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QoL, CIs, QALYs, and Individualized Rehabilitation: The Clinical and Practical Benefits of Regularly Assessing the Quality of Life of Adult Cochlear Implant Recipients

Author

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  • Luis Lassaletta

    (Department of Otorhinolaryngology, Hospital La Paz. IdiPAZ Research Institute, 28046 Madrid, Spain
    Biomedical Research Networking Centre on Rare Diseases (CIBERER), Institute of Health Carlos III, (CIBERER-U761), 28029 Madrid, Spain)

  • Miryam Calvino

    (Department of Otorhinolaryngology, Hospital La Paz. IdiPAZ Research Institute, 28046 Madrid, Spain
    Biomedical Research Networking Centre on Rare Diseases (CIBERER), Institute of Health Carlos III, (CIBERER-U761), 28029 Madrid, Spain)

  • Isabel Sanchez-Cuadrado

    (Department of Otorhinolaryngology, Hospital La Paz. IdiPAZ Research Institute, 28046 Madrid, Spain)

  • Piotr Henryk Skarzynski

    (Institute of Physiology and Pathology of Hearing, World Hearing Center, 05-830 Kajetany, Poland)

  • Katarzyna B. Cywka

    (Institute of Physiology and Pathology of Hearing, World Hearing Center, 05-830 Kajetany, Poland)

  • Natalia Czajka

    (Institute of Physiology and Pathology of Hearing, World Hearing Center, 05-830 Kajetany, Poland)

  • Justyna Kutyba

    (Institute of Physiology and Pathology of Hearing, World Hearing Center, 05-830 Kajetany, Poland)

  • Dayse Tavora-Vieira

    (Fiona Stanley Fremantle Hospitals Group, Perth 6150, Australia)

  • Paul Van de Heyning

    (Department of Otorhinolaryngology, Antwerp University Hospital, 2650 Antwerp, Belgium)

  • Griet Mertens

    (Department of Otorhinolaryngology, Antwerp University Hospital, 2650 Antwerp, Belgium)

  • Hinrich Staecker

    (ENT Department, University of Kansas Medical Centre, Kansas City, KS 66160, USA)

  • Bryan Humphrey

    (ENT Department, University of Kansas Medical Centre, Kansas City, KS 66160, USA)

  • Mario Zernotti

    (Department of Otorhinolaryngology, Sanatorio Allende de Córdoba, Córdoba 5000, Argentina)

  • Maximo Zernotti

    (Department of Otorhinolaryngology, Sanatorio Allende de Córdoba, Córdoba 5000, Argentina)

  • Astrid Magele

    (ENT Department, Universitätsklinikum St. Pölten, 3100 St. Pölten, Austria)

  • Marlene Ploder

    (ENT Department, Universitätsklinikum St. Pölten, 3100 St. Pölten, Austria)

  • Julia Speranza Zabeu

    (Hospital de Reabilitacão de Anomalias Craniofaciais da Universidade de Sao Paulo, Campus Bauru, Bauru 17012-230, Brazil)

Abstract

This study aimed to report quality of life (QoL) scores in unilateral cochlear implant (CI) users and to generate guidance for clinicians on using QoL measures to individualize CI counselling and rehabilitation and to increase access to CIs as a mode of rehabilitation. Participants (n = 101) were unilateral CI users with single-sided deafness (SSD; n = 17), asymmetrical hearing loss (AHL; n = 26), or bilateral hearing loss (Uni; n = 58). Generic QoL was assessed via the Health Utilities Index (HUI-3), and disease-specific QoL was assessed via the Speech, Spatial, and Qualities of Hearing scale (SSQ12) and Nijmegen CI Questionnaire (NCIQ) at preimplantation and at 6 and 12 months of CI use. All groups had significantly increased HUI-3 scores at both intervals. The SSD group showed significant benefit on the SSQ12 at visit 3, the AHL group showed significant benefit on the SSQ12 and most NCIQ subdomains at both intervals, and the Uni group showed significant benefit with both tests at both intervals. Unilateral CI recipients demonstrate improved QoL within the first 12 months of device use. Regular assessment with generic and disease-specific questionnaires has the potential to play an important role in personalizing treatment and possibly in increasing access to CI provision.

Suggested Citation

  • Luis Lassaletta & Miryam Calvino & Isabel Sanchez-Cuadrado & Piotr Henryk Skarzynski & Katarzyna B. Cywka & Natalia Czajka & Justyna Kutyba & Dayse Tavora-Vieira & Paul Van de Heyning & Griet Mertens , 2023. "QoL, CIs, QALYs, and Individualized Rehabilitation: The Clinical and Practical Benefits of Regularly Assessing the Quality of Life of Adult Cochlear Implant Recipients," IJERPH, MDPI, vol. 20(20), pages 1-13, October.
    • Handle: RePEc:gam:jijerp:v:20:y:2023:i:20:p:6906-:d:1256690
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    References listed on IDEAS

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    1. Jeff Richardson & Angelo Iezzi & Munir Khan & Aimee Maxwell, 2014. "Validity and Reliability of the Assessment of Quality of Life (AQoL)-8D Multi-Attribute Utility Instrument," The Patient: Patient-Centered Outcomes Research, Springer;International Academy of Health Preference Research, vol. 7(1), pages 85-96, March.
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