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美国成年癌症幸存者中的主观和客观听力损失
Qian Wang1,2, Changchuan Jiang3, Chi Wen4
1University Hospitals Seidman Cancer Center, Cleveland, Ohio.
JAMA otolaryngology-- head & neck surgery
|October 5, 2023
概括
与普通人群相比,癌症幸存者患听力损失 (HL) 的比例更高. 简单的查问题可以帮助在这个群体中识别HL,促使早期干预.
科学领域:
- 听力学 听力学是指听力学.
- 在瘤学瘤学.
- 公共卫生 公共卫生
背景情况:
- 癌症幸存者面临的听力损失 (HL) 的风险增加由于治疗,如化疗和放射治疗,以及年龄较大.
- 美国癌症幸存者中HL的患病率尚未确立,缺乏统一的查指南.
研究的目的:
- 估计美国癌症幸存者主观和客观HL的患病率.
- 为了比较癌症幸存者与普通人群之间的HL患病率.
- 评估主观听力问题的有效性,以确定客观的HL.
主要方法:
- 一项采用国家健康和营养检查调查 (2011-2020) 数据的横截面研究.
- 包括20至80岁的成年人,听力测试和听力问卷答复.
- 使用权重流行率计算和后勤回归模型进行比较和绩效评估.
主要成果:
- 与普通人群相比,癌症幸存者患有听力障碍 (1.43 AOR) 和高频率HL (1.74 AOR) 的患病率更高.
- 主观听力问题在检测客观HL方面表现强,语音频HL的AUC为0.88,高频HL的AUC为0.90.
- 这项研究包括一个超过9000万个人的加权样本,其中10.3%被确定为癌症幸存者.
结论:
- 癌症幸存者患听力损失的患病率明显高于普通人群.
- 两个主观听力问题可以作为医疗保健专业人员有效和高效的查工具.
- 提高意识,教育和早期查对于治疗癌症幸存者的听力损失至关重要.
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