Benefit and Quality of Life After Bone-Anchored Hearing Aid Fitting in Children With Unilateral or Bilateral Hearing Impairment

Wolf, Maarten J. F. de; Hol, Myrthe K. S.; Mylanus, Emmanuel A. M.; Snik, A.F.M.; Cremers, C.W.R.J.

doi:10.1001/archoto.2010.252

Cited by 51 publications

(55 citation statements)

References 45 publications

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“…41 Furthermore, studies investigating preference-based measures of health-related quality of life, with 0 for death and 1 for perfect health, have reported a health utility index of 0.82 for unilateral hearing loss. 42, 43 Our results demonstrate a significant increased likelihood of patients undergoing surgery in those presenting with Class D hearing. This suggests that patients who highly value their complete or partial “useful” hearing may have reservations regarding pursuing treatment given the risk of total hearing loss.…”

Section: Discussionmentioning

confidence: 59%

Multifactor Influences of Shared Decision-Making in Acoustic Neuroma Treatment

Nellis

Sharon

Pross

et al. 2017

Otology &Amp; Neurotology

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Objective To identify factors associated with treatment modality selection in acoustic neuromas. Study Design Prospective observational study Setting Tertiary care neurotology clinic Patients Data was prospectively collected from patients initially presenting to a tertiary care neurotology clinic between 2013 and 2016. Patients who did not have MRI, demographic, psychometric, or audiometric data were excluded from analysis. Intervention Demographic information, clinical symptoms, tumor characteristics, and psychometric data were collected to determine factors associated with undergoing acoustic neuroma surgical resection using univariate and multiple logistic regression analysis. Main Outcome Measure The decision to pursue acoustic neuroma surgical resection versus active surveillance. Results A total of 216 patients with acoustic neuroma (mean age 55 years, 58% female) were included. 98 patients (45.4%) pursued surgical resection, 118 patients (54.6%) pursued active surveillance. Surgical treatment was significantly associated with patient age < 65, higher grade tumors, growing tumors, larger volume tumors, lower word discrimination scores, Class D hearing, headache and vertigo as presenting symptoms, higher number of total symptoms, and higher headache severity scores (p<0.05). There was no significant association between surgical intervention and preoperative quality of life, depression, and self-esteem scores. On multiple logistic regression analysis, the likelihood of undergoing surgical resection significantly decreased for patients older than age 65 (OR 0.19; 0.05-0.69) and increased in patients with medium (OR 4.34; 1.36-13.81), moderately large (OR 33.47; 5.72-195.83), large grade tumors (OR 56.63; 4.02-518.93), tumor growth present (OR 4.51; 1.66-12.28), Class D hearing (OR 3.96; 1.29-12.16), and higher headache severity scores (OR 1.03;95% CI 1.01-1.05). The likelihood of undergoing surgical resection was completely predictive for giant grade tumors and not significant for small grade tumors and Class B or C hearing. Conclusions Non-elderly acoustic neuroma patients with larger tumors, growing tumors, significant hearing loss, and worse headaches are more likely to pursue surgical resection rather than active surveillance. Psychological factors such as quality of life, depression, and self-esteem do not seem to influence decision-making in this patient population.

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Section: Discussionmentioning

confidence: 59%

Multifactor Influences of Shared Decision-Making in Acoustic Neuroma Treatment

Nellis

Sharon

Pross

et al. 2017

Otology &Amp; Neurotology

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“…The BAHD does not preclude reconstructive surgery at a future date providing the implant is appropriately placed. The BAHD has also been shown to be beneficial in children with bilateral and unilateral conductive or mixed hearing loss [5]. Subjective benefit was reported to be greater in children with bilateral BAHDs in terms of better sound localisation and speech recognition in noise [5][6][7].…”

Section: Indicationsmentioning

confidence: 99%

Bone anchored hearing aids in children: An update

Doshi

Sheehan

McDermott

2012

International Journal of Pediatric Otorhinolaryngology

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“…The Glasgow Children's Benefit Inventory ('GCBI') was developed by Kubba et al 44 to assess health-related QoL pre-and post-intervention, and has been extensively validated and used in a number of otolaryngology interventions. [45][46][47][48] The less widespread use of this tool outside otolaryngology limits the global comparability of its findings with other non-otolaryngology interventions, which may be of importance to certain groups such as commissioners.…”

Section: Discussionmentioning

confidence: 99%

A systematic review of patient-reported outcome measures in paediatric otolaryngology

Powell

Robson

2017

J. Laryngol. Otol.

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Background:Recently, there has been increased emphasis on the development and application of patient-reported outcome measures. This drive to assess the impact of illness or interventions, from the patient's perspective, has resulted in a greater number of available questionnaires. The importance of selecting an appropriate patient-reported outcome measure is specifically emphasised in the paediatric population. The literature on patient-reported outcome measures used in paediatric otolaryngology was reviewed.Methods:A comprehensive literature search was conducted using the databases Medline, Embase, Cumulative Index to Nursing and Allied Health Literature, and PsycInfo, using the terms: ‘health assessment questionnaire’, ‘structured questionnaire’, ‘questionnaire’, ‘patient reported outcome measures’, ‘PROM’, ‘quality of life’ or ‘survey’, and ‘children’ or ‘otolaryngology’. The search was limited to English-language articles published between 1996 and 2016.Results:The search yielded 656 articles, of which 63 were considered relevant. This included general paediatric patient-reported outcome measures applied to otolaryngology, and paediatric otolaryngology disease-specific patient-reported outcome measures.Conclusion:A large collection of patient-reported outcome measures are described in the paediatric otolaryngology literature. Greater standardisation of the patient-reported outcome measures used in paediatric otolaryngology would assist in pooling of data and increase the validation of tools used.

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Benefit and Quality of Life After Bone-Anchored Hearing Aid Fitting in Children With Unilateral or Bilateral Hearing Impairment

Abstract: Overall, BAHA fitting can be considered effective and beneficial in children with bilateral or unilateral hearing loss.

Cited by 51 publications

References 45 publications

Multifactor Influences of Shared Decision-Making in Acoustic Neuroma Treatment

Multifactor Influences of Shared Decision-Making in Acoustic Neuroma Treatment

Bone anchored hearing aids in children: An update

A systematic review of patient-reported outcome measures in paediatric otolaryngology

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