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For the Dutch-Flemish Otology Society: Patient Satisfaction in Cholesteatoma Surgery: study set-up and preliminary results

Presenting Author: Joost van Dinther

Published online by Cambridge University Press:  03 June 2016

Joost van Dinther ,
Stefan Delrue ,
Valerie Droessaert ,
Sophie Camp ,
Robby Vanspauwen ,
Youri Maryn ,
Andrzej Zarowski ,
Thomas Somers  and
Erwin Offeciers
Joost van Dinther
Affiliation:
European Institute for ORL-HNS, Sint Augustinus HospitalAntwerpBelgium
Stefan Delrue
Affiliation:
European Institute for ORL-HNS - Sint Augustinus HospitalAntwerpBelgium
Valerie Droessaert
Affiliation:
European Institute for ORL-HNS - Sint Augustinus HospitalAntwerpBelgium
Sophie Camp
Affiliation:
European Institute for ORL-HNS - Sint Augustinus HospitalAntwerpBelgium
Robby Vanspauwen
Affiliation:
European Institute for ORL-HNS - Sint Augustinus HospitalAntwerpBelgium
Youri Maryn
Affiliation:
European Institute for ORL-HNS - Sint Augustinus HospitalAntwerpBelgium
Andrzej Zarowski
Affiliation:
European Institute for ORL-HNS - Sint Augustinus HospitalAntwerpBelgium
Thomas Somers
Affiliation:
European Institute for ORL-HNS - Sint Augustinus HospitalAntwerpBelgium
Erwin Offeciers
Affiliation:
European Institute for ORL-HNS - Sint Augustinus HospitalAntwerpBelgium
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Abstract

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Information
The Journal of Laryngology & Otology , Volume 130 , Supplement S3: Abstracts for the 10th International Conference on Cholesteatoma , May 2016 , pp. S145
Copyright
Copyright © JLO (1984) Limited 2016 

Learning Objectives: 1. To test the validity and test-retest reliability of the Dutch translation of the Chronic Otitis Media Questionnaire 12 (COMQ-12). 2. To evaluate the quality of life in cholesteatoma patients after treatment with the bony obliteration technique.

Objective: To test the validity and test-retest reliability of the Dutch translation of the Chronic Otitis Media Questionnaire 12. To evaluate the QOL in cholesteatoma patients after treatment with the bony obliteration technique (BOT).

Materials and Methods: 35 individuals with no history of COM received the questionnaire as well as a group of 35 patients with complaints of COM. The healthy participants had to complete the questionnaire twice (control group 1 and control group 2) to estimate the test-retest reliability, and their scores were compared with those of the patients (group 3) to test the validity. The Dutch GBI and COMQ-12 questionnaires were used in a group of cholesteatoma patients after treatment with the BOT.

Results: The overall COMQ-12 score in control group 1 ranged from 0 to 11, in control group 2 from 0 to 6, and in group 3 from 7 to 46. The mean score in group 1 was 1.43, 1.34 in group 2 and 27.80 in group 3. A comparison of the COMQ-12 scores of the two control groups and the patient group showed a significantly higher COMQ-12 score in patients with COM. The diagnostic accuracy was investigated, and a COMQ-12 cut-off score of 8 was found to have a near-perfect sensitivity and specificity in distinguishing between the presence and absence of COM. The single-measures ICCAA was 0.859 (with a 95% confidence interval from 0.738 to 0.926). This clearly exceeded the ICC threshold for acceptable reliability (ICC ≥ 0.75) and therefore confirmed that there was reasonable test-retest reliability when applying the questionnaire to control subjects. The preliminary results of the GBI and COMQ-12 questionnaires in a group of cholesteatoma patients after treatment with the bony obliteration technique will be discussed.

Conclusion: The Dutch version of the COMQ-12 has good validity, diagnostic accuracy, and test-retest reliability. The preliminary QOL results after the BOT in cholesteatoma patients will be discussed.