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Patient-related benefits for adults with cochlear implantation : a multicultural longitudinal observational study

dc.contributor.authorLenarz, Thomasen_ZA
dc.contributor.authorMuller, Lidaen_ZA
dc.contributor.authorCzerniejewska-Wolska, Hannaen_ZA
dc.contributor.authorVarela, Hector Vallesen_ZA
dc.contributor.authorDotu, Cesar Orusen_ZA
dc.contributor.authorDurko, Marcinen_ZA
dc.contributor.authorIrujo, Alicia Huarteen_ZA
dc.contributor.authorPiszczatowski, Bartoszen_ZA
dc.contributor.authorZadrożniak, Mareken_ZA
dc.contributor.authorIrwin, Colinen_ZA
dc.contributor.authorGraham, Petra L.en_ZA
dc.contributor.authorWyss, Josieen_ZA
dc.date.accessioned2019-01-25T06:52:47Z
dc.date.available2019-01-25T06:52:47Z
dc.date.issued2017-07-19
dc.identifier.citationLenarz, T., et al. 2017. Patient-related benefits for adults with cochlear implantation : a multicultural longitudinal observational study. Audiology and Neurotology, 22(2):61-73, doi:10.1159/000477533
dc.identifier.issn1421-9700 (online)
dc.identifier.issn1420-3030 (print)
dc.identifier.otherdoi:10.1159/000477533
dc.identifier.urihttp://hdl.handle.net/10019.1/105357
dc.descriptionCITATION: Lenarz, T., et al. 2017. Patient-related benefits for adults with cochlear implantation : a multicultural longitudinal observational study. Audiology and Neurotology, 22(2):61-73, doi:10.1159/000477533.
dc.descriptionThe original publication is available at https://www.karger.com
dc.description.abstractENGLISH ABSTRACT: 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. Design: 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. Subjects: Two hundred ninety-one routinely treated, unilateral CI recipients, aged 13-81 years, from 9 clinics across 4 countries. Results: Highly significant improvements were observed for all outcome measures (p < 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 (p < 0.004). Conclusions: 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.en_ZA
dc.description.urihttps://www.karger.com/Article/FullText/477533
dc.format.extent13 pagesen_ZA
dc.language.isoen_ZAen_ZA
dc.publisherS. Karger AG, Baselen_ZA
dc.subjectObservational studyen_ZA
dc.subjectMedical recordsen_ZA
dc.subjectQuality of lifeen_ZA
dc.subjectCochlear implantsen_ZA
dc.titlePatient-related benefits for adults with cochlear implantation : a multicultural longitudinal observational studyen_ZA
dc.typeArticleen_ZA
dc.description.versionPublisher's version
dc.rights.holderAuthors retain copyrighten_ZA


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