Remote screening accuracy of first-time hearing aid users.

IF 1 4区医学 Q3 MEDICINE, GENERAL & INTERNAL Danish medical journal Pub Date : 2024-03-15 DOI:10.61409/A08230501

Lene Dahl Siggaard, Henrik Jacobsen, Dan Dupont Hougaard, Morten Høgsbro

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Abstract

Introduction: Capacity constraints in Danish hearing healthcare may lead to diagnostic delays and repetitive pre-treatment audiological exams for hearing-impaired patients. This study investigated the effectiveness of remote ear-nose-throat (ENT) specialist assessments (RESA) for complicated hearing loss, comparing the accuracy of private ENT specialists and medical audiologists.

Methods: RESA screening accuracy was determined for four ENT specialists, individually and as subspecialised groups. These assessments were benchmarked against "gold standard" in-person ENT assessments for 445 potential adult first-time hearing aid users.

Results: Medical audiologists initially recorded lower RESA screening specificity and positive predictive values than private ENT specialists. However, after making two adjustments to the dataset, these differences were neutralised. Screening sensitivity was consistent across individual and grouped subspecialities.

Conclusions: RESA screening is a promising tool for timely diagnosis and treatment. The findings reveal that both private ENT specialists and medical audiologists may conduct RESA with high consistency and uniformity.

Funding: This research was funded by the Danish Health Data Authority and the North Denmark Region, but does not reflect their views. The study received no commercial support.

Trial registration: Not relevant.

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首次使用助听器者的远程筛查准确性。

导言：丹麦听力保健机构的能力限制可能会导致听力受损患者的诊断延误和重复听力治疗前检查。本研究通过比较私人耳鼻喉科专家和医学听力学家的准确性，调查了远程耳鼻喉科专家评估（RESA）对复杂性听力损失的有效性：方法：对四位耳鼻喉科专家的 RESA 筛查准确性进行了评估，包括个人评估和亚专业组评估。这些评估结果与耳鼻喉科专家对 445 名首次使用助听器的潜在成人进行的 "黄金标准 "现场评估结果进行了比较：医学听力学家最初记录的 RESA 筛查特异性和阳性预测值均低于私立耳鼻喉科专家。然而，在对数据集进行两次调整后，这些差异被中和了。筛查灵敏度在单个亚专科和分组亚专科之间保持一致：RESA筛查是及时诊断和治疗的有效工具。研究结果表明，私立耳鼻喉科专家和医学听力学家均可进行高度一致和统一的 RESA 筛查：本研究由丹麦卫生数据管理局和北丹麦大区资助，但不反映其观点。本研究未获得任何商业支持：不相关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Danish medical journal MEDICINE, GENERAL & INTERNAL-

CiteScore

2.30

自引率

6.20%

发文量

审稿时长

3-8 weeks

期刊介绍： The Danish Medical Journal (DMJ) is a general medical journal. The journal publish original research in English – conducted in or in relation to the Danish health-care system. When writing for the Danish Medical Journal please remember target audience which is the general reader. This means that the research area should be relevant to many readers and the paper should be presented in a way that most readers will understand the content. DMJ will publish the following articles: • Original articles • Protocol articles from large randomized clinical trials • Systematic reviews and meta-analyses • PhD theses from Danish faculties of health sciences • DMSc theses from Danish faculties of health sciences.