title: Caregiver Quality of Life Is Related to Severity of Otitis Media in Children.
abstract: Otitis media (OM) in children is the most frequent reason for physician visits in developed countries and burdens caregivers, society, and the child. Our objective was to describe the impact of OM severity on parent/caregiver quality of life (QoL).
  
  
  
  Multi-institutional prospective cross-sectional study.
  
  
  
  Otolaryngology, family, and pediatric practices.
  
  
  
  Children 6 to 24 months old with and without a primary diagnosis of recurrent OM and their caregivers. Physicians provided patient history, and parents/caregivers completed a Family Information Form, the PedsQL Family Impact survey, the Patient Reported Outcomes Measurement Information System (PROMIS) survey, and the OM 6-item severity survey (OM-6).
  
  
  
  A total of 2413 subjects were enrolled and data from 1208 patients and physician were analyzed. The average child age was 16 months, and 54% were male. The mean OM-6 score was 3.2. The mean PedsQL Family Impact score for parents was 66.9 from otolaryngology sites and 78.8 from pediatrics/family practice sites (P < .001). Higher (worse) OM-6 scores correlated significantly with worse PedsQL Family Impact scores (Pearson r = -0.512, P < .01). Similarly, increasing OM-6 scores strongly correlated with increased parental anxiety, depression, and fatigue, as well as decreased satisfaction (all P < .01).
  
  
  
  Worse PedsQL Family Impact and PROMIS scores were highly correlated with elevated OM-6 scores, suggesting that severity of childhood OM significantly affects parent/caregiver QoL. Understanding the impact of a child's illness on parent/caregiver QoL can help physicians counsel patients and families and provide better family-centered, compassionate care.
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, Washington University School of Medicine, St Louis, Missouri, USA.
authors.forename: Sarah J
authors.initials: SJ
authors.lastname: Blank
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, Washington University School of Medicine, St Louis, Missouri, USA.
authors.forename: David J
authors.initials: DJ
authors.lastname: Grindler
authors.affiliation: Division of Otolaryngology-Head and Neck Surgery, Duke University School of Medicine, Durham, North Carolina, USA.
authors.forename: Kristine A
authors.initials: KA
authors.lastname: Schulz
authors.affiliation: Division of Otolaryngology-Head and Neck Surgery, Duke University School of Medicine, Durham, North Carolina, USA.
authors.forename: David L
authors.initials: DL
authors.lastname: Witsell
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, Washington University School of Medicine, St Louis, Missouri, USA lieuj@ent.wustl.edu.
authors.forename: Judith E C
authors.initials: JE
authors.lastname: Lieu
mesh_terms: D000203:Activities of Daily Living; D000328:Adult; D017028:Caregivers / Q000523:psychology*; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D008876:Middle Ear Ventilation; D010033:Otitis Media / Q000523:psychology* / Q000601:surgery; D011446:Prospective Studies; D011788:Quality of Life; D012720:Severity of Illness Index; D011795:Surveys and Questionnaires
keywords: OM; caregiver; pressure equalization tube; quality of life; tympanostomy tube
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