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Proposed comprehensive ototoxicity monitoring program for VA healthcare (COMP-VA)

COMP-VA is a program developed for Veterans receiving cisplatin, aiming to assess ototoxicity risks, monitor early hearing changes, and provide education on hearing care. By utilizing an innovative OtoID device, the program offers timely insights for treatment consideration, fostering collaboration between audiology and oncology.

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Proposed comprehensive ototoxicity monitoring program for VA healthcare (COMP-VA)

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  1. Proposed comprehensive ototoxicity monitoring program for VAhealthcare (COMP-VA) Dawn Konrad-Martin, PhD; Kelly M. Reavis, MPH; Garnett McMillan, PhD; Wendy J. Helt, MA; Marilyn Dille, PhD

  2. Aim • Describe COMP-VA, a comprehensive ototoxicity monitoring program developed for VA patients receiving cisplatin. • Relevance • With improved survivability following cancer treatment, Veterans treated with cisplatin have dual goals of effective treatment and preserved quality of life.

  3. Method • COMP-VA is designed to be administered on chemo-therapy treatment unit just before treatment (chairside). • Uses portable ototoxicity identification device (OtoID) that can provide reliable and accurate hearing thresholds on hospital ward during treatment.

  4. Clinical Objectives • Pretreatment ototoxicity risk assessment. • Behavioral screening for early hearing changes. • Screening for outer hair cell dysfunction. • Nonbehavioral screening for early hearing changes. • Screen failure follow-up testing. • Screening for tinnitus. • Patient and provider education about ototoxic-induced hearing and tinnitus, synergistic effects of ototoxins and noise overexposure, and rehabilitative solutions to hearing loss and tinnitus.

  5. Conclusion • Using evidence-based behavioral and objective test protocols, COMP-VA provides up-to-the-minute estimates of ototoxicity before patient’s next treatment. • This allows for timely consideration of treatment changes. • Program encourages efficient communication and team relationships between audiology and oncology.

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