Toner J G, Smyth G D
Department of Otolaryngology, Belfast City Hospital, Northern Ireland.
J Laryngol Otol. 1993 Jan;107(1):4-5. doi: 10.1017/s002221510012198x.
The objective of this paper is to compare two methods of predicting the level of subjective patient benefit following reconstructive middle ear surgery. This should have always been an important consideration in advising patients regarding surgery, but assumes even more relevance in these days of clinical audit and cost benefit analysis. The two methods studied were the '15/30 dB rule of thumb' (Smyth and Patterson, 1985) and the 'Glasgow plot' (Browning et al., 1991). The predictions of benefit for each of the two methods were compared to the assessment of actual benefits by the patient post-operatively. The results of this comparison in 153 patients were analysed, the rule of thumb was found to be somewhat more sensitive in predicting patient benefit.
本文的目的是比较两种预测中耳重建手术后患者主观受益程度的方法。在向患者提供手术建议时，这一直是一个重要的考虑因素，而在如今的临床审计和成本效益分析中，这一因素显得更为重要。所研究的两种方法分别是“15/30分贝经验法则”（史密斯和帕特森，1985年）和“格拉斯哥图表”（布朗宁等人，1991年）。将这两种方法对受益情况的预测与患者术后对实际受益的评估进行了比较。分析了153例患者的比较结果，发现经验法则在预测患者受益方面更为敏感。
