Patient perception and awareness of psychophysical olfactory tests: A cross-sectional observational survey

IF 1.6 4区 医学 Q2 OTORHINOLARYNGOLOGY
J.R. Lechien, A. Maniaci, G. Salzano, C.M. Chiesa-Estomba, M. Mayo-Yanez, A. Saibene, G. Iannella, S. Saussez, L.A. Vaira
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引用次数: 0

Abstract

Objectives

To evaluate the patient perception and awareness of psychophysical olfactory testing (PT).

Methods

A survey was distributed to 119 consecutive patients consulting in the Dour Medical Center for olfactory dysfunction (OD) lasting for more than 6 months. The survey assessed the patient opinion regarding the usefulness, advantages, and impact of PT on the olfactory check-up and follow-up. Smell sense was evaluated with threshold, discrimination and identification (TDI) test, and the Olfactory Disorder Questionnaire (ODQ).

Results

Survey was completed by 118 patients (99%). There were 72 females (61%). The mean age was 55.1 ± 15.1 years. There were 53 (45.0%) patients with complete smell loss, 43 (36.4%) with partial smell loss, and 22 (18.6%) with disturbed smell (parosmia). The mean TDI was 18.0 ± 10.9. The mean ODQ was 35.8 ± 13.9. PT are considered a supportive test for the evaluation of the OD by 66% of patients. The primary PT limitations were considered as the presence of uncommon (65.3%) or unknown odors (42.7%), and the lack of consistency with their OD (55.9%), which was associated with the wish to improve PT with daily life odors (64.4%; rs = −0.386; P = 0.001). In 53.4% of cases, patients realized that they were able to smell some odors thanks to PT. Patients with parosmia reported less positive opinion of PT compared to those with anosmia/hyposmia.

Conclusion

Two thirds of patients with OD have good opinion of PT. Patients with anosmia or hyposmia reported better opinion than those with parosmia, strengthening the importance to consider specific PT dedicated to parosmia for this population. The inclusion of patients’ daily life odors in PT is a potential point of improvement for future studies.
患者对心理物理嗅觉测试的感知和意识:一项横断面观察性调查。
目的:评价患者对心理物理嗅觉测试(PT)的认知。方法:对119例因嗅觉功能障碍(OD)连续就诊6个月以上的患者进行调查。该调查评估了患者对PT对嗅觉检查和随访的有用性、优势和影响的看法。采用阈值、辨别和识别(TDI)测试和嗅觉障碍问卷(ODQ)评估嗅觉。结果:118例患者(99%)完成调查。女性72例(61%)。平均年龄55.1±15.1岁。完全嗅觉丧失53例(45.0%),部分嗅觉丧失43例(36.4%),嗅觉障碍22例(18.6%)。TDI平均值为18.0±10.9。平均ODQ为35.8±13.9。66%的患者认为PT是评估OD的支持性测试。主要的PT限制被认为是存在不常见(65.3%)或未知的气味(42.7%),以及与他们的OD缺乏一致性(55.9%),这与希望通过日常生活气味改善PT (64.4%; rs=-0.386; P=0.001)有关。在53.4%的病例中,患者意识到由于PT,他们能够闻到一些气味。与嗅觉缺失/嗅觉减退患者相比,嗅觉缺失患者对PT的正面评价较低。结论:三分之二的OD患者对PT有良好的评价,嗅觉缺失或嗅觉减退患者对PT的评价优于嗅觉缺失患者,这加强了考虑针对嗅觉缺失患者进行特异性PT的重要性。将患者的日常生活气味纳入PT是未来研究的一个潜在改进点。
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来源期刊
CiteScore
3.70
自引率
28.00%
发文量
97
审稿时长
12 days
期刊介绍: European Annals of Oto-rhino-laryngology, Head and Neck diseases heir of one of the oldest otorhinolaryngology journals in Europe is the official organ of the French Society of Otorhinolaryngology (SFORL) and the the International Francophone Society of Otorhinolaryngology (SIFORL). Today six annual issues provide original peer reviewed clinical and research articles, epidemiological studies, new methodological clinical approaches and review articles giving most up-to-date insights in all areas of otology, laryngology rhinology, head and neck surgery. The European Annals also publish the SFORL guidelines and recommendations.The journal is a unique two-armed publication: the European Annals (ANORL) is an English language well referenced online journal (e-only) whereas the Annales Françaises d’ORL (AFORL), mail-order paper and online edition in French language are aimed at the French-speaking community. French language teams must submit their articles in French to the AFORL site. Federating journal in its field, the European Annals has an Editorial board of experts with international reputation that allow to make an important contribution to communication on new research data and clinical practice by publishing high-quality articles.
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