Academic Journal
Value of patient-reported outcome measures for evaluating the benefit of speech processor upgrading in patients with cochlear implants
| Title: | Value of patient-reported outcome measures for evaluating the benefit of speech processor upgrading in patients with cochlear implants |
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| Authors: | Lailach, Susen, Lenz, Alexander, Zahnert, Thomas, Neudert, Marcus |
| Source: | HNO |
| Publisher Information: | Springer Science and Business Media LLC, 2023. |
| Publication Year: | 2023 |
| Subject Terms: | Prostheses and implants, Speech audiometry, Hearing tests, Quality improvement, Speech perception, ddc:610, Hearing tests, Speech audiometry, Humans [MeSH], Speech [MeSH], Hearing Loss/surgery [MeSH], Patient Reported Outcome Measures [MeSH], Prostheses and implants, Cochlear Implantation/methods [MeSH], Hearing Loss/diagnosis [MeSH], Cochlear Implants [MeSH], Original Articles, Quality improvement, Speech Perception [MeSH], Speech perception, Cochlear Implants, Speech Perception, Humans, Speech, Patient Reported Outcome Measures, Hearing Loss, Cochlear Implantation, 3. Good health |
| Description: | Background Patients with a cochlear implant (CI) should be evaluated for a new speech processor every 6 years. The aim of this analysis was to assess the subjective and audiological benefit of upgrades. Methods Speech understanding and subjective benefit were analyzed in 99 patients with the old and the new speech processor after 4 weeks of wearing. Speech understanding was assessed using the Freiburg monosyllabic test in quiet (FBE) at 65 dB and 80 dB, and the Oldenburg Sentence Test (OLSA) at 65 dB noise with adaptive speech sound level. The Abbreviated Profile of Hearing Aid Benefit (APHAB) was used to assess subjective hearing impairment, and the Audio Processor Satisfaction Questionnaire (APSQ) was used to assess subjective satisfaction. Results The speech processor upgrade resulted in a significant improvement of speech understanding in quiet at 65 dB (mean difference 8.9 ± 25.9 percentage points, p p p = 0.006). Using the APHAB, a significant improvement (mean difference 0.07 ± 0.16, p p = 0.006). A comparative assessment of the benefit based on subjective and speech audiometric results identified a proportion of patients (35–42%) who subjectively benefited from the upgrade but had no measurable benefit based on speech audiometry. Conclusion There was a significant improvement in audiologically measurable and subjectively reflected speech understanding and patient satisfaction after the upgrade. In patients with only a small improvement in audiologically measurable speech understanding, the subjective benefit should also be assessed with validated measurement instruments in order to justify an upgrade to the payers in the health sector. |
| Document Type: | Article Other literature type |
| Language: | English |
| ISSN: | 1433-0458 0017-6192 |
| DOI: | 10.1007/s00106-023-01342-6 |
| Access URL: | https://pubmed.ncbi.nlm.nih.gov/37656221 https://repository.publisso.de/resource/frl:6523568 https://tud.qucosa.de/id/qucosa:95312 https://tud.qucosa.de/api/qucosa:95312/attachment/ATT-0/ |
| Rights: | CC BY |
| Accession Number: | edsair.doi.dedup.....82e079d4775f54c444b32b5c10e06ee9 |
| Database: | OpenAIRE |
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