TY - JOUR
T1 - Patient's Perspective and Change in Quality of Life After Stapes Surgery
T2 - A Multicenter Prospective Trial
AU - Jellema, Maaike
AU - Blijleven, Esther E.
AU - Buwalda, Joeri
AU - Hemler, Raphael J. B.
AU - van Waegeningh, Huib F.
AU - Stokroos, Robert J.
AU - Wegner, Inge
AU - Thomeer, Henricus G. X. M.
N1 - Publisher Copyright:
© 2025 The Author(s). Otolaryngology–Head and Neck Surgery published by Wiley Periodicals LLC on behalf of American Academy of Otolaryngology–Head and Neck Surgery Foundation.
PY - 2025/9
Y1 - 2025/9
N2 - Objective: This study evaluated outcomes of stapes surgery in otosclerosis patients by assessing audiometric results and health-related quality of life (HRQOL) using the Dutch Stapesplasty Outcome Test-25 (SPOT-25) questionnaire. Additionally, the role of SPOT-25 in preoperative decision-making and as a follow-up tool was explored. Study Design: A prospective, multicenter cohort study. Setting: One tertiary academic medical center and 3 secondary referral centers. Methods: Data from 115 adult patients undergoing primary stapes surgery was analyzed. Audiometric outcomes were measured using pure-tone audiometry results and word recognition score (WRS). HRQOL was assessed using SPOT-25, Glasgow Health Status Questionnaire, and Glasgow Benefit Inventory. Pre- and postoperative outcomes were compared, and correlations between pure-tone audiometry results, WRS, and HRQOL were analyzed. Outcomes were compared between patients receiving 0.4 and 0.6 mm diameter pistons, and the impact of preoperative pure-tone audiometry results was analyzed. Results: Significant postoperative improvements were observed in all audiometric measures (mean air conduction gain of 22 dB and air–bone gap (ABG) improvement of 18 dB). HRQOL also improved significantly (mean SPOT-25 score improved from 48 to 27). The 0.6 mm piston group had a significantly smaller postoperative ABG than the 0.4 mm group. Patients with a preoperative ABG ≤ 15 dB had a mean SPOT-25 gain of 19 (SD 22), whereas those with a preoperative ABG > 15 dB had a gain of 21 (SD 18). Conclusion: Stapes surgery significantly improves hearing and HRQOL. The SPOT-25 is a valuable tool for evaluating HRQOL and may assist in preoperative decision-making in patients with varying hearing impairments. Level of Evidence: III.
AB - Objective: This study evaluated outcomes of stapes surgery in otosclerosis patients by assessing audiometric results and health-related quality of life (HRQOL) using the Dutch Stapesplasty Outcome Test-25 (SPOT-25) questionnaire. Additionally, the role of SPOT-25 in preoperative decision-making and as a follow-up tool was explored. Study Design: A prospective, multicenter cohort study. Setting: One tertiary academic medical center and 3 secondary referral centers. Methods: Data from 115 adult patients undergoing primary stapes surgery was analyzed. Audiometric outcomes were measured using pure-tone audiometry results and word recognition score (WRS). HRQOL was assessed using SPOT-25, Glasgow Health Status Questionnaire, and Glasgow Benefit Inventory. Pre- and postoperative outcomes were compared, and correlations between pure-tone audiometry results, WRS, and HRQOL were analyzed. Outcomes were compared between patients receiving 0.4 and 0.6 mm diameter pistons, and the impact of preoperative pure-tone audiometry results was analyzed. Results: Significant postoperative improvements were observed in all audiometric measures (mean air conduction gain of 22 dB and air–bone gap (ABG) improvement of 18 dB). HRQOL also improved significantly (mean SPOT-25 score improved from 48 to 27). The 0.6 mm piston group had a significantly smaller postoperative ABG than the 0.4 mm group. Patients with a preoperative ABG ≤ 15 dB had a mean SPOT-25 gain of 19 (SD 22), whereas those with a preoperative ABG > 15 dB had a gain of 21 (SD 18). Conclusion: Stapes surgery significantly improves hearing and HRQOL. The SPOT-25 is a valuable tool for evaluating HRQOL and may assist in preoperative decision-making in patients with varying hearing impairments. Level of Evidence: III.
KW - HRQOL
KW - PROMs
KW - SPOT-25
KW - stapes surgery
UR - https://www.scopus.com/pages/publications/105004445536
U2 - 10.1002/ohn.1298
DO - 10.1002/ohn.1298
M3 - Article
C2 - 40344441
SN - 0194-5998
VL - 173
SP - 697
EP - 704
JO - Otolaryngology and Head and Neck Surgery
JF - Otolaryngology and Head and Neck Surgery
IS - 3
ER -