in adult patients. Also, we assessed the psychometric properties of our version of the questionnaire.Methods Two otology referral centers in Bogotá, Colombia were included. The Spanish version of COMQ-12 was applied twice to 200 adult patients with confirmed COM diagnosis and to 31 healthy controls in order to perform the validation process and assess the internal consistency of this questionnaire. Psychometric characteristics (replicability, reliability, and validity) of the COMQ-12 were assessed. Exploratory Factor Analysis (EFA) and Confirmatory Factor Analysis (CFA) were conducted via structural equation modeling (SEM) in order to test the questionnaire’s structure.Results The Spanish version of the COMQ-12 showed good internal consistency (Cronbach’s Alpha=0.8526, McDonald’s Omega = 0.8901). Coefficients corresponding to Lin’s Concordance test and test-retest reliability were 0.945 and 0.82 respectively. Correlation between the Visual Analogue Scale (VAS) and the COMQ-12 was = 0.676 (IC 95% = 0.593; 0.745). Factor analysis of the Spanish version of the COMQ-12 indicated a questionnaire structure with three domains: smelly discharge related symptoms; hearing loss related symptoms; and impact on work, lifestyle and health services.Conclusion This Spanish version of the COMQ-12 showed high reliability and high internal consistency. This questionnaire can be used as an objective clinical tool to assess the HRQoL of patients who have a COM diagnosis.


Sign in / Sign up

Export Citation Format

Share Document