Validation of outcomes survey for adults with chronic suppurative otitis media.
Currently, there is no valid, disease-specific outcomes measure to evaluate health impact and treatment effectiveness for patients with chronic suppurative otitis media (CSOM). The Chronic Ear Survey (CES) is a new, disease-specific outcomes measure for CSOM that was administered in a prospective manner to 91 patients with CSOM. It was then validated according to established criteria for reliability, validity, and sensitivity to clinical change by correlation with objective data and self-assessment questionnaires such as the Hearing Handicap Inventory for Adults (HHIA) and the generic 36-Item Short-Form Health Survey (SF-36). Significant correlations between subscale scores of the CES and audiometric data and between subscale scores of the HHIA and SF-36 were found. The standardized response mean for the CES total score was 0.42, indicating moderate sensitivity to clinical change. Overall, results demonstrated that the CES is a reliable and valid instrument for investigation of health status and health-related quality-of-life outcomes.
Wang
P C
PC
Department of Otolaryngology, Massachusetts Eye and Ear Infirmary, Boston 02114, USA.
Nadol
J B
JB
Merchant
S
S
Austin
E
E
Gliklich
R E
RE
D000328:Adult; D001301:Audiometry, Pure-Tone / Q000379:methods; D002908:Chronic Disease; D006304:Health Status; D006311:Hearing Disorders / Q000175:diagnosis; D006801:Humans; D010035:Otitis Media, Suppurative / Q000150:complications / Q000628:therapy*; D011446:Prospective Studies; D011788:Quality of Life; D015203:Reproducibility of Results; D012680:Sensitivity and Specificity; D011795:Surveys and Questionnaires; D016896:Treatment Outcome