Hostname: page-component-76fb5796d-5g6vh Total loading time: 0 Render date: 2024-04-30T05:35:57.526Z Has data issue: false hasContentIssue false
  • English
  • Français

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

Published online by Cambridge University Press:  09 September 2021

J Rudd ,
R Bohara ,
R Youngs ,
R W J Mcleod ,
H A Elhassan  and
U Gurung
J Rudd*
Affiliation:
ENT Department, Great Ormond Street Hospital, London, UK
R Bohara
Affiliation:
Britain Nepal Otology Service Ear Health Community Service, Nepalgunj, Nepal
R Youngs
Affiliation:
International Centre for Evidence in Disability, London School of Hygiene and Tropical Medicine, UK
R W J Mcleod
Affiliation:
School of Psychology, Cardiff University, Wales, UK
H A Elhassan
Affiliation:
ENT Department, Homerton University Hospital Foundation Trust, London, UK
U Gurung
Affiliation:
Institute of Medicine, Tribhuvan University Teaching Hospital, Kathmandu, Nepal
*
Author for correspondence: Dr James Rudd, ENT Department, Great Ormond Street Hospital, Great Ormond Street, LondonWC1N 3JH, UK E-mail: jamesrudd@nhs.net
Get access Rights & Permissions [Opens in a new window]

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.

Keywords

Global HealthOtologyHearing LossDisability
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 135 , Issue 12 , December 2021 , pp. 1069 - 1074
Copyright
Copyright © The Author(s), 2021. Published by Cambridge University Press

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

Dr J Rudd takes responsibility for the integrity of the content of the paper

References

Deafness and hearing loss. In: http://www.who.int/news-room/fact-sheets/detail/deafness-and-hearing-loss [1 May 2018]Google Scholar
Chadha, S, Cieza, A, Reyes, K. Public health approach to hearing across the life course: a call-for-papers. Bull World Health Organ 2018;96:592CrossRefGoogle ScholarPubMed
Addressing the rising prevalence of hearing loss. In: https://apps.who.int/iris/handle/10665/260336 [1 May 2019]Google Scholar
Multi-country assessment of national capacity to provide hearing care. In: https://www.who.int/pbd/publications/WHOReportHearingCare_Englishweb.pdf [1st May 2019]Google Scholar
Maile, EJ, Tharu, PB, Blanchford, HL, Edmiston, R, Youngs, R. Quality of life of Nepali patients with ear disease before and after corrective surgery. Trop Med Int Health 2015;20:1041–7CrossRefGoogle ScholarPubMed
Mann, S, Sharma, S, Gupta, A, Nagarkar, AN. Incidence of hearing impairment among rural and urban school going children: a survey. Indian J Pediatric 1998;65:141–5CrossRefGoogle Scholar
Maile, EJ, Youngs, R. Quality of life measures in otitis media. J Laryngol Otol 2013 127;5:442–7CrossRefGoogle ScholarPubMed
Wilson, BS, Tucci, DL, Merson, MH, O'Donoghue, GM. Global hearing health care: new findings and perspectives. Lancet 2017;390:2503–15CrossRefGoogle Scholar
Tucci, DL, Merson, MH, Wilson, BS. A summary of the literature on global hearing impairment: current status and priorities for action. Otol Neurotol 2010;31:31–41CrossRefGoogle Scholar
Foundation, history and aims of BRINOS. In: http://www.brinos.org.uk/History.htm [1 May 2018]Google Scholar
Ustün, TB, Kostanksek, N, Chatterji, S, Rehm, J. Measuring Health and Disability: Manual for WHO Disability Assessment Schedule WHODAS 2.0. Geneva: World Health Organisation, 2010Google Scholar
Chisolm, TH, Abrams, HB, McArdle, R, Wilson, RH, Doyle, PJ. The WHO-DAS II: psychometric properties in the measurement of functional health status in adults with acquired hearing loss. Trends Amplif 2005;9:111–26CrossRefGoogle ScholarPubMed
Von Elm, E, Altman, DG, Egger, M, Pocock, SJ, Gøtzsche, PC, Vandenbroucke, JP et al. The strengthening the reporting of observational studies in epidemiology (STROBE) statement: guidelines for reporting observational studies. PLoS Med 2007;4:e296CrossRefGoogle ScholarPubMed
Rigg, J. Land, farming, livelihoods, and poverty: rethinking the links in the rural South. World Dev 2006;34:180–202CrossRefGoogle Scholar
Programme UND. Human Development Indices and Indicators: 2018 Statistical Update. United Nations Development Programme South Africa; 2018Google Scholar
Lin, FR, Ferrucci, L, Metter, EJ, An, Y, Zonderman, AB, Resnick, SM. Hearing loss and cognition in the Baltimore Longitudinal Study of Aging. Neuropsychology 2011;25:763CrossRefGoogle ScholarPubMed
WHO. Global Costs of Unaddressed Hearing Loss and Cost-Effectiveness of Interventions: A WHO Report, 2017. World Health Organization, 2017Google Scholar