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1. Primary care audiology for people with ear or hearing-related symptoms

Primary care audiology for people with ear or hearing-related symptoms Primary Care Audiology - Health Technology Wales > Primary Care Audiology Primary Care Audiology Topic Status Complete Primary care audiology for people with ear or hearing-related symptoms. Summary Health Technology Wales researchers searched for evidence on the clinical and cost effectiveness of primary care audiology compared with consultation with a GP or practice nurse for people with ear or hearing-related symptoms (...) about how you used the documents. I am happy for HTW to contact me by email for feedback on how I use HTW documents Name This field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle Ajax powered Gravity Forms. × Suggest a topic If there's a technology that you'd like us to appraise then we'd love to hear from you. Newsletter Keeping you up-to-date with periodic news and important developments at HTW. Health Technology Wales Partners Quick

2019 Health Technology Wales

2. Results of a 2-Year Prospective Multicenter Study Evaluating Long-term Audiological and Clinical Outcomes of a Transcutaneous Implant for Bone Conduction Hearing. Full Text available with Trip Pro

Results of a 2-Year Prospective Multicenter Study Evaluating Long-term Audiological and Clinical Outcomes of a Transcutaneous Implant for Bone Conduction Hearing. To evaluate 2-year audiological and clinical outcomes of a transcutaneous implant for bone conduction hearing of a previously published 6-month evaluation.Fifty-four unilaterally implanted adult patients with conductive or mild mixed hearing loss or single-sided sensorineural deafness were included in this prospective multicenter (...) study. Follow-up visits were scheduled post-surgery at 10 days; 4, 6, and 12 weeks; 6, 12, and 24 months. Main outcomes were audiological benefit, patient-reported outcomes (PROs), soft tissue status, pain, numbness, implant survival, and daily usage.In the study population, the transcutaneous implant resulted in statistically significant improvement in objective hearing test and PROs compared with the unaided situation. Soft tissue complications were observed in 4.6% of the patients per visit. Pain

2020 Otology and Neurotology

3. Audiological Findings in Patients with Vestibular Migraine and Migraine: History of Migraine May Be a Cause of Low-Tone Sudden Sensorineural Hearing Loss. (Abstract)

Audiological Findings in Patients with Vestibular Migraine and Migraine: History of Migraine May Be a Cause of Low-Tone Sudden Sensorineural Hearing Loss. The aim of this study was to investigate and compare the auditory findings in migraine, vestibular migraine (VM), and healthy controls.Twenty-eight migraine patients (56 ears), 18 VM (36 ears), and 25 healthy controls (50 ears) were included. Audiometry, speech discrimination scores, distortion product optoacoustic emission (DPOAE (...) with the control group, the patients with migraine reported prolonged latency of wave V (p = 0.016) and IPL I-V (p = 0.003). The patients with VM had significant prolongation of IPL I-V (p = 0.024).Not only the peripheral, but also the central auditory system was involved in patients with migraine and VM. In particular, lower frequencies of the auditory system were more likely to be involved in VM. The history of migraine may be a cause of low-tone sudden sensorineural hearing loss.© 2020 S. Karger AG, Basel.

2020 Audiology & Neuro-Otology

4. Assessment of Hearing Aid Benefit Using Patient-Reported Outcomes and Audiologic Measures. (Abstract)

Assessment of Hearing Aid Benefit Using Patient-Reported Outcomes and Audiologic Measures. To determine the contributions to hearing aid benefit of patient-reported outcomes and audiologic measures.Independent review was conducted on audiologic and patient-reported outcomes of hearing aid benefit collected in the course of a middle ear implant FDA clinical trial. Unaided and aided data were extracted from the preoperative profiles of 95 experienced hearing aid users, and the relationships (...) between a patient-reported outcome and audiologic measures were assessed. The following data were extracted: unaided and aided pure-tone or warble-tone thresholds (PTA), word recognition in quiet (NU-6), Speech Perception in Noise (low-/high-context SPIN), and patient-reported benefit (Abbreviated Profile of Hearing Aid Benefit, APHAB). Hearing aid benefit was defined as the difference in thresholds or scores between unaided and aided conditions, as measured in the sound field. Correlations were

2020 Audiology & Neuro-Otology

5. Operationalization of the Brief ICF Core Set for Hearing Loss: An ICF-Based e-Intake Tool in Clinical Otology and Audiology Practice. Full Text available with Trip Pro

Operationalization of the Brief ICF Core Set for Hearing Loss: An ICF-Based e-Intake Tool in Clinical Otology and Audiology Practice. According to the International Classification of Functioning, Disability and Health (ICF), functioning reflects the interplay between an individual's body structures and functions, activities, participation, environmental, and personal factors. To be useful in clinical practice, these concepts need to be operationalized into a practical and integral instrument (...) . The Brief ICF Core Set for Hearing Loss (CSHL) provides a minimum standard for the assessment of functioning in adults with hearing loss. The objective of the present study was to operationalize the Brief CSHL into a digital intake tool that could be used in the otology-audiology practice for adults with ear and hearing problems as part of their intake assessment.A three-step approach was followed: (1) Selecting and formulating questionnaire items and response formats, using the 27 categories

2020 Ear and hearing

6. Bilateral Cochlear Implantation Versus Bimodal Hearing in Patients With Functional Residual Hearing: A Within-subjects Comparison of Audiologic Performance and Quality of Life. Full Text available with Trip Pro

Bilateral Cochlear Implantation Versus Bimodal Hearing in Patients With Functional Residual Hearing: A Within-subjects Comparison of Audiologic Performance and Quality of Life. Evaluate performance and quality of life changes after sequential bilateral cochlear implantation in patients with preoperative residual hearing functioning in a bimodal hearing configuration.Retrospective analysis using within-subjects repeated measures design.Tertiary otologic center.Twenty-two adult patients (...) ) (p = 0.0007). Global abbreviated profile of hearing aid benefit (APHAB) and overall speech, spatial, and qualities of hearing (SSQ) scores exhibited significant improvement following bilateral implantation (p = 0.006 for both analyses).For patients using a bimodal hearing configuration with substantial residual hearing in the non-CI ear, bilateral cochlear implantation yields improved audiologic performance and better subjective quality of life, irrespective of the ability to preserve acoustic

2018 Otology and Neurotology

7. The Bonebridge in Adults with Mixed and Conductive Hearing Loss: Audiological and Quality of Life Outcomes. Full Text available with Trip Pro

The Bonebridge in Adults with Mixed and Conductive Hearing Loss: Audiological and Quality of Life Outcomes. Considering that hearing loss has a significant impact on social functioning, everyday activity and a person's emotional state, one of the most important goals of hearing rehabilitation with bone conduction devices is improvement in a patient's quality of life.To measure self-assessed quality of life in patients implanted with the Bonebridge, a bone conduction device.Prospective (...) , observational, longitudinal study with one treatment group. Twenty-one patients with mixed or conductive hearing loss were included, and each individual served as its own control. The Abbreviated Profile of Hearing Aid Benefit (APHAB) was used to measure patient-reported quality of life before intervention and at 3 and 6 months after activation of the device. At the same time frames, pure-tone audiometry and speech understanding in quiet and in noise were tested.Hearing-specific quality of life increased

2019 Audiology & Neuro-Otology

8. Audiological Evaluation of Vestibular Schwannoma Patients with Normal Hearing. (Abstract)

Audiological Evaluation of Vestibular Schwannoma Patients with Normal Hearing. To evaluate the audiological aspects of vestibular schwannoma (VS) patients with normal hearing.Retrospective study.Quaternary referral center for skull base pathologies.The records on 4,000 patients who had been diagnosed with VS between 1986 and December 2017 were retrospectively reviewed. The patients included in the study were the ones who complied with the strict audiological normality criteria, as follows (...) : a pure tone hearing threshold (at the 6-octave-spaced frequencies from 250 to 8,000 Hz) ≤25 dBHL; a word recognition score >90%; and interaural differences ≤10 dB at each frequency.Auditory brainstem response (ABR) testing and radiological imaging.The incidence of normal objective hearing among VS patients, and the diagnostic utility of the ABR and the effect of tumor size and site on the response.The incidence of normal hearing among VS patients was 4.2%. Tinnitus and vertigo were the most common

2019 Audiology & Neuro-Otology

9. Audiological outcomes in patients with congenital aural atresia implanted with transcutaneous active bone conduction hearing implant. (Abstract)

Audiological outcomes in patients with congenital aural atresia implanted with transcutaneous active bone conduction hearing implant. The objective of this study is to evaluate the safety and efficacy of the transcutaneous Bone Conduction Implant, the Bonebridge, in patients with congenital aural atresia.Audiometry, speech recognition test and free field audiometry were performed. Word recognition scores and speech perception was evaluated using Spanish phonetically-balanced disyllables word (...) measurements were 34.3% and for monosyllables 27.4%. Following activation the speech discrimination improved to 98.6% and 97.9%, respectively. No infections or adverse device related effects occurred in patient group.We have concluded that the Bonebridge implant is an innovative solution for patients with conductive or mixed hearing loss and unilateral loss suffering from congenital atresia. Different surgical techniques may be used for implant placement, based on the patient's anatomy. Studies show

2019 International Journal of Pediatric Otorhinolaryngology

10. Prioritization Tools for Audiology Services: Clinical Effectiveness and Guidelines

Prioritization Tools for Audiology Services: Clinical Effectiveness and Guidelines Prioritization Tools for Audiology Services: Clinical Effectiveness and Guidelines | CADTH.ca Find the information you need Prioritization Tools for Audiology Services: Clinical Effectiveness and Guidelines Prioritization Tools for Audiology Services: Clinical Effectiveness and Guidelines Last updated: November 30, 2018 Project Number: RB1280-000 Product Line: Research Type: Devices and Systems Report Type (...) : Summary of Abstracts Result type: Report Question What is the clinical effectiveness of prioritization tools for the delivery of audiology services in the general practice setting? What are the evidence-based guidelines for the use of prioritization tools for the delivery of audiology services in the general practice setting? Key Message No relevant literature was identified regarding the prioritization tools for audiology services in the general practice setting. Files Rapid Response Summary

2018 Canadian Agency for Drugs and Technologies in Health - Rapid Review

11. Evaluation of the reimbursement for hearing aids and implants in hearing loss

companies sponsor ONICI annually to a limited extent to advertise their products on our website or in our newsletter), Mark Laureyns (AEA – European Association of Hearing Aid Professionals), Bob Lerut (Belgian ENT society, EAONO), Andrzej Zarowski (Belgian Association for Otorhinolaryngology, Head and Neck Surgery; Belgian Association for Audiology). Owner of subscribed capital, options, shares or other financial instruments: Rob Beenders (employee of Cochlear manufacturer), Andrzej Zarowski (Owner (...) manufacturer), Andrzej Zarowski (Several patents in audiology and otorhinolaryngology, but no relation with this report). Fees or other compensation for writing a publication or participating in its development: Leo De Raeve (No fees but travel costs to speak at conferences or study days), Mark Laureyns (Mainly publications concerning safe listening, professional hearing care and the relation hearing loss with cognitive, burn-out and independence for the study group safe listening (WHO), Thomas More

2020 Belgian Health Care Knowledge Centre

12. How many patients will be eligible for cochlear implantation (CI) on audiological grounds, once the new 2019 NICE guidance takes effect? Evaluation of audiological data for the population of East Kent to estimate cochlear implantation eligibility based on (Abstract)

How many patients will be eligible for cochlear implantation (CI) on audiological grounds, once the new 2019 NICE guidance takes effect? Evaluation of audiological data for the population of East Kent to estimate cochlear implantation eligibility based on The 2019 revised NICE guidance (TA566) on cochlear implantation (CI) lowered the audiological threshold at which patients become eligible for CI. NICE estimates this will result in a 70% increase in CI by 2024/25. We performed a retrospective (...) audit of all audiograms performed at East Kent Hospitals University Foundation Trust (serving a population of 695,000 people) over the last 6 years. We identified how many patients were eligible for CI using both the 2009 guidelines and the revised 2019 guidelines. When using the 2019 guidelines, 262% more patients were eligible on audiological grounds for CI (P=0.0009). Increased demand for CI surgeons will require either higher throughput from existing centres, or the creation of new centres

2020 Clinical Otolaryngology

13. The Bonebridge implant in older children and adolescents with mixed or conductive hearing loss: Audiological outcomes. (Abstract)

The Bonebridge implant in older children and adolescents with mixed or conductive hearing loss: Audiological outcomes. For children with conductive or mixed hearing loss, in whom use of conventional hearing aids is impossible or limited, use of bone conduction devices is recommended. The choice between the available types of devices depends mostly on the degree of hearing loss, age, and anatomical conditions. One device application in children older than 5 years is the Bonebridge implant (...) . The aim of this study is to assess the benefits and safety of this device in children.The material was a group of 11 older children and adolescents aged 10-17 years (mean = 14.7, SD = 2.45) with single-sided or bilateral conductive or mixed hearing loss, implanted unilaterally with the Bonebridge system at the World Hearing Center in Kajetany near Warsaw between 2014 and 2016. Benefits of the Bonebridge were assessed with warble tone audiometry and word audiometry in free field, as well as an APHAB

2018 International Journal of Pediatric Otorhinolaryngology

14. Hearing Impairment Among Children Referred to a Public Audiology Clinic in Gaborone, Botswana Full Text available with Trip Pro

Hearing Impairment Among Children Referred to a Public Audiology Clinic in Gaborone, Botswana Objective. To describe and quantify hearing impairment among children referred to the audiology clinic in Princess Marina Hospital, a public referral hospital in Botswana. Methods. In a retrospective case series, we reviewed medical records of children aged 10 years and younger whose hearing was assessed between January 2006 and December 2015 at the audiology clinic of Princess Marina Hospital (...) than 5 years were 2.7 times (95% confidence interval = 1.29-5.49; P = .008) more likely to be diagnosed with sensorineural hearing impairment compared with those older than 5 years. By contrast, children older than 5 years were 9.6 times (95% confidence interval = 2.22-41.0; P = .002) more likely to be diagnosed with conductive hearing loss compared with those under 5 years. Conclusion. Hearing impairment was common among children referred to this audiology clinic in Botswana. Of those with hearing

2018 Global pediatric health

15. Audiological follow-up in a risk-based newborn hearing screening programme: An exploratory study of the influencing factors Full Text available with Trip Pro

Audiological follow-up in a risk-based newborn hearing screening programme: An exploratory study of the influencing factors  Follow-up return rate in Early Hearing Detection and Intervention (EHDI) programmes is of specific importance as it ensures that benchmarks are met and that no child with suspected hearing loss is left unidentified. The aim of this study was to determine the factors influencing audiological follow-up of high-risk infants in a risk-based newborn hearing screening programme (...) . A non-experimental, exploratory, qualitative research design was employed. Purposive sampling was used. The study was conducted at a secondary level hospital in the public health care sector in South Africa. Participants comprised 10 caregivers (age range 26-40 years) of infants who had been enrolled in a risk-based newborn hearing screening programme, and returned for follow-up appointments. Data were collected using semi-structured interviews. Responses were recorded by the researcher

2018 The South African Journal of Communication Disorders

16. Comparing the International Classification of Functioning, Disability, and Health Core Sets for Hearing Loss and Otorhinolaryngology/Audiology Intake Documentation at Mayo Clinic. (Abstract)

Comparing the International Classification of Functioning, Disability, and Health Core Sets for Hearing Loss and Otorhinolaryngology/Audiology Intake Documentation at Mayo Clinic. The International Classification of Functioning, Disability, and Health (ICF) Core Sets for Hearing Loss (CSHL) consists of short lists of categories from the entire ICF classification that are thought to be the most relevant for describing the functioning of persons with hearing loss. A comprehensive intake (...) areas of nonoverlap were identified in AUD- and ORL-specific reports. The ICF CSHL provides a framework for describing each hearing-impaired individual's unique capabilities and needs in ways currently not documented by audiological and otological evaluations, potentially setting the stage for more effective individualized patient care. Efforts to further validate the ICF CSHL may require the involvement of multidisciplinary institutions with commonly shared electronic health records to adequately

2018 Ear and hearing

17. Improving early audiological intervention via newborn hearing screening in Belgium. Full Text available with Trip Pro

Improving early audiological intervention via newborn hearing screening in Belgium. Newborn hearing screening programs aim to lower the ages at audiological intervention among hearing-impaired children. In Wallonia and Brussels (Belgium), audiological intervention data are not collected in the screening program, and the ages at initiating audiological care have never been assessed. This study aimed to assess the evolution in the ages at initiating audiological intervention in the context (...) of a newborn hearing screening program implementation.This population-based descriptive study used data from the Belgian healthcare billing database. The main outcomes were the children's ages at the initial audiological assessment, hearing-aid fitting, and cochlear implantation. Results were compared to the same outcomes from another Belgian regional program (Flanders) that was implemented one decade earlier. Annual birth cohorts from 2006 to 2011 were included in the study.In Wallonia-Brussels

2018 BMC health services research

18. Changing Hearing Performance and Sound Preference With Words and Expectations: Meaning Responses in Audiology. (Abstract)

Changing Hearing Performance and Sound Preference With Words and Expectations: Meaning Responses in Audiology. In this article, we explore two manipulations of "meaning response," intended to either "impart" meaning to participants through the manipulation of a few words in the test instructions or to "invite" meaning by making the participant feel involved in the setting of their preferred sound.In experiment 1, 59 adults with normal hearing were randomly assigned to one of the two groups (...) . Group 1 was told "this hearing in noise test (HINT) you are about to do is really hard," while the second group was told "this HINT test is really easy." In experiment 2, 59 normal-hearing adults were randomly assigned to one of two groups. Every participant was played a highly distorted sound file and given 5 mystery sliders on a computer to move as often and as much as they wished until the sound was "best" to them. They were then told we applied their settings to a new file and they needed

2018 Ear and hearing Controlled trial quality: uncertain

19. Audiological and clinical outcomes of a transcutaneous bone conduction hearing implant: 6-month results from a multicenter study. (Abstract)

Audiological and clinical outcomes of a transcutaneous bone conduction hearing implant: 6-month results from a multicenter study. To compare the hearing performance of patients with conductive and mild mixed hearing loss and single-sided sensorineural deafness provided with a new transcutaneous bone conduction hearing implant (the Baha Attract System) with unaided hearing as well as aided with a sound processor on a softband. Furthermore, to evaluate safety and subjective benefit before (...) thresholds, speech recognition in quiet and in noise, soft tissue status during follow-up and subjective benefit as measured with the Abbreviated Profile of Hearing Aid Benefit (APHAB), Speech, Spatial and Qualities of Hearing Scale (SSQ) and Health Utilities Index (HUI) questionnaires.Implantation of the Baha Attract System resulted in favourable audiological outcomes compared to unaided conditions. On the primary outcome parameter, a statistically significant improvement was observed compared

2018 Clinical Otolaryngology

20. Comorbidities of hearing loss and the implications of multimorbidity for audiological care. Full Text available with Trip Pro

Comorbidities of hearing loss and the implications of multimorbidity for audiological care. With increasing age, the risk of developing chronic health conditions also increases, and many older people suffer from multiple co-existing health conditions, i.e., multimorbidity. One common health condition at older age is hearing loss (HL). The current article reflects on the implications for audiological care, when HL is one of several health conditions in a multimorbidity. An overview of health (...) conditions often co-existing with HL, so called comorbidities, is provided, including indications for the strength of the associations. The overview is based on a literature study examining cohort studies that were published in the years 2010-2018 and examined associations of hearing loss with other health conditions, namely Visual impairment, Mobility restrictions, Cognitive impairment, Psychosocial health problems, Diabetes, Cardiovascular diseases, Stroke, Arthritis, and Cancer. This selection

2018 Hearing Research

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