Determinants of quality of life among patients with chronic otitis media: a multivariable analysis
European Archives of Oto-Rhino-Laryngology, 2026 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Basım Tarihi: 2026
- Doi Numarası: 10.1007/s00405-026-10652-8
- Dergi Adı: European Archives of Oto-Rhino-Laryngology
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, BIOSIS, EMBASE, MEDLINE, Academic Search Ultimate (EBSCO), Biomedical Reference Collection: Corporate Edition (EBSCO), Health Research Premium Collection (ProQuest)
- Anahtar Kelimeler: Chronic Otitis Media, COMQ-12, Quality of Life, Regression Analysis
- İstanbul Üniversitesi Adresli: Evet
Özet
Purpose: Our study aimed to identify the independent demographic and clinical factors associated with quality of life (QoL) in patients with chronic otitis media (COM), using the Chronic Otitis Media Questionnaire-12 (COMQ-12) as a disease-specific assessment tool. Multivariable regression analysis was applied to determine which variables most significantly influence patient-reported QoL. Methods : A cross-sectional, observational study was conducted on 299 adult participants at a tertiary referral center between May 2022 and May 2023. All participants completed two questionnaires: the first collected sociodemographic and clinical data, and the second was the validated COMQ-12. Otoscopic and audiological examinations were performed. Binaural hearing impairment (BHI) was calculated. Multivariable linear regression analysis was used to identify factors independently associated with higher COMQ-12 scores. Results: The mean COMQ-12 score was 28,17 ± 12,03. Multivariable regression analysis revealed that younger age (p = 0.017), presence of ear discharge (p < 0.001), tinnitus (p = 0.007) and higher BHI (p = 0.025) were strongly associated with higher COMQ-12 scores. There was no statistically significant relationship between QoL and variables such as gender, educational level, disease type or laterality, smoking status and comorbidity burden. Conclusions: Younger age, ear discharge, tinnitus and BHI were independently associated with higher COMQ-12 scores indicating reduced QoL in patients with COM. Consideration of these factors in the management and treatment of COM may improve patient’s QoL.