Patient's Perspective and Change in Quality of Life After Stapes Surgery: A Multicenter Prospective Trial

Maaike Jellema; Esther E Blijleven; Joeri Buwalda; Raphael J B Hemler; Huib F van Waegeningh; Robert J Stokroos; Inge Wegner; Henricus G X M Thomeer

doi:10.1002/ohn.1298

Patient's Perspective and Change in Quality of Life After Stapes Surgery: A Multicenter Prospective Trial

Maaike Jellema^*
, Esther E Blijleven
, Joeri Buwalda
, Raphael J B Hemler
, Huib F van Waegeningh
, Robert J Stokroos
, Inge Wegner
, Henricus G X M Thomeer

^*Corresponding author for this work

Research output: Contribution to journal › Article › Academic › peer-review

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Abstract

OBJECTIVE: This study evaluated outcomes of stapes surgery in otosclerosis patients by assessing audiometric results and health-related quality of life (HRQOL) using the Dutch Stapesplasty Outcome Test-25 (SPOT-25) questionnaire. Additionally, the role of SPOT-25 in preoperative decision-making and as a follow-up tool was explored.

STUDY DESIGN: A prospective, multicenter cohort study.

SETTING: One tertiary academic medical center and 3 secondary referral centers.

METHODS: Data from 115 adult patients undergoing primary stapes surgery was analyzed. Audiometric outcomes were measured using pure-tone audiometry results and word recognition score (WRS). HRQOL was assessed using SPOT-25, Glasgow Health Status Questionnaire, and Glasgow Benefit Inventory. Pre- and postoperative outcomes were compared, and correlations between pure-tone audiometry results, WRS, and HRQOL were analyzed. Outcomes were compared between patients receiving 0.4 and 0.6 mm diameter pistons, and the impact of preoperative pure-tone audiometry results was analyzed.

RESULTS: Significant postoperative improvements were observed in all audiometric measures (mean air conduction gain of 22 dB and air-bone gap (ABG) improvement of 18 dB). HRQOL also improved significantly (mean SPOT-25 score improved from 48 to 27). The 0.6 mm piston group had a significantly smaller postoperative ABG than the 0.4 mm group. Patients with a preoperative ABG ≤ 15 dB had a mean SPOT-25 gain of 19 (SD 22), whereas those with a preoperative ABG > 15 dB had a gain of 21 (SD 18).

CONCLUSION: Stapes surgery significantly improves hearing and HRQOL. The SPOT-25 is a valuable tool for evaluating HRQOL and may assist in preoperative decision-making in patients with varying hearing impairments.

LEVEL OF EVIDENCE: III.

Original language	English
Pages (from-to)	697-704
Number of pages	8
Journal	Otolaryngology - Head and Neck Surgery
Volume	173
Issue number	3
Early online date	9 May 2025
DOIs	https://doi.org/10.1002/ohn.1298
Publication status	Published - Sept 2025

Keywords

HRQOL
PROMs
SPOT-25
stapes surgery

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Otolaryngol --head neck surg - 2025 - Jellema - Patient s Perspective and Change in Quality of Life After Stapes Surgery AFinal published version, 140 KBLicence: CC BY-NC

Cite this

@article{8a74722f74e24dad84dfb7f71edb17dd,

title = "Patient's Perspective and Change in Quality of Life After Stapes Surgery: A Multicenter Prospective Trial",

abstract = "OBJECTIVE: This study evaluated outcomes of stapes surgery in otosclerosis patients by assessing audiometric results and health-related quality of life (HRQOL) using the Dutch Stapesplasty Outcome Test-25 (SPOT-25) questionnaire. Additionally, the role of SPOT-25 in preoperative decision-making and as a follow-up tool was explored.STUDY DESIGN: A prospective, multicenter cohort study.SETTING: One tertiary academic medical center and 3 secondary referral centers.METHODS: Data from 115 adult patients undergoing primary stapes surgery was analyzed. Audiometric outcomes were measured using pure-tone audiometry results and word recognition score (WRS). HRQOL was assessed using SPOT-25, Glasgow Health Status Questionnaire, and Glasgow Benefit Inventory. Pre- and postoperative outcomes were compared, and correlations between pure-tone audiometry results, WRS, and HRQOL were analyzed. Outcomes were compared between patients receiving 0.4 and 0.6 mm diameter pistons, and the impact of preoperative pure-tone audiometry results was analyzed.RESULTS: Significant postoperative improvements were observed in all audiometric measures (mean air conduction gain of 22 dB and air-bone gap (ABG) improvement of 18 dB). HRQOL also improved significantly (mean SPOT-25 score improved from 48 to 27). The 0.6 mm piston group had a significantly smaller postoperative ABG than the 0.4 mm group. Patients with a preoperative ABG ≤ 15 dB had a mean SPOT-25 gain of 19 (SD 22), whereas those with a preoperative ABG > 15 dB had a gain of 21 (SD 18).CONCLUSION: Stapes surgery significantly improves hearing and HRQOL. The SPOT-25 is a valuable tool for evaluating HRQOL and may assist in preoperative decision-making in patients with varying hearing impairments.LEVEL OF EVIDENCE: III.",

keywords = "HRQOL, PROMs, SPOT-25, stapes surgery",

author = "Maaike Jellema and Blijleven, \{Esther E\} and Joeri Buwalda and Hemler, \{Raphael J B\} and \{van Waegeningh\}, \{Huib F\} and Stokroos, \{Robert J\} and Inge Wegner and Thomeer, \{Henricus G X M\}",

note = "Publisher Copyright: {\textcopyright} 2025 The Author(s). Otolaryngology{\textendash}Head and Neck Surgery published by Wiley Periodicals LLC on behalf of American Academy of Otolaryngology{\textendash}Head and Neck Surgery Foundation.",

year = "2025",

month = sep,

doi = "10.1002/ohn.1298",

language = "English",

volume = "173",

pages = "697--704",

journal = "Otolaryngology - Head and Neck Surgery",

issn = "0194-5998",

publisher = "John Wiley \& Sons Inc.",

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TY - JOUR

T1 - Patient's Perspective and Change in Quality of Life After Stapes Surgery

T2 - A Multicenter Prospective Trial

AU - Jellema, Maaike

AU - Blijleven, Esther E

AU - Buwalda, Joeri

AU - Hemler, Raphael J B

AU - van Waegeningh, Huib F

AU - Stokroos, Robert J

AU - Wegner, Inge

AU - Thomeer, Henricus G X M

N1 - Publisher Copyright: © 2025 The Author(s). Otolaryngology–Head and Neck Surgery published by Wiley Periodicals LLC on behalf of American Academy of Otolaryngology–Head and Neck Surgery Foundation.

PY - 2025/9

Y1 - 2025/9

N2 - OBJECTIVE: This study evaluated outcomes of stapes surgery in otosclerosis patients by assessing audiometric results and health-related quality of life (HRQOL) using the Dutch Stapesplasty Outcome Test-25 (SPOT-25) questionnaire. Additionally, the role of SPOT-25 in preoperative decision-making and as a follow-up tool was explored.STUDY DESIGN: A prospective, multicenter cohort study.SETTING: One tertiary academic medical center and 3 secondary referral centers.METHODS: Data from 115 adult patients undergoing primary stapes surgery was analyzed. Audiometric outcomes were measured using pure-tone audiometry results and word recognition score (WRS). HRQOL was assessed using SPOT-25, Glasgow Health Status Questionnaire, and Glasgow Benefit Inventory. Pre- and postoperative outcomes were compared, and correlations between pure-tone audiometry results, WRS, and HRQOL were analyzed. Outcomes were compared between patients receiving 0.4 and 0.6 mm diameter pistons, and the impact of preoperative pure-tone audiometry results was analyzed.RESULTS: Significant postoperative improvements were observed in all audiometric measures (mean air conduction gain of 22 dB and air-bone gap (ABG) improvement of 18 dB). HRQOL also improved significantly (mean SPOT-25 score improved from 48 to 27). The 0.6 mm piston group had a significantly smaller postoperative ABG than the 0.4 mm group. Patients with a preoperative ABG ≤ 15 dB had a mean SPOT-25 gain of 19 (SD 22), whereas those with a preoperative ABG > 15 dB had a gain of 21 (SD 18).CONCLUSION: Stapes surgery significantly improves hearing and HRQOL. The SPOT-25 is a valuable tool for evaluating HRQOL and may assist in preoperative decision-making in patients with varying hearing impairments.LEVEL OF EVIDENCE: III.

AB - OBJECTIVE: This study evaluated outcomes of stapes surgery in otosclerosis patients by assessing audiometric results and health-related quality of life (HRQOL) using the Dutch Stapesplasty Outcome Test-25 (SPOT-25) questionnaire. Additionally, the role of SPOT-25 in preoperative decision-making and as a follow-up tool was explored.STUDY DESIGN: A prospective, multicenter cohort study.SETTING: One tertiary academic medical center and 3 secondary referral centers.METHODS: Data from 115 adult patients undergoing primary stapes surgery was analyzed. Audiometric outcomes were measured using pure-tone audiometry results and word recognition score (WRS). HRQOL was assessed using SPOT-25, Glasgow Health Status Questionnaire, and Glasgow Benefit Inventory. Pre- and postoperative outcomes were compared, and correlations between pure-tone audiometry results, WRS, and HRQOL were analyzed. Outcomes were compared between patients receiving 0.4 and 0.6 mm diameter pistons, and the impact of preoperative pure-tone audiometry results was analyzed.RESULTS: Significant postoperative improvements were observed in all audiometric measures (mean air conduction gain of 22 dB and air-bone gap (ABG) improvement of 18 dB). HRQOL also improved significantly (mean SPOT-25 score improved from 48 to 27). The 0.6 mm piston group had a significantly smaller postoperative ABG than the 0.4 mm group. Patients with a preoperative ABG ≤ 15 dB had a mean SPOT-25 gain of 19 (SD 22), whereas those with a preoperative ABG > 15 dB had a gain of 21 (SD 18).CONCLUSION: Stapes surgery significantly improves hearing and HRQOL. The SPOT-25 is a valuable tool for evaluating HRQOL and may assist in preoperative decision-making in patients with varying hearing impairments.LEVEL OF EVIDENCE: III.

KW - HRQOL

KW - PROMs

KW - SPOT-25

KW - stapes surgery

UR - https://www.scopus.com/pages/publications/105004445536

U2 - 10.1002/ohn.1298

DO - 10.1002/ohn.1298

M3 - Article

C2 - 40344441

SN - 0194-5998

VL - 173

SP - 697

EP - 704

JO - Otolaryngology - Head and Neck Surgery

JF - Otolaryngology - Head and Neck Surgery

IS - 3

ER -

Patient's Perspective and Change in Quality of Life After Stapes Surgery: A Multicenter Prospective Trial

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