Evidence map›Paper›PMID 39869056›Full record

ArticleInternational journal of audiology2025

Accuracy and variability in clinical predictions of speech recognition outcomes for cochlear implant users.

Valeriy Shafiro, Michael S Harris, Berenice Ramirez, Liping Du, Aaron C Moberly

Abstract read
In one paragraph

Article in International journal of audiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Valeriy ShafiroDepartment of Communication Disorders and Sciences, Rush University, Chicago, IL, USA.
Michael S HarrisDepartment of Otolaryngology & Communication Sciences, Medical College of Wisconsin, Milwaukee, WI, USA.
Berenice RamirezMedical College of Wisconsin, Milwaukee, WI, USA.
Liping DuDepartment of Otolaryngology, Vanderbilt University Medical Center, Nashville, TN, USA.
Aaron C MoberlyDepartment of Otolaryngology, Vanderbilt University Medical Center, Nashville, TN, USA.

Funding

Predicting Speech Recognition in Adults Receiving Cochlear ImplantsR01DC019088 · NIDCD · VANDERBILT UNIVERSITY MEDICAL CENTER · PI MOBERLY, AARON C · 2021 to 2025
$2.6M
NIDCD NIH HHS R01 DC019088
6 · The paper itself

Abstract

objectivesAn improvement in speech perception is a major well-documented benefit of cochlear implantation (CI), which is commonly discussed with CI candidates to set expectations. However, a large variability exists in speech perception outcomes. We evaluated the accuracy of clinical predictions of post-CI speech perception scores.

designIn an online survey, clinicians involved in CI care were asked to predict 6-month performance on AzBio sentences and CNC words for 15 anonymised CI patients based on demographic, medical, and audiological data, and preoperative speech recognition scores. STUDY SAMPLE: Sixty-five participants (72% audiologists, 14% neurotologists, 14% speech-language pathologists, and CI researchers) provided predictions for two or more cases, and 43 provided predictions for all 15 CI cases.

resultsClinical predictions had low accuracy and high variability (i.e. median interclass correlation coefficients [ICC] 0.11-0.13). No relationship was observed between clinicians' confidence and prediction accuracy.

conclusionsThe present findings are consistent with previous research and indicate a concerning discrepancy between clinical predictions and actual speech perception outcomes for adult post-lingual CI users. Future research may explore incorporating predictions based on statistical models into speech outcome prognostication to reduce variance and improve counselling and expectations setting for individual CI candidates.

Indexed as

Cochlear ImplantationCochlear ImplantsPersons with Hearing DisabilitiesSpeech PerceptionAdultAgedFemaleHumansMaleMiddle AgedPredictive Value of TestsReproducibility of ResultsTreatment OutcomeClinical predictioncochlear implantsprognosticationspeech perception

Identifiers

PMID39869056
PMCPMC12226235

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.