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Stapes surgery in Sweden: evaluation of a national-based register
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Surgical Sciences, Otolaryngology and Head and Neck Surgery.
Karlstad Hosp, Karlstad, Sweden..
Sahlgrenska Tech Audiologist Univ Hosp, Gothenburg, Sweden..
Ostersund Hosp, Ostersund, Sweden..
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2017 (English)In: European Archives of Oto-Rhino-Laryngology, ISSN 0937-4477, E-ISSN 1434-4726, Vol. 274, no 6, p. 2421-2427Article in journal (Refereed) Published
Abstract [en]

The aim of the National Quality Registries is to monitor the outcome of healthcare given to patients. The Swedish Quality register for otosclerosis surgery is one of the nine official national registers for ear, nose and throat diseases in Sweden. Since 2004, surgical and audiological results and patient satisfaction scores have been systematically collected from a majority of the ear, nose and throat clinics performing stapes surgery in Sweden. The results of 1688 patients who underwent primary operations for otosclerosis were evaluated for 24 out of totally 26 clinics performing stapes surgery, between 2004 and 2010. The most common surgical technique reported was stapedotomy accomplished in an overnight stay. A majority of patients experienced improved hearing, and were satisfied with the preoperative counselling. Successful surgery, defined as an ABG closure ae<currency>10 dB HL, was achieved in 69%, improvement in AC by ae<yen>20 dB in 63% and BC not worsened by more than ae<yen>5 dB in 93% of the patients. An overall low incidence of postoperative complications was reported. The outcome for ABG and BC was demonstrated to be independent of the number of operations performed by each clinic. An evaluation of the register and the results from the SQOS revealed that stapes surgery is a safe procedure with good hearing outcomes, low complication rates and a high rate of patient's satisfaction on a national level.

Place, publisher, year, edition, pages
2017. Vol. 274, no 6, p. 2421-2427
Keywords [en]
Otosclerosis, Surgical register, Quality indicators
National Category
Otorhinolaryngology
Identifiers
URN: urn:nbn:se:uu:diva-324232DOI: 10.1007/s00405-017-4510-2ISI: 000400754900008PubMedID: 28285424OAI: oai:DiVA.org:uu-324232DiVA, id: diva2:1112487
Available from: 2017-06-20 Created: 2017-06-20 Last updated: 2017-06-20Bibliographically approved

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