KMID : 0361020190620060323
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Korean Journal of Otolaryngology - Head and Neck Surgery 2019 Volume.62 No. 6 p.323 ~ p.331
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Validation of Korean-Language Version of Chronic Otitis Media Questionnaire-12 to Reflect the Disease Activity of Chronic Otitis Media
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Kong Tae-Hoon
Shin Ye-Ji Ku Cheol-Hyo Park Sang-Man Park Yoon-Ah Park Sang-Yoo
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Abstract
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Background and Objectives: The Chronic Otitis Media Questionnaire-12 (COMQ-12) was developed in the United Kingdom to assess disease specific Health-Related Quality of Life (HRQoL) of chronic otitis media (COM) patients. We assessed the validity of Korean version of COMQ-12 (K-COMQ-12) and its correlation with the disease activity of COM classified according to the type of surgery.Materials and Method We translated the original COMQ-12 into Korean and also performed a back-translation of the translated text into English. Enrolled were 106 COM patients and 106 healthy subjects. Cronbach alpha was used to evaluate internal consistency, and factor analysis was performed to prove reliability. We compared K-COMQ-12 scores between normal subjects and COM patients to assess validity. The scores were also compared by dividing groups according to disease activity of COM.
Results: Cronbach¡¯s alpha showed good internal consistency (0.939). There was a significant difference in K-COMQ-12 scores between healthy subjects (1.99¡¾4.34) and COM patients (22.69¡¾12.41). Also, scores go higher as the disease activity of COM increased. A cut-off score of 6 of K-COMQ-12 sets 0.915 of sensitivity and 0.934 of specificity.
Conclusion: The K-COMQ-12 is a reliable and valid tool to assess HRQoL in patients with COM. The K-COMQ-12 could be also used as an objective tool that reflects the disease activity of COM.
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KEYWORD
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Chronic otitits media, Chronic Otitis Media Questionnaire 12, Patient-reported outcome, Questionnaire, Quality of life
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