Quality of life for children with persistent sinonasal symptoms

Quality of life for children with persistent sinonasal symptoms
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DOI:
10.1067/mhn.2003.41
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发表时间:
2003-01-01
影响因子:
3.4
通讯作者:
Rosenfeld, RM
Rosenfeld, RM
中科院分区:
医学2区
文献类型:
--
作者:
Kay, DJ;Rosenfeld, RM

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OBJECTIVE: The goal was to validate the SN-5 survey as a measure of longitudinal change in health-related quality of life,(HRQoL) for children with persistent sinonasal symptoms.DESIGN AND SETTING: We conducted a before and after study of 85 children aged 2 to 12 years in a metropolitan pediatric otolaryngology practice. Caregivers completed the SN-5 surrey at entry and at least 4 weeks later.. The survey included 5 symptom-cluster items covering the domains of sinus infection, nasal obstruction, allergy symptoms, emotional distress, and activity limitations.RESULTS: Good test-retest reliability (R = 0.70) was obtained for the overall SN-5 score and the individual survey items (R greater than or equal to 0.58). The mean baseline SN-5 score was 3.8 (SD, 1.0) of a maximum of 7.0, with higher scores indicating poorer HRQoL. All SN-5 items had adequate correlation (R greater than or equal to 0.36) with external constructs. The mean change in SN-5 score after routine clinical care was 0.88 (SD, 1.19) with an effect size of 0.74 indicating good responsiveness to longitudinal change. The change scores correlated appropriately with changes in related external constructs (R greater than or equal to 0.42).CONCLUSIONS: The SN-5 is a valid, reliable, and responsive measure. of HRQoL for children with persistent sinonasal symptoms, suitable for use in outcomes studies, and routine clinical care.