Disability from chronic ear disease in Nepal assessed using the World Health Organization Disability Assessment Schedule 2.0 instrument

Rudd, J., Bohara, R., Youngs, R., Mcleod, R.W.J. ORCID: https://orcid.org/0000-0003-3221-6896, Elhassan, H.A. and Gurung, U. 2021. Disability from chronic ear disease in Nepal assessed using the World Health Organization Disability Assessment Schedule 2.0 instrument. Journal of Laryngology and Otology 10.1017/S002221512100236X

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Abstract

Objective Globally, South Asia has the highest proportion of disabling hearing loss. There is a paucity of data exploring the associated hearing loss and disability caused by chronic middle-ear disease in South Asia in the setting of surgical outreach. This study aimed to measure disability using the World Health Organization Disability Assessment Schedule 2.0 in patients undergoing ear surgery for chronic middle-ear disease in an ear hospital in Nepal. Method The World Health Organization Disability Assessment Schedule 2.0 was translated into Nepali and administered by interview to patients before ear surgery, and results were correlated with pre-operative audiograms. Results Out of a total of 106 patients with a mean age of 23 years, the mean World Health Organization Disability Assessment Schedule 2.0 score was 17.7, and the highest domain scores were for domain 6 ‘participation in society’ at a score of 34. There was a positive correlation of World Health Organization Disability Assessment Schedule 2 score with hearing level (r = 0.46). Conclusion Patients with ear disease in Nepal have had their disability measured using the World Health Organization Disability Assessment Schedule 2.0. Our study demonstrated a correlation between impaired hearing and disability in a surgical outreach context, which was an expected but not previously reported finding.

Item Type:	Article
Date Type:	Published Online
Status:	Published
Schools:	Psychology
Publisher:	Cambridge University Press
ISSN:	0022-2151
Last Modified:	19 May 2023 01:16
URI:	https://orca.cardiff.ac.uk/id/eprint/144467

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