Real-World Compliance With Follow-up in 2,554 Cochlear Implant Recipients: An Analysis of the HERMES Database
| Autor: | Theresa Hammer, Lisa Wenstrup, Joseph T. Breen, Jedidiah J. Grisel, Nathan Kemper, Noga Lipschitz, Scott Shapiro, Ravi N. Samy, Lamiaa Abdelrehim |
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| Rok vydání: | 2020 |
| Předmět: |
Speech perception
medicine.medical_treatment MEDLINE computer.software_genre 03 medical and health sciences 0302 clinical medicine Electronic health record Cochlear implant Humans Medicine 030223 otorhinolaryngology Cochlear implantation Database business.industry Audiology Cochlear Implantation Sensory Systems Clinical Practice Cochlear Implants Otorhinolaryngology Private practice Speech Perception Neurology (clinical) business computer 030217 neurology & neurosurgery Follow-Up Studies |
| Zdroj: | Otology & Neurotology. 42:47-50 |
| ISSN: | 1537-4505 1531-7129 |
| DOI: | 10.1097/mao.0000000000002844 |
| Popis: | Background Traditional paradigms of care recommend close audiology follow-up and regular speech perception outcomes assessment indefinitely for cochlear implant (CI) recipients after device activation. However, there is scant published data on actual compliance with this paradigm in clinical practice. Methods A multi-center cochlear implant database was queried to identify follow-up rates after cochlear implantation. Follow-up rates where speech perception outcomes assessment occurred at 1-, 3-, 6-, 12-, 18-, and 24-months post-activation were determined by tabulating observed follow-up divided by expected follow-up (O/E ratio) expressed as a percentage. To determine all-cause audiology follow-up rates (with or without testing speech perception outcomes assessment), the database patients from two participating centers (one private practice and one academic center) were similarly analyzed using electronic health record (EHR) data to calculate O/E rates where audiology follow-up occurred for any reason. Results O/E follow-up rates where speech perception outcomes assessment occurred was 42, 40, 31, 29, 5, and 22% for 1-, 3-, 6-, 12-, 18-, and 24-months post-activation, respectively (n = 2,554). All-cause audiology follow-up rates (with or without speech perception outcomes assessment) using EHR-confirmed data from two individual centers were 97, 94, 81, 66, 41, and 35% at 1-, 3-, 6-, 12-, 18-, and 24-months post-activation visits, respectively (n = 118). Conclusions Compliance with audiology follow-up and speech perception outcomes assessment is generally low and decreases significantly as time post-activation increases. Future paradigms of care for CI should be designed recognizing the significant attrition that occurs with CI follow-up. |
| Databáze: | OpenAIRE |
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