844 The Frequency of Formal Audiological Assessment in Patients with Diagnosed Vestibular Schwannomas – A Single Centre audit
| العنوان: | 844 The Frequency of Formal Audiological Assessment in Patients with Diagnosed Vestibular Schwannomas – A Single Centre audit |
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| المؤلفون: | M Posa, D Z Khan, Manohar Bance, Adel Helmy, J Buttimore |
| المصدر: | British Journal of Surgery. 108 |
| بيانات النشر: | Oxford University Press (OUP), 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | Single centre, medicine.medical_specialty, business.industry, Vestibular Schwannomas, General surgery, Medicine, Surgery, In patient, Audit, business |
| الوصف: | Introduction Patients with vestibular schwannomas (VS) must have formal audiology during their workup, according to multiple national guidelines (including NICE). Method This retrospective study sought to audit the percentage of VS cases undergoing formal audiometry at a tertiary neurosurgical centre. An illustrative sample was selected randomly from local databases (2006-2019). Data collected included audiometry types (speech discrimination [SD], pure tone audiometry [PTA]), management pathway (surgery, radiotherapy or conservative) and symptom profile. Results 200 cases were assessed, 7 were excluded (private patients, patients referred but not formally seen). Of the 193 cases included, 186 (96.4%) had ≥1 Pure Tone assessment [PTA], with 135 (70%) also tested on Speech Discrimination [SD]. The surgical cohort had the highest audiometry rates at 38/38, followed by 116/121 (96%) for surveillance and 32/34 (94%) for radiotherapy subgroups. Reasons for no audiology were: profound hearing loss at presentation (2/7), audiometry at local centres (4/7) and patient compliance (1/7). Conclusions Our service is highly compliant (96.4%), consistent across management categories. The rate of SD (70%), a functional measure of hearing impairment, can be improved. Monitoring surgical outcomes via formal audiometry should be standard, particularly surgical approaches that preserve hearing are chosen. Follow-up audiometry regimes can be standardized for those on surveillance pathways. |
| تدمد: | 1365-2168 0007-1323 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_________::28baf0b7c1b03081ba6b96c74d427a64 https://doi.org/10.1093/bjs/znab134.493 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi...........28baf0b7c1b03081ba6b96c74d427a64 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 13652168 00071323 |
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