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Different rhinologic diseases cause a similar multidimensional decrease in generic health-related quality of life.

Maija Ylitalo-Heikkilä1, Paula Virkkula1, Harri Sintonen2

  • 1Department of Otorhinolaryngology - Head and Neck Surgery, Helsinki University Hospital and University of Helsinki, Helsinki, Finland.

Clinical Otolaryngology : Official Journal of ENT-UK ; Official Journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery
|July 12, 2018
PubMed
Summary
This summary is machine-generated.

Rhinologic diseases significantly impair health-related quality of life (HRQoL) for patients, affecting sleep and vitality. Obstructive sleep apnea (OSA) worsens this impact, but even without OSA, HRQoL remains poor.

Keywords:
quality of liferesearch

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Area of Science:

  • Otolaryngology
  • Quality of Life Research
  • Public Health

Background:

  • Chronic rhinosinusitis and allergic rhinitis impose significant burdens.
  • Limited research exists on health-related quality of life (HRQoL) in diverse rhinologic conditions.

Purpose of the Study:

  • To investigate generic HRQoL in patients with various rhinologic diseases.
  • To compare HRQoL in rhinologic patients with the general population.

Main Methods:

  • Cross-sectional, questionnaire-based study of 337 adult rhinologic patients.
  • Utilized the 15-dimension (15D) HRQoL questionnaire.
  • Compared patient scores to a national health examination survey sample.

Main Results:

  • Rhinologic patients (mean 15D score 0.865) had significantly poorer HRQoL than the general population (0.929).
  • Impairments were noted in sleep, discomfort, symptoms, breathing, and vitality.
  • Obstructive sleep apnea (OSA) patients showed particularly reduced HRQoL, but significant differences were not found between the five most common rhinologic diagnoses.

Conclusions:

  • Rhinologic diseases negatively impact patient HRQoL regardless of the specific diagnosis.
  • Obstructive sleep apnea (OSA) exacerbates HRQoL decline.
  • Even without OSA, rhinologic patients experience clinically significant HRQoL impairment and poor sleep quality.