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[成人人工耳蜗植入患者的患者相关结局指标(PROM)]

[Patient-related outcome measures (PROM) in adult cochlear implant patients].

作者信息

Weder Stefan, Caversaccio Marco D, Mantokoudis Georgios

机构信息

Universitätsklinik für Hals‑, Nasen- und Ohrenkrankheiten, Kopf- und Halschirurgie, Inselspital, Freiburgstr. 20, 3012, Bern, Schweiz.

出版信息

HNO. 2025 Jan;73(1):5-13. doi: 10.1007/s00106-024-01510-2. Epub 2024 Sep 11.

Abstract

BACKGROUND

Cochlear implants (CI) provide individuals with severe sensorineural hearing loss the opportunity for artificial auditory perception. The standardized documentation of speech intelligibility tests is widespread, while the systematic capture of patient-related outcome measures (PROMs) remains inconsistent.

METHODOLOGY

Relevant PROM instruments were evaluated and selected based on the criteria of dissemination, clarity, and relevance, integrated into routine clinical practice, and tested at longitudinal time points.

RESULTS

A total of three PROM instruments were selected and successfully integrated into the clinical routine. The comparison of 2 measurement points from 25 individuals showed improvements in subjective speech comprehension and tinnitus perception.

CONCLUSION

This study demonstrates the clinical implementation and integration of PROMs in adult CI candidates and patients. The PROMs are a promising tool to support various phases of treatment, both as a decision aid for potential CI candidates and for monitoring after implantation.

摘要

背景

人工耳蜗(CI)为重度感音神经性听力损失患者提供了人工听觉感知的机会。言语清晰度测试的标准化记录很普遍,而与患者相关的结局指标(PROMs)的系统收集仍不一致。

方法

根据传播性、清晰度和相关性标准对相关PROM工具进行评估和选择,将其纳入常规临床实践,并在纵向时间点进行测试。

结果

共选择了三种PROM工具并成功纳入临床常规。对25名个体的两个测量点进行比较,结果显示主观言语理解和耳鸣感知有所改善。

结论

本研究证明了PROMs在成年人工耳蜗候选者和患者中的临床实施和整合。PROMs是支持治疗各阶段的有前景的工具,既可以作为潜在人工耳蜗候选者的决策辅助工具,也可以用于植入后的监测。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c5f2/11711562/21bd823dcdf0/106_2024_1510_Fig1_HTML.jpg

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