{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,17]],"date-time":"2026-02-17T04:50:28Z","timestamp":1771303828398,"version":"3.50.1"},"reference-count":15,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2025,5,9]],"date-time":"2025-05-09T00:00:00Z","timestamp":1746748800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>This study evaluated outcomes of stapes surgery in otosclerosis patients by assessing audiometric results and health\u2010related quality of life (HRQOL) using the Dutch Stapesplasty Outcome Test\u201025 (SPOT\u201025) questionnaire. Additionally, the role of SPOT\u201025 in preoperative decision\u2010making and as a follow\u2010up tool was explored.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>A prospective, multicenter cohort study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>One tertiary academic medical center and 3 secondary referral centers.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Data from 115 adult patients undergoing primary stapes surgery was analyzed. Audiometric outcomes were measured using pure\u2010tone audiometry results and word recognition score (WRS). HRQOL was assessed using SPOT\u201025, Glasgow Health Status Questionnaire, and Glasgow Benefit Inventory. Pre\u2010 and postoperative outcomes were compared, and correlations between pure\u2010tone audiometry results, WRS, and HRQOL were analyzed. Outcomes were compared between patients receiving 0.4 and 0.6\u2009mm diameter pistons, and the impact of preoperative pure\u2010tone audiometry results was analyzed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Significant postoperative improvements were observed in all audiometric measures (mean air conduction gain of 22\u2009dB and air\u2013bone gap (ABG) improvement of 18\u2009dB). HRQOL also improved significantly (mean SPOT\u201025 score improved from 48 to 27). The 0.6\u2009mm piston group had a significantly smaller postoperative ABG than the 0.4\u2009mm group. Patients with a preoperative ABG\u2009\u2264\u200915\u2009dB had a mean SPOT\u201025 gain of 19 (SD 22), whereas those with a preoperative ABG\u2009&gt;\u200915\u2009dB had a gain of 21 (SD 18).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Stapes surgery significantly improves hearing and HRQOL. The SPOT\u201025 is a valuable tool for evaluating HRQOL and may assist in preoperative decision\u2010making in patients with varying hearing impairments.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>III.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ohn.1298","type":"journal-article","created":{"date-parts":[[2025,5,9]],"date-time":"2025-05-09T08:10:21Z","timestamp":1746778221000},"page":"697-704","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Patient's Perspective and Change in Quality of Life After Stapes Surgery: A Multicenter Prospective Trial"],"prefix":"10.1002","volume":"173","author":[{"given":"Maaike","family":"Jellema","sequence":"first","affiliation":[{"name":"Department of Otorhinolaryngology\u2013Head and Neck Surgery University Medical Center Utrecht Utrecht The Netherlands"},{"name":"Brain Center University Medical Center Utrecht Utrecht The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Esther E.","family":"Blijleven","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology\u2013Head and Neck Surgery University Medical Center Utrecht Utrecht The Netherlands"},{"name":"Brain Center University Medical Center Utrecht Utrecht The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joeri","family":"Buwalda","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology Deventer Hospital Deventer The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Raphael J.B.","family":"Hemler","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology Gelre Hospital Apeldoorn The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Huib F.","family":"van Waegeningh","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology Ter Gooi Medical Center Hilversum The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert J.","family":"Stokroos","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology\u2013Head and Neck Surgery University Medical Center Utrecht Utrecht The Netherlands"},{"name":"Brain Center University Medical Center Utrecht Utrecht The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Inge","family":"Wegner","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology\u2013Head and Neck Surgery University Medical Center Groningen Groningen The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Henricus G.X.M.","family":"Thomeer","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology\u2013Head and Neck Surgery University Medical Center Utrecht Utrecht The Netherlands"},{"name":"Brain Center University Medical Center Utrecht Utrecht The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,5,9]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otc.2017.11.001"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2273.2003.00675.x"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0194-5998(95)70103-6"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599812458401"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.3109\/14992027.2014.948220"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1749-4486.2006.01237.x"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/hex.13254"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00106-017-0389-x"},{"key":"e_1_2_8_10_1","unstructured":"BlijlevenEE JellemaM BuwaldaJ et al. Translation cultural adaptation and validation of the Stapesplasty Outcome Test 25 (SPOT\u201025) for measurement of disease\u2010specific health\u2010related quality of life in Dutch otosclerosis patients: a prospective study. European Archives of Oto\u2010Rhino\u2010Laryngology. In press."},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-023-08407-w"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.5152\/iao.2022.21479"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-019-05709-w"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.anorl.2022.12.004"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-017-4798-y"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1177\/014556131809700709"}],"container-title":["Otolaryngology\u2013Head and Neck Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ohn.1298","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T09:59:49Z","timestamp":1760954389000},"score":1,"resource":{"primary":{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/10.1002\/ohn.1298"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,5,9]]},"references-count":15,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2025,9]]}},"alternative-id":["10.1002\/ohn.1298"],"URL":"https:\/\/doi.org\/10.1002\/ohn.1298","archive":["Portico"],"relation":{},"ISSN":["0194-5998","1097-6817"],"issn-type":[{"value":"0194-5998","type":"print"},{"value":"1097-6817","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,5,9]]},"assertion":[{"value":"2025-02-10","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-04-24","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-05-09","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}