Information behaviour of French‐speaking speech–language therapists in Belgium: results of a questionnaire survey

IMPORTANCE Multiple studies have evaluated associations between post-cochlear implant (CI) speech recognition outcomes and patient-related factors. Current literature often appears equivocal or contradictory, so little is known about the factors that contribute to successful speech recognition outcomes with CIs.OBJECTIVE To use a meta-analysis to pool data from the extant literature and provide an objective summary of existing evidence on associations of patient-related factors and CI speech recognition outcomes.DATA SOURCES A literature search was performed using PubMed, Scopus, and CINAHL databases in January 2019 using the following search terms: cochlear implant or cochlear implants or cochlear implantation and speech recognition or word recognition or sentence recognition. Studies of postlingually deafened adult CI recipients that reported word or sentence recognition scores were included.STUDY SELECTION Inclusion criteria were postlingual adult CI recipients 18 years or older with word or sentence recognition scores at minimum 6-month postimplantation. Studies that included patients undergoing revision or reimplantation surgery were excluded. DATA EXTRACTION AND SYNTHESIS Following the Preferred Reporting Items for SystemicReviews and Meta-analyses (PRISMA) guidelines, 1809 unique articles underwent review by abstract, and 121 articles underwent full-text review, resulting in 13 articles of 1095 patients for a meta-analysis of correlations. Random-effects model was used when the heterogeneity test yielded a low P value (P < .05). MAIN OUTCOMES AND MEASURESThe planned primary outcome was the pooled correlation values between postimplant speech recognition scores and patient-related factors. RESULTSOf the 1095 patients included from the 13 studies, the mean age at implantation ranged from 51.2 to 63.7 years and the mean duration of hearing loss ranged from 9.5 to 31.8 years; for the 825 patients for whom sex was reported, 421 (51.0%) were women. A weak negative correlation was observed between age at implantation and postimplant sentence recognition in quiet (r = −0.31 [95% CI, −0.41 to −0.20]). Other correlations between patient-related factors and postimplant word or sentence recognition were statistically significant, but all correlations were absent to negligible (r = 0.02-0.27). CONCLUSIONS AND RELEVANCEGiven that most associations were weak, negligible, or absent, patient-related factors often thought to affect CI speech recognition ability offer limited assistance in clinical decision-making in cochlear implantation. Additional research is needed to identify patient-related and other factors that predict CI outcomes, including speech recognition and other important variables related to success with CIs.

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“…Level of evidence for each selected article was determined to be level 4, as determined by the Oxford Centre for Evidence-Based Medicine. 37…”

Section: Key Pointsmentioning

confidence: 99%

Association of Patient-Related Factors With Adult Cochlear Implant Speech Recognition Outcomes

Zhao

Dornhoffer

Loftus

et al. 2020

JAMA Otolaryngol Head Neck Surg

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“…The Oxford Centre for Evidence-Based Medicine (OCEBM) was used to provide critical appraisal of the level of evidence. 21 The risk of bias within studies was assessed employing the Cochrane Collaboration tool. 22 23…”

Section: Methodsmentioning

confidence: 99%

Primary Prevention of Cancer-Related Lymphedema Using Preventive Lymphatic Surgery: Systematic Review and Meta-analysis

Ciudad

Escandón

Bustos

et al. 2022

Indian J Plast Surg

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Background Several studies have proven prophylactic lymphovenous anastomosis (LVA) performed after lymphadenectomy can potentially reduce the risk of cancer-related lymphedema (CRL) without compromising the oncological treatment. We present a systematic review of the current evidence on the primary prevention of CRL using preventive lymphatic surgery (PLS). Patients and Methods A comprehensive search across PubMed, Cochrane-EBMR, Web of Science, Ovid Medline (R) and in-process, SCOPUS, and ScienceDirect was performed through December 2020. A meta-analysis with a random-effect method was accomplished. Results Twenty-four studies including 1547 patients fulfilled the inclusion criteria. Overall, 830 prophylactic LVA procedures were performed after oncological treatment, of which 61 developed lymphedema.The pooled cumulative rate of upper extremity lymphedema after axillary lymph node dissection (ALND) and PLS was 5.15% (95% CI, 2.9%–7.5%; p < 0.01). The pooled cumulative rate of lower extremity lymphedema after oncological surgical treatment and PLS was 6.66% (95% CI < 1–13.4%, p-value = 0.5). Pooled analysis showed that PLS reduced the incidence of upper and lower limb lymphedema after lymph node dissection by 18.7 per 100 patients treated (risk difference [RD] – 18.7%, 95% CI – 29.5% to – 7.9%; p < 0.001) and by 30.3 per 100 patients treated (RD – 30.3%, 95% CI – 46.5% to – 14%; p < 0.001), respectively, versus no prophylactic lymphatic reconstruction. Conclusions Low-quality studies and a high risk of bias halt the formulating of strong recommendations in favor of PLS, despite preliminary reports theoretically indicating that the inclusion of PLS may significantly decrease the incidence of CRL.

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“…The risk of bias of individual studies was assessed using the Robin-I assessment tool, while the level of evidence was assessed by both reviewers using the Oxford Centre for Evidence-Based Medicine: Levels of Evidence. 10 Two reviewers (DE and NY) independently analyzed the quality of selected papers. Any disagreement was solved by discussion.…”

Section: Outcomes Of Interestmentioning

confidence: 99%

The Role of Positron Emission Tomography for the Management of Sinonasal Malignancies: A Systematic Review

El-Adem,

Yang,

Gudis

2023

Am J Rhinol�Allergy

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Background Positron emission tomography (PET) scan is a valuable imaging modality widely used in the management of cancers. Its usage is well defined for most head and neck malignancies. However, there is a lack of consensus regarding the utility of PET scan for sinonasal malignancies. This is highlighted by the latest international consensus statement on endoscopic skull base surgery. Objective This systematic review aims to clarify the role of PET scan in the management of sinonasal malignancies. Methods We conducted a comprehensive literature search using PubMed, MEDLINE, EMBASE, Web of Science, CINAHL, and Cochrane databases for research studies of interest. The Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) updated statement was used to guide the review. Results In total, 1807 articles were assessed for eligibility. Thirty-nine original papers, published between 2004 and 2021, met inclusion criteria. Seven articles focused on the role of PET scan for inverted papilloma, 23 for sinonasal carcinoma, 4 for melanoma, and 3 for lymphoma, and finally, 3 articles focused on the use of specific PET scan tracers for sinonasal malignancies. Qualitative summaries for each potential role of PET scans were provided. In general, included studies were retrospective in nature with low level of evidence. Conclusions In general, and across all types of sinonasal malignancies, PET scan yielded positive results regarding detection and initial staging. It was also considered as the modality of choice for detection of distant metastases, except in the case of sinonasal lymphoma. PET scan's main limit resides in its inability to detect lesions in or close to the metabolic activity of the brain.

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Information behaviour of French‐speaking speech–language therapists in Belgium: results of a questionnaire survey

Abstract: This study provides the first overview of the information behaviour of SLTs working in the French community of Belgium. Several recommendations are suggested for SLTs and librarians.

Cited by 16 publications

References 31 publications

Association of Patient-Related Factors With Adult Cochlear Implant Speech Recognition Outcomes

Association of Patient-Related Factors With Adult Cochlear Implant Speech Recognition Outcomes

Primary Prevention of Cancer-Related Lymphedema Using Preventive Lymphatic Surgery: Systematic Review and Meta-analysis

The Role of Positron Emission Tomography for the Management of Sinonasal Malignancies: A Systematic Review

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