Section: 
Science articles
Science articlesUse of the modified procedure of Wald’s sequential probability ratio test for determining the outcome of a surgical treatment in patients with Meniere's disease
A. A. Korneenkov (1), S. V. Lilenko (1), A. S. Lilenko (1), E. E. Vyazemskaya (1), V. M. Bakhilin (1)
(1) Federal State Budget Institution “Saint Petersburg Research Institute of Ear, Throat, Nose and Speech” Ministry of health of the Russian Federation, Saint Petersburg, Russia
UDK: 519.23/.25:616.281-008.55-07-089
DOI: https://doi.org/10.18692/1810-4800-2018-3-54-59
ABSTRACT
The aim of the study was to develop a diagnostic procedure based on a modified sequential analysis of A. Wald to predict the outcome of a surgical intervention in Meniere's disease. In the diagnostic model of the outcome of the surgical intervention, it is justified to include the following factors: the duration of the disease is more than 10 years; presence of a bilateral form of Ménière's disease; age over 45 years; sigmoid sinus protrision; presence of vomiting before surgery; presence of spontaneous nystagmus before surgery. The prognostic model showed a sufficiently good diagnostic ability to differentiate the outcome of the operation for Meniere's disease (diagnostic accuracy – 84.6%). Thus, even without a complete clinical description of the patient, who is supposed to undergo surgery, with this combination of diagnostic indicators, a reliable favorable or unfavorable prognosis of the outcome of the operation can be established. This means that this technique can be used as an optional diagnostic tool.
Publication date:
31.05.2018
Keywords:
A. Wald's method, Meniere's disease, endolymphatic sac surgery. For citation:
Korneenkov A. A., Lilenko S. V., Lilenko A. S., Vyazemskaya E. E., Bakhilin V. M. Use of the modified procedure of Wald’s sequential probability ratio test for determining the outcome of a surgical treatment in patients with Meniere's disease. Rossiiskaya otorinolaringologiya. 2018;3:54–59. https://doi.org/10.18692/1810-4800-2018-3-54-59