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The impact of septoplasty on health‐related quality of life in paediatric patients
Author(s) -
Anderson K.,
Ritchie K.,
Chorney J.M.,
Bezuhly M.,
Hong P.
Publication year - 2016
Publication title -
clinical otolaryngology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.914
H-Index - 68
eISSN - 1749-4486
pISSN - 1749-4478
DOI - 10.1111/coa.12485
Subject(s) - septoplasty , medicine , otorhinolaryngology , quality of life (healthcare) , cohort , pediatrics , retrospective cohort study , surgery , nose , nursing
Objectives To assess the impact that septoplasty had on health‐related quality of life ( HRQ oL) in paediatric patients and to determine whether there were patient characteristics that predicted better outcomes. Design Retrospective cohort study. Setting Academic paediatric otolaryngology practice. Participants All paediatric patients who underwent septoplasty during the study period. Main outcome measures The current HRQoL was assessed using the Paediatric Quality of Life Inventory (PedsQL). The Glasgow Children's Benefit Inventory (GCBI) was used to evaluate the perceived change in HRQoL following septoplasty. Results A total of 29 patients (16 boys, mean age 13 years) and their caregivers responded (response rate of 72.5%). There was a statistically significant improvement in HRQ oL following septoplasty, as demonstrated by the positive mean GCBI subscores and the total GCBI score (35.1, sd = 28.4). The total mean Peds QL score for child self‐report was 95.2 ( sd = 6.9) and for parent‐proxy report was 91.8 ( sd = 8.6), which indicated good current HRQ oL. The enhancement in HRQ oL post‐septoplasty was moderately correlated with self‐reported degree of nasal obstruction pre‐septoplasty ( r = 0.621 for total GCBI ). Also, there were differences in GCBI scores between the groups of children who wanted to have the surgery versus those who did not want to have the surgery. Conclusions There was a significant positive change in HRQ oL following paediatric septoplasty in our study population. Children who reported more severe nasal obstruction and those who wanted to have the surgery were more likely to experience enhancement of HRQ oL following their surgery.