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Mapping quality of life after balloon dilatation in subglottic stenosis using Dyspnea index and Short Form Health Survey-36
Umeå University, Faculty of Medicine, Department of Clinical Sciences, Otorhinolaryngology. Department of Otorhinolaryngology, University Hospital of Umeå, Umeå, Sweden.
Umeå University, Faculty of Social Sciences, Umeå School of Business and Economics (USBE).ORCID iD: 0000-0003-1524-0851
Umeå University, Faculty of Medicine, Department of Clinical Sciences, Otorhinolaryngology.ORCID iD: 0000-0002-0649-3825
2024 (English)In: European Archives of Oto-Rhino-Laryngology, ISSN 0937-4477, E-ISSN 1434-4726Article in journal (Refereed) Epub ahead of print
Abstract [en]

Purpose: An accurate diagnosis and proper treatment plan are required to restore an adequate patent airway in fibrotic subglottic stenosis (SGS). Currently, the definitive treatment entails single-stage balloon dilatation with steroid injections. The primary aim was to evaluate successful airway restoration and general quality of life in cases with SGS in northern Sweden using robust patient reported outcomes.

Methods: All participants with need of surgical treatment due to SGS that had been referred to the department of otorhinolaryngology, University Hospital of Umeå from September 2020 to August 2023 was included. Exclusion criteria included malignant, extrathoracic or cartilaginous cause, age < 18 years, or incompetent to sign consent documents. We assessed the patient-reported outcome measures pre- as well as 3 months postoperatively.

Results: Of the 40 cases fulfilling the eligibility criteria’s, 33 cases completed the Dyspnea index (DI) and the short form health survey (SF-36) pre- as well as 3 months post-operatively. Receiver operating characteristics showed significant improvement in DI as well as in SF 36 scores post-operatively.

Conclusions: Evaluation of balloon dilatation in SGS in this cohort follow-up analysis shows clear improvement in patient quality of life using robust PROM 3 months postoperatively, ensuring the use of a safe and well-tolerated procedure.

Place, publisher, year, edition, pages
Springer Nature, 2024.
Keywords [en]
Balloon dilatation, Dyspnea index, Short form healthy survey, Subglottic stenosis
National Category
Otorhinolaryngology
Identifiers
URN: urn:nbn:se:umu:diva-224264DOI: 10.1007/s00405-024-08667-0ISI: 001214210400002PubMedID: 38705896Scopus ID: 2-s2.0-85192082165OAI: oai:DiVA.org:umu-224264DiVA, id: diva2:1857556
Funder
Cancerforskningsfonden i Norrland, AMP-19-973Cancerforskningsfonden i Norrland, AMP-21 1033Region Västerbotten, 967352Region Västerbotten, 979607Available from: 2024-05-14 Created: 2024-05-14 Last updated: 2024-05-14

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Erlandsson, AndersLundquist, AndersOlofsson, Katarina

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CiteExportLink to record
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