{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,2]],"date-time":"2026-02-02T22:19:31Z","timestamp":1770070771524,"version":"3.49.0"},"reference-count":18,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n            <jats:title>Objective:<\/jats:title>\n            <jats:p>To evaluate for equivalence in postoperative changes of speech recognition scores in a veteran patient population undergoing cochlear implantation (CI) compared to matched nonveteran patients.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Study Design:<\/jats:title>\n            <jats:p>Retrospective chart review.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Setting:<\/jats:title>\n            <jats:p>Tertiary referral center.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Patients:<\/jats:title>\n            <jats:p>A total of 83 veteran patients who underwent CI at a single Veterans Affairs Medical Center (VA cohort) were matched to 83 nonveteran patients from the Health Insurance Portability and Accountability Act-secure, Encrypted, Research, Management and Evaluation Solution database (HERMES cohort) based on age, sex, and baseline Consonant\u2013Nucleus\u2013Consonant (CNC) scores.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Intervention:<\/jats:title>\n            <jats:p>Patients underwent CI.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Main Outcome Measures:<\/jats:title>\n            <jats:p>Comparison of postoperative CNC and Arizona Biomedical Institute recognition scores.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results:<\/jats:title>\n            <jats:p>The mean difference and lower confidence interval of CNC scores between matched Veterans Affairs and HERMES cohorts were within a \u2212\u0394NI boundary of \u221215% at the 3-month (mean = 6.15, lower confidence interval = \u22122.38), 6-month (mean = 7.36, lower confidence interval = \u22122.21), and 12-month (mean = 4.03, lower confidence interval = \u22124.88) postoperative time points. The mean difference and lower confidence interval of Arizona Biomedical Institute scores between cohorts were within the \u2212\u0394NI boundary of \u221230% at 3 months (mean = 1, lower confidence interval = \u22128.71), 6 months (mean = 0.31, lower confidence interval = \u221212.30), and 12 months (mean = 0.72, lower confidence interval = \u221210.48).<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusion:<\/jats:title>\n            <jats:p>Our veteran population demonstrated improvements in speech recognition scores after CI comparable to a matched nonveteran population. Although veterans face unique factors that affect their hearing, access to medical care, and baseline general health, these findings affirm appropriate veteran candidates should be offered CI.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1097\/ono.0000000000000058","type":"journal-article","created":{"date-parts":[[2024,8,12]],"date-time":"2024-08-12T18:12:28Z","timestamp":1723486348000},"page":"e058","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Comparison of Outcomes After Cochlear Implantation in a Veteran Versus Nonveteran Population"],"prefix":"10.1097","volume":"4","author":[{"given":"Siddhant H.","family":"Tripathi","sequence":"first","affiliation":[{"name":"Department of Otolaryngology-Head and Neck Surgery, University of Cincinnati College of Medicine, Cincinnati, Ohio"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarah 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