Impact of depressive disorders on quality of life after middle ear surgery in patients with chronic otitis media.
Cholesteatoma
Depressiveness
Middle ear reconstruction
Quality assessment
Tympanoplasty
Journal
European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery
ISSN: 1434-4726
Titre abrégé: Eur Arch Otorhinolaryngol
Pays: Germany
ID NLM: 9002937
Informations de publication
Date de publication:
Sep 2021
Sep 2021
Historique:
received:
14
07
2020
accepted:
23
09
2020
pubmed:
5
10
2020
medline:
5
8
2021
entrez:
4
10
2020
Statut:
ppublish
Résumé
The aim of this study was to determine whether preoperative depressive symptoms influence health-related quality of life (HRQOL) after middle ear surgery in patients with chronic otitis media (COM). This prospective clinical case study was conducted at a tertiary referral center. All 102 patients who had undergone middle ear surgery for COM were assessed clinically and by audiometric testing (pure tone audiometry) in pre- and postoperative settings. Disease-specific HRQOL was assessed by the validated chronic otitis media outcome test 15 (COMOT-15) and the Zurich chronic middle ear inventory (ZCMEI-21). General HRQOL was measured using the short form 36 (SF-36). Depressive symptoms were assessed using the patient health questionnaire (PHQ-D). The Charlson comorbidity index (CCI) was used to classify comorbidities. The middle ear status was determined using the ossiculoplasty outcome parameter staging (OOPS) index. After middle ear surgery, the total COMOT-15 and ZCMEI-21 scores improved significantly (p < 0.001). General HRQOL (total SF-36 score) was unaffected by surgery (p < 0.05). Patients without elevated depressive symptoms had significantly better total scores for the COMOT-15 (p < 0.01), ZCMEI-21 (p < 0.001), and for SF-36 (p < 0.001) postoperatively. The results of the multiple regression analyses show that, after adjusting for the OOPS, CCI, and hearing improvement, preoperative depressiveness was significantly associated with worse postoperative COMOT-15 and ZCMEI-21 outcome scores (β = 0.425 and β = 0.362, p < 0.001). Preoperative depressiveness was an essential predictive factor for HRQOL in patients with COM. This should be considered during patient selection to provide more suitable preoperative counseling.
Identifiants
pubmed: 33011956
doi: 10.1007/s00405-020-06397-7
pii: 10.1007/s00405-020-06397-7
pmc: PMC8328900
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
3217-3225Informations de copyright
© 2020. The Author(s).
Références
Lupus. 2018 Mar;27(3):454-460
pubmed: 29325492
Am J Geriatr Psychiatry. 2020 May;28(5):545-556
pubmed: 31980375
Int J Pediatr Otorhinolaryngol. 2020 Mar;130 Suppl 1:109837
pubmed: 31883704
Eur Arch Otorhinolaryngol. 2019 Oct;276(10):2827-2833
pubmed: 31325032
Otol Neurotol. 2019 Apr;40(4):e441-e453
pubmed: 30870379
Arch Otolaryngol Head Neck Surg. 2012 Sep;138(9):840-5
pubmed: 22986718
HNO. 2009 Sep;57(9):889-95
pubmed: 19629418
Headache. 2019 Jan;59(1):46-55
pubmed: 30548860
J Neurosurg Spine. 2011 Feb;14(2):261-7
pubmed: 21214315
Acta Otorhinolaryngol Ital. 2019 Feb;39(1):53-60
pubmed: 30936579
Support Care Cancer. 2019 Jun;27(6):2007-2021
pubmed: 30937599
J Foot Ankle Surg. 2020 Jul - Aug;59(4):758-762
pubmed: 32173179
J Otolaryngol Head Neck Surg. 2019 Apr 30;48(1):18
pubmed: 31039822
Gerontologist. 2016 Apr;56 Suppl 2:S256-67
pubmed: 26994265
Eur Arch Otorhinolaryngol. 2016 Oct;273(10):3073-81
pubmed: 26869474
HNO. 2008 Feb;56(2):145-50
pubmed: 17476471
Otolaryngol Head Neck Surg. 1995 Sep;113(3):186-7
pubmed: 7675477
Eur Arch Otorhinolaryngol. 2013 Feb;270(2):521-6
pubmed: 22566178
Am J Epidemiol. 2011 Mar 15;173(6):676-82
pubmed: 21330339
Am J Rhinol Allergy. 2020 Jul;34(4):537-542
pubmed: 32188266
Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2013 May;56(5-6):733-9
pubmed: 23703492
PLoS One. 2015 Mar 11;10(3):e0119616
pubmed: 25760329
Otolaryngol Head Neck Surg. 2020 Jan;162(1):142-147
pubmed: 31711363
Eur Arch Otorhinolaryngol. 2020 Jun;277(6):1637-1643
pubmed: 32144569
Head Neck. 2019 Aug;41(8):2538-2548
pubmed: 30887617
BMC Musculoskelet Disord. 2018 Jun 21;19(1):201
pubmed: 30037341
Eur Arch Otorhinolaryngol. 2015 Nov;272(11):3177-85
pubmed: 25359196
J Neurosurg Spine. 2020 Jan 31;:1-20
pubmed: 32005017
Soc Sci Med. 1995 Nov;41(10):1359-66
pubmed: 8560303
Spine J. 2020 Aug;20(8):1167-1175
pubmed: 32179156
Clin Otolaryngol Allied Sci. 1992 Aug;17(4):317-21
pubmed: 1526050
Laryngoscope. 2000 Mar;110(3 Pt 3):32-5
pubmed: 10718413
Laryngoscope. 2008 Aug;118(8):1427-32
pubmed: 18475206
Otol Neurotol. 2014 Mar;35(3):454-8
pubmed: 24518406
Laryngoscope. 2017 Feb;127(2):466-469
pubmed: 27301552
Ann Allergy Asthma Immunol. 2018 Mar;120(3):310-317.e2
pubmed: 29508718
Soc Sci Med. 1998 Sep;47(5):595-601
pubmed: 9690842
Pak J Med Sci. 2019 Mar-Apr;35(2):510-514
pubmed: 31086542
J Affect Disord. 2016 Jan 15;190:68-74
pubmed: 26480213
Laryngorhinootologie. 2020 Mar;99(S 01):S222-S271
pubmed: 32384566
Health Qual Life Outcomes. 2011 Jun 29;9:48
pubmed: 21711571
Aging Ment Health. 2021 May;25(5):954-961
pubmed: 32166966
Hand (N Y). 2020 Mar 19;:1558944720911213
pubmed: 32188297
Neurosurgery. 2012 Feb;70(2):306-11; discussion 311
pubmed: 22251975
Eur Arch Otorhinolaryngol. 2020 Apr;277(4):1211-1217
pubmed: 32025788
Otol Neurotol. 2001 May;22(3):299-304
pubmed: 11347630
J Psychosom Res. 2018 Aug;111:52-57
pubmed: 29935755
Anaesthesia. 2019 Jan;74 Suppl 1:36-42
pubmed: 30604423