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The Glasgow Benefit Inventory: a systematic review of the use and value of an otorhinolaryngological generic patient-recorded outcome measure


, : The Glasgow Benefit Inventory: a systematic review of the use and value of an otorhinolaryngological generic patient-recorded outcome measure. Clinical Otolaryngology 41(3): 259-275

The Glasgow Benefit Inventory (GBI) is a validated, generic patient-recorded outcome measure widely used in otolaryngology to report change in quality of life post-intervention. To date, no systematic review has made (i) a quality assessment of reporting of Glasgow Benefit Inventory outcomes; (ii) a comparison between Glasgow Benefit Inventory outcomes for different interventions and objectives; (iii) an evaluation of subscales in describing the area of benefit; (iv) commented on its value in clinical practice and research. Systematic review. 'Glasgow Benefit Inventory' and 'GBI' were used as keywords to search for published, unpublished and ongoing trials in PubMed, EMBASE, CINAHL and Google in addition to an ISI citation search for the original validating Glasgow Benefit Inventory paper between 1996 and January 2015. Papers were assessed for study type and quality graded by a predesigned scale, by two authors independently. Papers with sufficient quality Glasgow Benefit Inventory data were identified for statistical comparisons. Papers with <50% follow-up were excluded. A total of 118 eligible papers were identified for inclusion. A national audit paper (n = 4325) showed that the Glasgow Benefit Inventory gave a range of scores across the specialty, being greater for surgical intervention than medical intervention or 'reassurance'. Fourteen papers compared one form of surgery versus another form of surgery. In all but one study, there was no difference between the Glasgow Benefit Inventory scores (or of any other outcome). The most likely reason was lack of power. Two papers took an epidemiological approach and used the Glasgow Benefit Inventory scores to predict benefit. One was for tonsillectomy where duration of sore throat episodes and days with fever were identified on multivariate analysis to predict benefit albeit the precision was low. However, the traditional factor of number of episodes of sore throat was not predictive. The other was surgery for chronic rhinosinusitis where those with polyps on univariate analysis had greater benefit than those without. Forty-three papers had a response rate of >50% and gave sufficient Glasgow Benefit Inventory total and subscales for meta-analysis. For five of the 11 operation categories (vestibular schwannoma, tonsillectomy, cochlear implant, middle ear implant and stapes surgery) that were most likely to have a single clear clinical objective, score data had low-to-moderate heterogeneity. The value in the Glasgow Benefit Inventory having both positive and negative scores was shown by an overall negative score for the management of vestibular schwannoma. The other six operations gave considerable heterogeneity with rhinoplasty and septoplasty giving the greatest percentages (98% and 99%) most likely because of the considerable variations in patient selection. The data from these operations should not be used for comparative purposes. Five papers also reported the number of patients that had no or negative benefit, a potentially a more clinically useful outcome to report. Glasgow Benefit Inventory subscores for tonsillectomy were significantly different from ear surgery suggesting different areas of benefit The Glasgow Benefit Inventory has been shown to differentiate the benefit between surgical and medical otolaryngology interventions as well as 'reassurance'. Reporting benefit as percentages with negative, no and positive benefit would enable better comparisons between different interventions with varying objectives and pathology. This could also allow easier evaluation of factors that predict benefit. Meta-analysis data are now available for comparison purposes for vestibular schwannoma, tonsillectomy, cochlear implant, middle ear implant and stapes surgery. Fuller report of the Glasgow Benefit Inventory outcomes for non-surgical otolaryngology interventions is encouraged.

US$19.90

PMID: 26264703

DOI: 10.1111/coa.12518


Other references

Muir, A.B.; Wang, M-Lun.; Metz, D.; Falk, G.; Markowitz, J.; Spergel, J.M.; Liacouras, C.A., 2016: Proton pump inhibitor-responsive oesophageal eosinophilia: too early to change clinical practice. Gut: -

Marchiori, E.; Franquet, Tás.; Gasparetto, Tísa.Davaus.; Gonçalves, Lícia.Pereira.; Escuissato, D.L., 2009: Consolidation with diffuse or focal high attenuation: computed tomography findings. This pictorial essay aims to present various lesions that could present as consolidations with diffuse of focal high attenuation on computed tomography, helping to make the diagnosis more confident and specific. The radiologic literature has limit...

Bettelheim, K.A.; Ismail, N.; Shinebaum, R.; Shooter, R.A.; Moorhouse, E.; Farrell, W., 1976: The distribution of serotypes of Escherichia coli in cow-pats and other animal material compared with serotypes of E. coli isolated from human sources. The serotypes of 13,139 strains of Escherichia coli isolated from humans were compared with the serotypes of 1076 strains isolated from animals. 689 of these strains were isolated from fresh cow-pats on 22 sites in England and Wales. 708 different...

Byrne, R.W.; Corp, N.; Byrne, J.M., 2001: Manual dexterity in the gorilla: bimanual and digit role differentiation in a natural task. The manipulative actions of mountain gorillas Gorilla g. beringei were examined in the context of foraging on hard-to-process plant foods in the field, in particular those used in tackling thistle Carduus nyassanus. A repertoire of 72 functionally...

Khobzi Abdelkader, 1998: Geology of the Saint Onge wollastonite deposit, Lac-Saint-Jean, Quebec. The St-Onge wollastonite deposit is located in the western half of the St-Onge township in the Lac St-Jean area (Quebec), more precisely 34 km to the north of the village of St-Ludger-de-Milot. The site is easily accessible at all times. Furthermo...

Onishchenko, Sk, 1976: New aspects in mapping of Gorny Daghestan lands exposed to erosion. Doklady Akademii nauk SSSR: 26 (3) 689-691

Newman R.A.; Gloeckner W.M.; Uhlenbruck G., 1977: Distribution of the thomsen friedenreich receptor on membrane glyco proteins of different cells. Mohn, J F Et Al (Ed ) Human Blood Groups Proceedings Of The Fifth International Convocation on Immunology Buffalo, N Y , Usa, June 7-10, 1976 Xi+462p Illus S Karger: Basel, Switzerland; New York, N Y , Usa Isbn 3-8055-2422-6 96-104

Goto, K.; Hisadome, M.; Terasawa, M., 1982: Inhibitory effect of traxanox sodium on IgE-mediated histamine release from passively-sensitized mast cells of the rat in vitro. Traxanox sodium, a benzopyranopyridine derivative showing a potent oral antiallergic activity in the rat, was compared with disodium cromoglycate (DSCG) for ability to block the release of histamine from the rat mast cell in vitro. Traxanox sodium...

Grobler, JH., 1973: Biological data on tsessebe damaliscus lunatus mammalia alcelaphinae in rhodesia. Arnoldia Rhodesia, 612: 1-16

Trzeciak-Ryczek, A.; Tokarz-Deptuła, B.; Deptuła, Wław., 2015: Antifungal immunity in selected fungal infections. Fungi are omnipresent in the environment; hence they are frequent factors causing infections in humans and animals even if their immune system works correctly. These facts stimulated interest in and the will to understand the antifungal immunity m...