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Strengths and Limitations
A strength of the present study is the inclusion of experienced postlingually deafened adult CI users who are homogeneous with respect to CI center, CI brand, speech processing strategy, stimulation rate, pulse width, number of maxima, and who are rehabilitated in a team with a small number of surgeons, audiologists, and speech pathologists.The explained variance of the prediction models described in this study was limited.
Strengths and Limitations
A strength of the present study is the inclusion of experienced postlingually deafened adult CI users who are homogeneous with respect to CI center, CI brand, speech processing strategy, stimulation rate, pulse width, number of maxima, and who are rehabilitated in a team with a small number of surgeons, audiologists, and speech pathologists.
Thus, treatment and CI fitting in this study can be considered fairly similar across the participants. The results of this study might not be directly applicable to CI users of other CI centers, because of the differences in fitting practices between CI centers, or generalized to other groups of CI users (e.g., CI users of other brands or prelingually deaf adults).
The CI users in our study were implanted with different implant models (i.e., perimodiolar or lateral wall arrays), which could have influenced T and C levels, DRs, and electrode impedances. We conducted additional univariate analyses to investigate the relation between type of implant and speech recognition, but these analyses did not show a significant relation. The explained variance of the prediction models described in this study was limited.
Thus, the prediction models would have been the same if the analyses would have been done on the original data without imputation. Data were also missing on several other parameters. All cases were included in the analyses; however, multivariate linear regression analysis only includes complete cases. This has therefore resulted in different numbers of CI users included in the different prediction models, which limited the statistical power.
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