PMID- 15096420
OWN - NLM
STAT- MEDLINE
DCOM- 20040517
LR  - 20061115
IS  - 0886-4470 (Print)
IS  - 0886-4470 (Linking)
VI  - 130
IP  - 4
DP  - 2004 Apr
TI  - The bone-anchored hearing aid: quality-of-life assessment.
PG  - 394-9
AB  - OBJECTIVES: To assess the impact of a bone-anchored hearing aid (BAHA) on the 
      quality of life (QOL) of adults and to test the hypothesis that a BAHA improves 
      QOL because otorrhea and/or skin irritations decrease. DESIGN: Prospective 
      postal-based questionnaire study using validated health-related QOL instruments, 
      combined with hearing-aid-related questions. PATIENTS AND METHODS: The study 
      included 56 consecutive adult patients with acquired conductive or mixed hearing 
      loss who were scheduled for BAHA implantation at the University Medical Centre 
      Nijmegen, Nijmegen, the Netherlands. All 56 patients completed the 36-Item 
      Short-Form Health Survey (SF-36), the EuroQol-5D (EQ-5D), and the Hearing 
      Handicap and Disability Inventory (HHDI); 36 patients had been using an 
      air-conduction hearing aid (ACHA) and 20 patients a conventional bone-conduction 
      hearing aid (CBHA). Questionnaires were filled out before surgery and after 6 
      months of experience with the BAHA. RESULTS: In the SF-36 group, there was 
      significant improvement in the scores of the mental health domain (P =.02). When 
      the SF-36 patients were classified according to previous hearing aid, there was 
      no statistically significant change in the scores in any of the domains. In the 
      EQ-5D group and in its ACHA and CBHA subgroups, there were no important 
      differences in the results before and after the patients received their BAHAs. In 
      the HHDI group, the handicap and disability scales showed significant improvement 
      (P<.01) irrespective of the type of previously worn hearing aid. CONCLUSIONS: 
      Overall, generic health-related QOL was not influenced significantly by the use 
      of a BAHA according to the SF-36 and the EQ-5D. The more disease-specific scales 
      (HHDI) did show improved QOL with a BAHA.
FAU - Hol, Myrthe K S
AU  - Hol MK
AD  - Department of Otorhinolaryngology, University Medical Centre Nijmegen, Nijmegen, 
      the Netherlands. m.hol@kno.umcn.nl
FAU - Spath, Marian A
AU  - Spath MA
FAU - Krabbe, Paul F M
AU  - Krabbe PF
FAU - van der Pouw, Catharina T M
AU  - van der Pouw CT
FAU - Snik, Ad F M
AU  - Snik AF
FAU - Cremers, Cor W R J
AU  - Cremers CW
FAU - Mylanus, Emmanuel A M
AU  - Mylanus EA
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PL  - United States
TA  - Arch Otolaryngol Head Neck Surg
JT  - Archives of otolaryngology--head & neck surgery
JID - 8603209
SB  - IM
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Bone Conduction/*physiology
MH  - Dermatitis, Irritant/prevention & control/psychology
MH  - Disability Evaluation
MH  - Female
MH  - Hearing Aids/*psychology
MH  - Hearing Disorders/physiopathology/psychology/*therapy
MH  - Hearing Loss, Conductive/physiopathology/psychology/*rehabilitation
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Otitis Externa/etiology/psychology
MH  - Patient Satisfaction
MH  - Prosthesis Design
MH  - Prosthesis Implantation/*psychology
MH  - Psychological Tests/statistics & numerical data
MH  - Psychometrics
MH  - Quality of Life/*psychology
EDAT- 2004/04/21 05:00
MHDA- 2004/05/18 05:00
CRDT- 2004/04/21 05:00
PHST- 2004/04/21 05:00 [pubmed]
PHST- 2004/05/18 05:00 [medline]
PHST- 2004/04/21 05:00 [entrez]
AID - 130/4/394 [pii]
AID - 10.1001/archotol.130.4.394 [doi]
PST - ppublish
SO  - Arch Otolaryngol Head Neck Surg. 2004 Apr;130(4):394-9. doi: 
      10.1001/archotol.130.4.394.