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Published on: February 21, 2018
Correlation of Clinical Characteristics of Meniere's Disease and Its Patient-Oriented Severity Index (MD POSI)
Josip Novaković1, Ana Barišić2, Erik Šuvak3
1Department of Otorhinolaryngology, General Hospital Zabok, 49210 Bračak, Croatia.
Abstract:
Background: Meniere's disease is characterized by a triad of vertigo episodes, fluctuating hearing loss, and tinnitus. The disease is followed by a loss of quality of life in patients, with the severity depending on the individual and the stage of the disease. Since there are no quantitatively validated tests that connect all elements of the disease, the only source of subjective data that can be analyzed is the disease diary and questionnaires, among which the MDPOSI (Meniere's Disease Patient-Oriented Symptom-Severity Index) stands out as a designated quality-of-life assessment tool. This study aims to evaluate the differences in the questionnaire depending on the clinical characteristics of the disease. Methods: The study recruited 60 patients, with clinical variables including age, gender, disease laterality, caloric testing results, and PTA results, the presence of spontaneous nystagmus, pathological values of calorimetric testing, or rotatory chair testing abnormalities. Results: The appearance of spontaneous nystagmus showed a significant association with worse hearing threshold values at 500 Hz (p = 0.036, OR 4.416) and higher. Worse SRT scores correlated with Q1 (p = 0.011), Q2 (p = 0.028), Q4 (p = 0.045), Q5 (p = 0.013), and the total MDPOSI score (p = 0.008, 0.339). Multivariate analysis showed that a higher total value of the MDPOSI questionnaire was statistically significantly associated with older age (p = 0.042) and spontaneous nystagmus (p = 0.037). Conclusions: There is a correlation between the clinical characteristics of Meniere's disease and the MDPOSI questionnaire, making it useful for assessing quality of life and disease progression.
Insights
The Meniere
Area of Science:
- Otolaryngology
- Neurology
- Quality of Life Research
Background:
- Meniere's disease presents with vertigo, hearing loss, and tinnitus, impacting patient quality of life.
- Quantitative diagnostic tools are lacking, making subjective assessments crucial.
- The Meniere's Disease Patient-Oriented Symptom-Severity Index (MDPOSI) is a key quality-of-life assessment tool.
Purpose of the Study:
- To investigate the relationship between clinical Meniere's disease characteristics and MDPOSI scores.
- To determine if specific disease features correlate with patient-reported outcomes.
Main Methods:
- Sixty Meniere's disease patients were analyzed.
- Clinical variables included age, gender, disease laterality, and audiological/vestibular test results.
- The MDPOSI questionnaire was administered to assess symptom severity and quality of life.
Main Results:
- Spontaneous nystagmus correlated with poorer hearing thresholds and higher MDPOSI scores.
- Speech Reception Threshold (SRT) scores were associated with specific MDPOSI subscales (Q1, Q2, Q4, Q5) and the total score.
- Older age and the presence of spontaneous nystagmus were linked to higher overall MDPOSI scores.
Conclusions:
- The MDPOSI questionnaire demonstrates a correlation with key clinical features of Meniere's disease.
- MDPOSI is a valuable tool for evaluating quality of life and monitoring disease progression.
- Findings support the use of MDPOSI in clinical practice for comprehensive Meniere's disease assessment.
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