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In this context, the present study investigated a\u00a0possible correlation between the secondary and post-secondary education of a\u00a0large cohort of CI recipients and their speech comprehension. Other variables with a\u00a0potential influence on the treatment outcome included age at implantation, the duration of hearing loss, and the treatment mode.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      The study included data of\n                      <jats:italic>n<\/jats:italic>\n                      \u202f=\u2009326 patients from the audiology database of the Frankfurt University ENT Clinic. Secondary and post-secondary education histories were collected as part of the anamnesis using a\u00a0questionnaire. Speech comprehension was assessed using the Freiburg monosyllabic test (FBE) and the Oldenburg sentence test in noise (OLSA) at 6\u00a0and 12\u00a0months after implantation and correlated with various biographical and audiological factors.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Patients with higher educational qualifications showed better outcomes in the FBE at 6\u00a0months (ANOVA\n                      <jats:sub>Welch<\/jats:sub>\n                      ;\n                      <jats:italic>F<\/jats:italic>\n                      \u00a0(2, 104)\u202f=\u20095.60;\n                      <jats:italic>p<\/jats:italic>\n                      \u202f=\u20090.05) and at 12\u00a0months (\n                      <jats:italic>F<\/jats:italic>\n                      \u00a0(2, 223)\u202f=\u20093.07;\n                      <jats:italic>p<\/jats:italic>\n                      \u202f=\u20090.05;\n                      <jats:italic>\u03b7<\/jats:italic>\n                      <jats:sup>\n                        <jats:italic>2<\/jats:italic>\n                      <\/jats:sup>\n                      \u202f=\u20090.03) compared to those with vocational qualifications. In the speech comprehension in noise (OLSA), a\u00a0significant group difference was observed 12 months postoperatively. Patients without qualifications or with other qualifications scored lower than those with vocational or higher qualifications (\n                      <jats:italic>F<\/jats:italic>\n                      \u00a0(2, 74)\u202f=\u20094.41;\n                      <jats:italic>p<\/jats:italic>\n                      \u202f=\u20090.02;\n                      <jats:italic>\u03b7<\/jats:italic>\n                      <jats:sup>\n                        <jats:italic>2<\/jats:italic>\n                      <\/jats:sup>\n                      \u202f=\u20090.11). Other significant factors influencing speech comprehension included the age at implantation and mode of care.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The correlation between secondary and post-secondary education and speech comprehension after CI treatment was not unequivocal. Only the choice of post-secondary education showed a\u00a0significant correlation with speech comprehension. Further research is required to confirm a\u00a0potential relationship.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00106-025-01647-8","type":"journal-article","created":{"date-parts":[[2025,9,11]],"date-time":"2025-09-11T12:50:31Z","timestamp":1757595031000},"page":"404-413","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Factors influencing the outcome of cochlear implantation: what role is played by secondary and post-secondary education?","Einflussfaktoren auf das Ergebnis der CI-Versorgung: Welche Rolle spielen Ausbildungsabschluss und Berufsausbildung. Englische Version"],"prefix":"10.1007","volume":"73","author":[{"given":"Christoph","family":"Broeder","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1295-2661","authenticated-orcid":false,"given":"Uwe","family":"Baumann","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,9,11]]},"reference":[{"key":"1647_CR1","doi-asserted-by":"publisher","first-page":"291","DOI":"10.1002\/lio2.528","volume":"6","author":"N Bernhard","year":"2021","unstructured":"Bernhard\u00a0N, Gauger\u00a0U, Romo\u00a0VE et\u00a0al (2021) Duration of deafness impacts auditory performance after cochlear implantation: A\u00a0meta-analysis. 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