In:
Audiology and Neurotology, S. Karger AG, Vol. 22, No. 2 ( 2017), p. 61-73
Abstract:
〈 b 〉 〈 i 〉 Objectives: 〈 /i 〉 〈 /b 〉 To assess subjectively perceived, real-world benefits longitudinally for unilateral cochlear implant (CI) recipients in a multinational population treated routinely. To identify possible predictors of self-reported benefits. 〈 b 〉 〈 i 〉 Design: 〈 /i 〉 〈 /b 〉 This was a prospective, multicenter, repeated-measures study. Self-assessment of performance at preimplantation and postimplantation at 1, 2, and 3 years using standardized, validated, local language versions of the Speech, Spatial, and Qualities of Hearing Scale (SSQ), and the Health Utilities Index Mark 3 (HUI3) was performed. Outcomes were analyzed using a longitudinal mixed-effects model incorporating country effect. Patient demographics were explored for associations with change over time. 〈 b 〉 〈 i 〉 Subjects: 〈 /i 〉 〈 /b 〉 Two hundred ninety-one routinely treated, unilateral CI recipients, aged 13-81 years, from 9 clinics across 4 countries. 〈 b 〉 〈 i 〉 Results: 〈 /i 〉 〈 /b 〉 Highly significant improvements were observed for all outcome measures ( 〈 i 〉 p 〈 /i 〉 〈 0.0001). Postimplantation, mean outcome scores remained stable beyond 1 year, with notable individual variability. A significant association for one or more outcomes with preimplantation contralateral hearing aid use, telephone use, age at implantation, implantation side, preimplantation comorbidities, dizziness, and tinnitus was observed ( 〈 i 〉 p 〈 /i 〉 〈 0.004). 〈 b 〉 〈 i 〉 Conclusions: 〈 /i 〉 〈 /b 〉 Longitudinal benefits of CI treatment can be measured using clinically standardized self-assessment tools to provide a holistic view of patient-related benefits in routine clinical practice for aggregated data from multinational populations. Self-reported outcomes can provide medical-based evidence regarding CI treatment to support decision-making by health service providers.
Type of Medium:
Online Resource
ISSN:
1420-3030
,
1421-9700
Language:
English
Publisher:
S. Karger AG
Publication Date:
2017
detail.hit.zdb_id:
1481979-X
