The use of uHear™ to screen for hearing loss in older patients with cancer as part of a comprehensive geriatric assessment.

Abstract:

OBJECTIVE:We previously validated uHear™ to screen for hearing loss in older patients with cancer without a known hearing loss, as part of a comprehensive geriatric assessment (CGA). In view of low specificity, we tested a new modified uHear™ scoring system as described by Handzel. METHODS:Patients, aged ≥70 years, were evaluated by uHear™ and conventional audiometry, which is considered the gold standard, as part of a CGA. The pass or fail screening cut-off for uHear™ was defined as having ≥2 consecutive hearing grades starting from the moderate-severe threshold zone ranging from 0.5 to 2.0 kHz (modified Handzel-uHear™ scoring system). To accept the modified Handzel-uHear™ as screening tool, it was predefined that the combined sensitivity (S) and specificity (Sp) of the test (S + Sp/2) was at least 80% and that an actual combined (S + Sp)/2 of 90% would be found. RESULTS:Ninety ears (45 subjects) were tested. Of those ears, 24.4% were identified as impaired by conventional audiometry. Modified Handzel-uHear™ identified 26.7% of tested ears as impaired. The combined (S + Sp)/2 of the modified Handzel-uHear™ was calculated as 77.5%, while in previous cohort, this was retrospectively calculated as 94.6%. A new uHear™ scoring system was proposed and tested in current and previous cohort. A (S + Sp)/2 of 80.2 and 78.8%, respectively, were obtained. CONCLUSION:uHear™ is a feasible tool for use within the CGA and shows promising results. However, further research is warranted to optimize the cut-off method before it could be routinely implemented within geriatric oncology.

journal_name

Acta Clin Belg

journal_title

Acta clinica Belgica

authors

Lycke M,Debruyne PR,Lefebvre T,Martens E,Ketelaars L,Pottel H,Van Eygen K,Derijcke S,Werbrouck P,Vergauwe P,Stellamans K,Clarysse P,Dhooge I,Schofield P,Boterberg T

doi

10.1080/17843286.2017.1392070

subject

Has Abstract

pub_date

2018-04-01 00:00:00

pages

132-138

issue

2

eissn

1784-3286

issn

2295-3337

journal_volume

73

pub_type

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