Same-Day Patient Consultation and Cochlear Implantation: Patient Experiences and Barriers to Implementation.
Otol Neurotol
; 43(8): e820-e823, 2022 09 01.
Article
in English
| MEDLINE | ID: covidwho-1931942
ABSTRACT
OBJECTIVE:
This study aimed to assess the efficacy of same-day cochlear implant (SDCI) evaluation and surgery in improving patient experience. PATIENTS Adult CI candidates participated in this study.INTERVENTIONS:
Education materials and communication with providers were offered via telephone, e-mail, and/or telemedicine. Patients then arrived for in-person consultation, imaging studies, and outpatient CI surgery in one visit and received a 3-month postoperative survey. MAIN OUTCOMEMEASURES:
Preoperative hearing, referral-to-surgery time, travel burden, and patient satisfaction were included as outcome measures.RESULTS:
Of 35 patients who qualified, 14 were successfully contacted regarding the same-day program 9 underwent CI, 1 enrolled but did not ultimately meet candidacy criteria, and 4 declined because of coronavirus and/or active medical conditions and did not pursue a CI. For the nine patients who underwent SDCI, mean age was 78 years, and mean preoperative consonant-nucleus-consonant score was 16% in the implanted ear. Mean referral-to-surgery time was 103 days and, after accounting for cancellations because of coronavirus, was 52 days. Mean travel distance to institution was 234 miles. Of the seven patients who completed the follow-up survey, none felt rushed for surgery, and mean program experience was rated 8.6 out of 10. Net promoter score was positive (+72), supporting high experience favorability among patients. Barriers to program expansion included patient recruitment and education, surgery scheduling, and the coronavirus pandemic.CONCLUSIONS:
No patients declined the SDCI program to pursue traditional CI evaluation, and all patients were satisfied with their experience. The SDCI program is a feasible and successful model that overcomes barriers to implantation, including travel burden, and improves access to care.
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Cochlear Implants
/
Cochlear Implantation
/
Hearing Loss, Sensorineural
Type of study:
Cohort study
/
Experimental Studies
/
Observational study
/
Prognostic study
/
Qualitative research
Limits:
Adult
/
Aged
/
Humans
Language:
English
Journal:
Otol Neurotol
Journal subject:
Neurology
/
Otolaryngology
Year:
2022
Document Type:
Article
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