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Prospective study on health-related quality of life in patients before and after cochlear implantation
PURPOSE: Assessing cochlear implant (CI)-associated patient outcomes is a focus of implant research. Most studies have analyzed outcomes retrospectively with low patient numbers and few measurement time points. In addition, standardized CI-specific health-related quality of life (HRQoL) instruments...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Berlin Heidelberg
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8739465/ https://www.ncbi.nlm.nih.gov/pubmed/33559744 http://dx.doi.org/10.1007/s00405-021-06631-w |
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author | Plath, Michaela Marienfeld, Theresa Sand, Matthias van de Weyer, Philipp S. Praetorius, Mark Plinkert, Peter K. Baumann, Ingo Zaoui, Karim |
author_facet | Plath, Michaela Marienfeld, Theresa Sand, Matthias van de Weyer, Philipp S. Praetorius, Mark Plinkert, Peter K. Baumann, Ingo Zaoui, Karim |
author_sort | Plath, Michaela |
collection | PubMed |
description | PURPOSE: Assessing cochlear implant (CI)-associated patient outcomes is a focus of implant research. Most studies have analyzed outcomes retrospectively with low patient numbers and few measurement time points. In addition, standardized CI-specific health-related quality of life (HRQoL) instruments have not been used. To address this, we prospectively assessed HRQoL in patients before and after implantation. METHODS: We assessed HRQoL using the Nijmegen Cochlear Implant Questionnaire (NCIQ), Abbreviated Profile of Hearing Aid Benefit (APHAB), Hearing Participation Scale (HPS), and the Visual Analogue Scale (VAS) in 100 deaf or severely hearing-impaired patients (57 unilaterally deaf and 43 bilaterally deaf) before and 3, 6, and 12 months after cochlear implantation. We compared the results of unilaterally and bilaterally hearing-impaired patients and patients with or without a hearing aid. Principal component (PCA) and exploratory factor analyses (EFA) were also conducted. RESULTS: The NCIQ measured improvements in all 6 domains after CI and correlated well with other QoL instruments. The PCA revealed that the NCIQ can be better explained by physical, physical advanced, and socio-psychological components. The APHAB score ameliorated over time, except for the background noise domain. The overall HPS score improved over time, but the hearing handicap subscore significantly decreased. Sociodemographic influences on the questionnaire scores were relatively weak. CONCLUSION: Assessing HRQoL is essential for quantifying the patient outcome after CI. NCIQ scores in our patient cohort showed improved HRQoL in all domains and we recommend that the NCIQ be used as a first-line questionnaire for assessing QoL in hearing-impaired patients after CI. |
format | Online Article Text |
id | pubmed-8739465 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Springer Berlin Heidelberg |
record_format | MEDLINE/PubMed |
spelling | pubmed-87394652022-01-20 Prospective study on health-related quality of life in patients before and after cochlear implantation Plath, Michaela Marienfeld, Theresa Sand, Matthias van de Weyer, Philipp S. Praetorius, Mark Plinkert, Peter K. Baumann, Ingo Zaoui, Karim Eur Arch Otorhinolaryngol Otology PURPOSE: Assessing cochlear implant (CI)-associated patient outcomes is a focus of implant research. Most studies have analyzed outcomes retrospectively with low patient numbers and few measurement time points. In addition, standardized CI-specific health-related quality of life (HRQoL) instruments have not been used. To address this, we prospectively assessed HRQoL in patients before and after implantation. METHODS: We assessed HRQoL using the Nijmegen Cochlear Implant Questionnaire (NCIQ), Abbreviated Profile of Hearing Aid Benefit (APHAB), Hearing Participation Scale (HPS), and the Visual Analogue Scale (VAS) in 100 deaf or severely hearing-impaired patients (57 unilaterally deaf and 43 bilaterally deaf) before and 3, 6, and 12 months after cochlear implantation. We compared the results of unilaterally and bilaterally hearing-impaired patients and patients with or without a hearing aid. Principal component (PCA) and exploratory factor analyses (EFA) were also conducted. RESULTS: The NCIQ measured improvements in all 6 domains after CI and correlated well with other QoL instruments. The PCA revealed that the NCIQ can be better explained by physical, physical advanced, and socio-psychological components. The APHAB score ameliorated over time, except for the background noise domain. The overall HPS score improved over time, but the hearing handicap subscore significantly decreased. Sociodemographic influences on the questionnaire scores were relatively weak. CONCLUSION: Assessing HRQoL is essential for quantifying the patient outcome after CI. NCIQ scores in our patient cohort showed improved HRQoL in all domains and we recommend that the NCIQ be used as a first-line questionnaire for assessing QoL in hearing-impaired patients after CI. Springer Berlin Heidelberg 2021-02-09 2022 /pmc/articles/PMC8739465/ /pubmed/33559744 http://dx.doi.org/10.1007/s00405-021-06631-w Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . |
spellingShingle | Otology Plath, Michaela Marienfeld, Theresa Sand, Matthias van de Weyer, Philipp S. Praetorius, Mark Plinkert, Peter K. Baumann, Ingo Zaoui, Karim Prospective study on health-related quality of life in patients before and after cochlear implantation |
title | Prospective study on health-related quality of life in patients before and after cochlear implantation |
title_full | Prospective study on health-related quality of life in patients before and after cochlear implantation |
title_fullStr | Prospective study on health-related quality of life in patients before and after cochlear implantation |
title_full_unstemmed | Prospective study on health-related quality of life in patients before and after cochlear implantation |
title_short | Prospective study on health-related quality of life in patients before and after cochlear implantation |
title_sort | prospective study on health-related quality of life in patients before and after cochlear implantation |
topic | Otology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8739465/ https://www.ncbi.nlm.nih.gov/pubmed/33559744 http://dx.doi.org/10.1007/s00405-021-06631-w |
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