Thomas Max, Schönweiler Rainer, Löhler Jan
Klinik und Poliklinik für Hals-, Nasen- und Ohrenheilkunde, Universitätsklinikum Schleswig-Holstein - Campus Lübeck, Lübeck, Germany.
Klinik und Poliklinik für Hals-, Nasen- und Ohrenheilkunde, Sektion für Phoniatrie und Pädaudiologie, Universitätsklinikum Schleswig-Holstein - Campus Lübeck, Lübeck, Germany.
Laryngorhinootologie. 2022 Mar;101(3):206-215. doi: 10.1055/a-1337-3325. Epub 2021 Jan 11.
Since 2012, the APHAB is part of the quality agreement for statutory insured patients in hearing aid fitting (HAF). So far, individual results could be interpreted by using percentile curves only, but not for the improvement quotient and the cumulated benefit. The presented study should close this gap. Moreover, it should be clarified if an individual constancy within percentile exists.
Using the data of 6861 hearing aid fitted patients from a database, we calculated the benefit by improvement quotient and cumulated benefit for different age-classes and percentile-groups and presented by a heatmap. Individual constancy of percentile would be calculated using Spearman's rank correlation.
The average benefit was 21.41. The average of the improvement quotient was 41.01. It was significantly higher (44.36 %) in subjects younger than the average (27.26 years ± 11.86) than in the elderly (37.66 %). It decreased in cases of lower APHAB-scores before HAF concerning the percentile-group, ranging from 23.22 % to 52.07 %. Spearman's rank coefficient for the APHAB benefit was 0.285, Cohen's effect size was small. The correlation between the APHAB-score before HAF and the cumulated benefit was 0.582 and the improvement quotient was 0.270.
An individual constancy within percentile before and after HAF was not detectable. Nevertheless, some relationships of the improvement quotient and the age resp. percentile-groups could be demonstrated. The benefit of HAF was less in older subjects with lower APHAB-scores and best in young subjects with higher APHAB-scores before HAF.
自2012年以来，APHAB一直是法定参保患者助听器适配（HAF）质量协议的一部分。到目前为止，个体结果只能通过百分位数曲线来解释，而不能用于改善商数和累积益处。本研究旨在填补这一空白。此外，还应明确百分位数内是否存在个体稳定性。
利用数据库中6861例佩戴助听器患者的数据，我们计算了不同年龄组和百分位数组的改善商数和累积益处，并通过热图展示。百分位数的个体稳定性将使用斯皮尔曼等级相关性进行计算。
平均益处为21.41。改善商数的平均值为41.01。年龄低于平均水平（27.26岁±11.86）的受试者的改善商数显著高于老年人（37.66%）。在HAF之前APHAB得分较低的百分位数组中，改善商数有所下降，范围从23.22%到52.07%。APHAB益处的斯皮尔曼等级系数为0.285，科恩效应量较小。HAF之前的APHAB得分与累积益处之间的相关性为0.582，与改善商数之间的相关性为0.270。
未检测到HAF前后百分位数内的个体稳定性。然而，可以证明改善商数与年龄以及百分位数组之间的一些关系。HAF对HAF之前APHAB得分较低的老年受试者的益处较小，而对HAF之前APHAB得分较高的年轻受试者的益处最大。
