Nasal Obstruction and Quality of Life Assessment After Septoplasty With Turbinoplasty: Correlation Between Subjective Scales

2020 ◽  
pp. 194589242097895
Author(s):  
Gloria Corredor-Rojas ◽  
María A. García-Chabur ◽  
Juliana Castellanos ◽  
Sergio Moreno ◽  
Martin Pinzón ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Nasal Obstruction ◽  
Life Assessment ◽  
Santa Fe ◽  
Quality Of Life Assessment ◽  
Symptom Evaluation ◽  
Glasgow Benefit Inventory ◽  
One Year ◽  
The Impact

Background Assessment of nasal obstruction is imprecise due to a low correlation between findings on the physical examination and objective measures with the severity of symptoms reported by the patient even after septoplasty with turbinoplasty is performed. The aim of this study is to evaluate the use of subjective scales, and the correlation between them for the evaluation of nasal obstruction after surgery. Objective To assess the impact of undergoing septoplasty with turbinoplasty to relieve nasal obstructive symptoms and the quality of life in a mid-term period by using the Visual Analogue Scale (VAS), Nasal Obstruction Symptom Evaluation (NOSE), and Glasgow Benefit Inventory (GBI). Methods A retrospective study was conducted of patients who underwent a septoplasty with turbinoplasty due to nasal septodeviation and secondary nasal obstructive symptoms at the Hospital Universitario Fundación Santa Fe de Bogotá. Three scales were used to measure the outcomes one year after surgery: VAS (0–10), NOSE (0–100), and GBI (−100 to 100). Results Data from 56 patients (21 females, mean age 37.5 years of age, SD 12.13) was collected. The results showed that 75% of the patients had a post-surgical NOSE score below 50 and a VAS score below 6. Regarding the GBI scale, 75% of the patients improved in their quality of life. An inverse proportional correlation was found between the NOSE and GBI scales (rho = −0.3682) (95% CI −0.579 to –0.111), and there was a directly proportional correlation between the NOSE and VAS scales (rho = 0.7440) (95% CI 0.595 to 0.844). Conclusion Subjective measures suggest there was an improvement in nasal obstructive symptoms and quality of life after surgery. Non-anatomical causes such as rhinitis can be confounding factors to consider in subsequent studies. VAS stands out as a possible interchangeable scale with NOSE to measure nasal obstruction in these patients.

scholarly journals Computerized Quality of Life Assessment: A Randomized Experiment to Determine the Impact of Individualized Feedback on Assessment Experience (Preprint)

2018 ◽  
Author(s):  
Daan Geerards ◽  
Andrea Pusic ◽  
Maarten Hoogbergen ◽  
René van der Hulst ◽  
Chris Sidey-Gibbons
Keyword(s):  
Quality Of Life ◽  
User Experience ◽  
Computerized Adaptive Testing ◽  
Life Assessment ◽  
World Health ◽  
Quality Of Life Assessment ◽  
Fixed Length ◽  
Graphical Feedback ◽  
The Impact

BACKGROUND Quality of life (QoL) assessments, or patient-reported outcome measures (PROMs), are becoming increasingly important in health care and have been associated with improved decision making, higher satisfaction, and better outcomes of care. Some physicians and patients may find questionnaires too burdensome; however, this issue could be addressed by making use of computerized adaptive testing (CAT). In addition, making the questionnaire more interesting, for example by providing graphical and contextualized feedback, may further improve the experience of the users. However, little is known about how shorter assessments and feedback impact user experience. OBJECTIVE We conducted a controlled experiment to assess the impact of tailored multimodal feedback and CAT on user experience in QoL assessment using validated PROMs. METHODS We recruited a representative sample from the general population in the United Kingdom using the Oxford Prolific academic Web panel. Participants completed either a CAT version of the World Health Organization Quality of Life assessment (WHOQOL-CAT) or the fixed-length WHOQOL-BREF, an abbreviated version of the WHOQOL-100. We randomly assigned participants to conditions in which they would receive no feedback, graphical feedback only, or graphical and adaptive text-based feedback. Participants rated the assessment in terms of perceived acceptability, engagement, clarity, and accuracy. RESULTS We included 1386 participants in our analysis. Assessment experience was improved when graphical and tailored text-based feedback was provided along with PROMs (Δ=0.22, P<.001). Providing graphical feedback alone was weakly associated with improvement in overall experience (Δ=0.10, P=.006). Graphical and text-based feedback made the questionnaire more interesting, and users were more likely to report they would share the results with a physician or family member (Δ=0.17, P<.001, and Δ=0.17, P<.001, respectively). No difference was found in perceived accuracy of the graphical feedback scores of the WHOQOL-CAT and WHOQOL-BREF (Δ=0.06, P=.05). CAT (stopping rule [SE<0.45]) resulted in the administration of 25% fewer items than the fixed-length assessment, but it did not result in an improved user experience (P=.21). CONCLUSIONS Using tailored text-based feedback to contextualize numeric scores maximized the acceptability of electronic QoL assessment. Improving user experience may increase response rates and reduce attrition in research and clinical use of PROMs. In this study, CAT administration was associated with a modest decrease in assessment length but did not improve user experience. Patient-perceived accuracy of feedback was equivalent when comparing CAT with fixed-length assessment. Fixed-length forms are already generally acceptable to respondents; however, CAT might have an advantage over longer questionnaires that would be considered burdensome. Further research is warranted to explore the relationship between assessment length, feedback, and response burden in diverse populations.

scholarly journals Health-related quality of life assessment when implementing ecology programs

2020 ◽  
Vol 176 ◽  
pp. 04012
Author(s):  
Vladimir Luchkevich ◽  
Marinicheva Galina ◽  
Vladimir Filatov
Keyword(s):  
Quality Of Life ◽  
Respiratory Diseases ◽  
Life Assessment ◽  
Urban Residents ◽  
Health Related Quality ◽  
Quality Of Life Assessment ◽  
Related Quality ◽  
Health Related ◽  
The Impact

The article presents the results of the analysis of the priority health-related quality of life criteria of metropolis residents (St. Petersburg), who live on the territories under the environmental risk and have the signs specific for respiratory diseases. The survey targets analyzing the severity of the main functioning types in the health-related quality of life structure taken in conjunction with the environmental factors. The clinical and statistical analysis and screening questionnaire were performed with the use the specialized questionnaire WHO, to identify the risk factors, the prevalence of the clinical symptoms and chronic respiratory diseases. The importance of the impact was established with deterioration of the life quality indicators at various degrees of the clinical status of the patients at the chronic respiratory disease development stages. The priority health-related quality of life assessment criteria were developed by the types of functioning, providing for classification of the urban residents by medical and environmental risk groups. Insufficient medical awareness and medical preventive care of urban residents were found to increase the impact of the adverse environmental factors on the development of the respiratory diseases. The revealed regularities allowed developing the medical and environmental programs for organizational and functional interaction of the experts.

scholarly journals A retrospective analysis with quality of life assessment of nasal surgery for nasal obstruction

2018 ◽  
Vol 5 (1) ◽  
pp. 5
Author(s):  
Mehmet Fatih Karakus ◽  
Suleyman Emre Karakurt ◽  
Mustafa Colak
Keyword(s):  
Quality Of Life ◽  
Nasal Obstruction ◽  
Life Assessment ◽  
Rank Test ◽  
Signed Rank ◽  
Symptom Evaluation ◽  
Signed Rank Test ◽  
The Difference ◽  
Age Range

<p class="abstract"><strong>Background:</strong> Nasal obstruction is a common health problem that disrupts a person’s quality of life (QoL). The Nasal Obstruction Symptom Evaluation scale (NOSE) is a QoL scale with questions specific to nasal obstruction symptoms. This study aimed to evaluate surgical success in patients who underwent nasal septal deviation surgery by using a NOSE assessment, thus determining the importance and efficacy of surgery in this group of patients.</p><p class="abstract"><strong>Methods:</strong> This study was conducted in between January 2016 and June 2017, including a total of 60 patients. The age range of the patients was 18–57 (mean, 34.4±9.9 years). The preoperative and postoperative scoring and surgeries were performed by the same investigator. The surgeries were septoplasty and radiofrequency applied to the inferior concha to overcome conchal hypertrophy. Preoperative mean scores were compared with postoperative second-month values. The importance of difference was evaluated with the Wilcoxon signed-rank test.  </p><p class="abstract"><strong>Results:</strong> Preoperative minimum, maximum and mean scores were 65.0, 100.0 and 83.4 (83.41±8.15), respectively. Postoperative minimum, maximum and mean scores were 10.0, 35.0 and 21.6 (21.66±8.06), respectively. The difference in mean scores was significant (Z=−6.778; p&lt;0.001).</p><p class="abstract"><strong>Conclusions:</strong> The difficulty in evaluating patient satisfaction and postoperative success stems from differences in each surgeon’s approach and the comparison of preoperative and postoperative findings. This study, which was carried out by the same researcher for all steps, differs it from similar studies.</p>

scholarly journals Computerized Quality of Life Assessment: A Randomized Experiment to Determine the Impact of Individualized Feedback on Assessment Experience

10.2196/12212 ◽  
2019 ◽  
Vol 21 (7) ◽  
pp. e12212 ◽  
Author(s):  
Daan Geerards ◽  
Andrea Pusic ◽  
Maarten Hoogbergen ◽  
René van der Hulst ◽  
Chris Sidey-Gibbons
Keyword(s):  
Quality Of Life ◽  
Life Assessment ◽  
Randomized Experiment ◽  
Quality Of Life Assessment ◽  
Individualized Feedback ◽  
The Impact
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