Investigating characteristics of health-related quality of life in different types of chronic middle ear disease

Authorea ◽  
2020 ◽  
Author(s):  
David B chinger ◽  
Wilma Grossmann ◽  
Robert Mlynski ◽  
Nora Weiss
2019 ◽  
Vol 82 (2) ◽  
pp. 161-165 ◽  
Author(s):  
Po-Cheng Hsu ◽  
Chi-Kuang Feng ◽  
Shou-Hsien Huang ◽  
Jan-Wei Chiu ◽  
Chen-Liang Chou ◽  
...  

2020 ◽  
Author(s):  
Bjarne Austad ◽  
Ann Helen Nilsen ◽  
Anne-Sofie Helvik ◽  
Grethe Albrektsen ◽  
Ståle Nordgård ◽  
...  

Abstract Background: Otitis media with effusion is the major cause of acquired hearing problems in children. Some of the affected children need surgery with ventilation tubes in the tympanic membrane to reduce ear complaints and to improve hearing, middle ear function and health-related quality of life. This is one of the most common ambulatory surgeries performed on children. Postoperative controls are needed to assess that the tubes are functional, evaluate whether hearing loss has been improved, and to handle potential complications. The follow-up may continue for years and are usually done by otolaryngologists. Nevertheless: there exist no evidence-based guidelines concerning the level of expertise needed for postoperative controls of the ventilation tubes. The aim of this protocol is to describe the ConVenTu study that evaluates whether postoperative controls performed by general practitioners (GPs), represent a safe and sufficient alternative to controls performed by otolaryngologists. Methods/design: Multicenter randomized non-inferiority study conducted in clinical settings in seven hospitals located in Norway. Discharged children with ventilation tubes, aged 3-10 years are allocated randomly to receive postoperative controls by either an otolaryngologist at the hospital where they had ventilation tube surgery or their regular GP. Study participants are enrolled consecutively until 200 patients are included in each group. Two years after surgery we will compare pure tone average of hearing thresholds (primary endpoint) and middle ear function, complication rate, health-related quality of life and the parents’ evaluations of the postoperative care (secondary endpoints). Discussion: This protocol describes the first randomized non-inferiority study of GPs performing postoperative controls after surgery with ventilation tubes. Results from this study may be utilized for deriving evidence-based clinical practice guidelines of the level of postoperative controls after ventilation tube surgery which is safe and sufficient.


2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Kenika Jiratchayaporn ◽  
Siriorn Sindhu ◽  
Acharaporn Seeherunwong ◽  
Rungnapa Panitrat ◽  
Chukiat Viwatwongkasem

PurposeAlthough health-related quality of life (HRQOL) has become an important outcome, specifically in regard to the impact of illness and treatment in patients with depression, few studies have explored the HRQOL of patients from different types of hospitals. This study aimed at examining a change in HRQOL of patients from various types of hospitalsDesign/methodology/approachA repeated measure was used in this study. Thirty participants in psychiatric outpatient units per center from the different types of hospitals, including a psychiatric hospital, regional hospital, general hospital and community hospital, were assessed with the Thai version of the World Health Organization Quality of Life Brief (WHOQOL-BREF-THAI) questionnaire at the first visit, and after the 6th and 12th weeks of the treatment course.FindingsThe HRQOL scores for the participants were increased in each type of hospital from their first visit to the 6th week and 12th week (p < 0.001; except for the 6th week in the regional hospital, p < 0.01).Originality/valueThe findings reflected HRQOL in patients with depression in terms of the resources available in different types of hospitals that could be used as baseline data for the development of Thai mental health service systems.


2013 ◽  
Vol 41 (6) ◽  
pp. 493-503 ◽  
Author(s):  
Javier Montero ◽  
Raquel Castillo-Oyagüe ◽  
Christopher D. Lynch ◽  
Alberto Albaladejo ◽  
Antonio Castaño

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