Accuracy of the ETDQ‐7 for Identifying Persons with Eustachian Tube Dysfunctionстатья из журнала
Аннотация: Objective To compare the accuracy of the Eustachian Tube Dysfunction Questionnaire (ETDQ‐7) in identifying people with eustachian tube (ET) dysfunction based on symptoms and an objective ET function test. Study Design Cross‐sectional study. ObjSettingective Tertiary referral center. Subjects and Methods Fifty‐five subjects with and without symptoms suggestive of ET dysfunction completed the ETDQ‐7 and had their ET function evaluated by the percentage of middle ear pressure equilibrated after 5 swallows (PEq 5 ) either during a pressure chamber test (intact tympanic membranes) or by the inflation‐deflation test (nonintact tympanic membranes). ETDQ‐7 score ≥14.5 and PEq 5 <60% were used to define ET dysfunction, and sensitivity, specificity, and receiver operating characteristic curves were used to assess the level of association between ETDQ‐7 scores and PEq 5 . Results Twenty‐five asymptomatic subjects (group 1 = 15 females, 15 white; mean ± SD age, 32 ± 12.8 years) and 30 subjects with ET dysfunction symptoms (group 2 = 17 females, 25 white; age, 27 ± 16.3 years) were included in the analysis. ETDQ‐7 sensitivity and specificity regarding correct group assignment were 70% and 100%, respectively, and with respect to predicting PEq 5 <60%, 54% and 78%. An area under the curve (AUC) of 0.68 (95% CI, 0.53‐0.83) at the participant level and 0.64 (95% CI, 0.50‐0.77) at the ear level indicated a moderate level of association that was lower, though not statistically significant, for nonintact tympanic membranes (AUC = 0.63 at the participant level and AUC = 0.49 at the ear level). Conclusion The ETDQ‐7 score had a higher correlation with the ET dysfunction symptoms than with an objective measure of ET function.
Год издания: 2017
Издательство: Wiley
Источник: Otolaryngology
Ключевые слова: Ear Surgery and Otitis Media, Sinusitis and nasal conditions, Phonocardiography and Auscultation Techniques
Другие ссылки: Otolaryngology (HTML)
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Том: 158
Выпуск: 1
Страницы: 83–89