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We also conducted a VA\u2010wide retrospective cohort analysis over a 5\u2010year period to quantify audiology service use among Veterans who received cisplatin, carboplatin, or oxaliplatin chemotherapy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 30,643 Veterans received platinum\u2010based chemotherapy from 2014 to 2019. Few of them (&lt;\u200910% on cisplatin, &lt;\u20095% on carboplatin or oxaliplatin) accessed audiology services within a year of treatment. Of the 8702 patients on cisplatin, only 9.6% had two or more audiology encounters. Thirty\u2010six oncology providers completed our survey. Most providers believed OtoM should be routine for patients on cisplatin (97%) or carboplatin (70%), but they overestimated audiology service provision levels relative to our analysis. Most providers would consider giving a different chemotherapy drug (73%) or decrease the dose (56%) for patients with ototoxicity, yet only 36% routinely referred patients to audiology. Access, perceived need, and resources were major barriers to OtoM, while care coordination was a primary facilitator.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>OtoM is a care\u2010gap for Veterans with cancer, despite its perceived value to VA oncology providers. Cisplatin and carboplatin frequently add hearing loss and tinnitus to survivors' treatment burdens. This study offers insights into oncology providers' views on OtoM, guiding efforts to address the identified care gap.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/cam4.71566","type":"journal-article","created":{"date-parts":[[2026,2,15]],"date-time":"2026-02-15T16:48:42Z","timestamp":1771174122000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Identifying Gaps and Opportunities to Improve Ototoxicity Management in Veterans With Cancer: Evidence From a Retrospective Cohort and Oncology Provider Survey"],"prefix":"10.1002","volume":"15","author":[{"given":"Cecilia","family":"Lacey","sequence":"first","affiliation":[{"name":"VA Pittsburgh Geriatric Research, Education, and Clinical Center  Pittsburgh Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Khaya","family":"Clark","sequence":"additional","affiliation":[{"name":"VA Rehabilitation Research, Development &amp; 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