ArticleThe Laryngoscope2026
Effects of Marital Status on Cochlear Implant Outcomes.
Article in The Laryngoscope, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
1 citing paper in PubMed.
- Effects of Marital Status on Cochlear Implant Outcomes.The Laryngoscope · 2026Article
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6 authors.
Funding
Abstract
objectiveTo examine the association between marital status and post-CI speech recognition and hearing-related QoL in adult CI users, and to explore how this relationship interacts with key sociodemographic factors, including sex, employment, and residential location, and device usage (datalogging).
methodsRetrospective cohort analysis of prospectively collected data (2018-2024) from 604 postlingually deafened adults undergoing unilateral cochlear implantation. Outcomes were speech recognition (AzBio, CNC) and hearing-related QoL (CIQOL), collected at 6 or 12 months post-CI.
resultsUnmarried users had significantly poorer speech recognition outcomes (CNC [95% CI -15.2 to -5.5], AzBio quiet (AzBioQ) [95% CI -15.2 to -2.8]) compared to married users when controlling for key clinical covariates. No significant differences were observed in CIQOL scores. There were positive nonsignificant interactions between marital status and sex (β, 9.33, [95% CI -3.44 to 22.12]), employment status (β, 8.52, [95% CI -6.47-23.51]), and residential location (β, 12.96, [95% CI -0.54-26.46]) on AzBioQ. The benefits of marriage were stronger among women, full-time employed individuals, and rural residents than among men, those not in full-time employment, and urban residents. Marital status also significantly interacted with device usage (β, 1.70, [95% CI 0.11-3.28]). The relationship between device usage and AzBioQ was stronger in married individuals, suggesting a greater protective effect of marriage in individuals with higher device usage.
conclusionMarital status predicts CI speech recognition outcomes through both its main effect and its interaction with three additional sociodemographic factors and device usage. Recognizing this significant impact can help guide clinical counseling and inform the importance of social relationships. LEVEL OF EVIDENCE: 3:
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