Health-related quality of life in children with otitis media

Carole N M Brouwer1, A Rianne Maillé, Maroeska M Rovers

  • 1Department of Paediatrics, Spaarne Hospital Hoofddorp, Postbus 770, 2130 AT Hoofddorp, The Netherlands. carol2b_workit@hotmail.com

Insights

Otitis media significantly impacts children's quality of life, affecting physical, behavioral, and emotional health. Current assessment tools often measure functional status, not true quality of life, with limited reliability data.

Area of Science:

  • Pediatric Health
  • Quality of Life Research
  • Otolaryngology

Background:

  • Growing interest in children's health-related quality of life (HRQoL) necessitates evaluating otitis media assessment tools.
  • Current instruments' applicability and results in clinical practice and research require scrutiny.

Purpose of the Study:

  • Review otitis media's impact on pediatric HRQoL.
  • Assess the suitability of HRQoL instruments for children with otitis media in research and clinical settings.

Main Methods:

  • Searched EMBASE and NLM Gateway (1966-2004) for studies on HRQoL in children (0-18 years) with otitis media.
  • Included studies using generic or disease-specific questionnaires; manually searched bibliographies.

Main Results:

  • Only 13 of 141 studies met inclusion criteria.
  • Otitis media negatively impacts physical health, hearing, speech, behavior, and emotional well-being.
  • Most instruments measure functional status, not HRQoL, with incomplete validity and reliability data.

Conclusions:

  • Otitis media substantially affects children's functional health status and HRQoL.
  • OM-6 is the best available tool for functional status assessment in research.
  • Lack of true HRQoL instruments and incomplete data limit current knowledge and application.
Abstract

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