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Quality of life measures in otitis media

Published online by Cambridge University Press:  10 April 2013

E J Maile*
Affiliation:
Oxford University Hospitals NHS Trust, Oxford University Clinical Academic Graduate School, UK
R Youngs
Affiliation:
Department of Otolaryngology, Gloucestershire Hospitals NHS Foundation Trust, Gloucester, UK
*
Address for correspondence: Dr Edward Maile, Oxford University Clinical Academic Graduate School, Medical Sciences Division, Level 3, John Radcliffe Hospital, Oxford OX3 9DU, UK Fax: +44 (0)1865 750 750 E-mail: [email protected]

Abstract

Disabling 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.

Type
Review Articles
Copyright
Copyright © JLO (1984) Limited 2013 

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