Cochlear implantation in elderly patients: stability of outcome over time

Hilly, Ohad; Hwang, Euna; Smith, Lillian Eugenia; Shipp, David; Nedzelski, Julian M.; Chen, J M; Lin, Vincent

doi:10.1017/s0022215116008197

Cited by 37 publications

(44 citation statements)

References 34 publications

(22 reference statements)

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“…Within the literature, cochlear implantation is frequently referred to as the "standard of care" [9,10], "treatment of choice" [11,12], or the "gold standard" for management of patients with severe-to-profound sensorineural hearing loss [13] perhaps based on the common belief that patients with severe-to-profound hearing loss cannot derive benefit from traditional hearing aids [c.f . 14].…”

Section: Introductionmentioning

confidence: 99%

Cochlear implantation outcomes in adults: A scoping review

et al. 2020

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Cochlear implantation has become known as "the treatment of choice" for adults with severe to profound hearing loss. Wide variability exists, however, in the way hearing loss severity is measured and in the candidacy criteria used to recommend cochlear implantation. ObjectivesThis study aimed to provide a descriptive analysis of recent evidence available in the literature in relation to the efficacy of unilateral cochlear implantation in adults, the general findings of these studies, and the populations to which these findings apply. It also aimed to appraise the individual success rate and the magnitude of benefit following implantation. DesignA scoping review was conducted to identify English-language, peer-reviewed journal articles published between 2000 and 2018 assessing the outcomes of cochlear implantation in adults who received their first cochlear implant from 2000 onwards. To be included, studies had to report speech perception or self-reported measures of listening or quality of life at least three months after implantation. Systematic searches were conducted in Medline, Embase, Web of Science and Google Scholar. A two-stage screening approach was used, with seven reviewers independently screening titles and abstracts against inclusion criteria and three from this group further reviewing full-texts. A data charting form was developed and trialled, with 10% of the study data extracted in duplicate to compare results and further refine the form. Data relevant for efficacy analyses were extracted from studies with sample sizes of at least 10 participants. ResultsA total of 4182 abstracts were screened against inclusion criteria, and of these, 603 fulltexts were further screened. After exclusion of non-eligible articles, 201 articles were included in the first part of this scoping review. The majority of these articles were case series or comparative studies without a concurrent group, and had small sample sizes. Data PLOS ONECompeting interests: The authors have declared that no competing interests exist. synthesis conducted with the 102 articles with more than 10 participants highlighted that the average word perception ability improved from 8.2% to 53.9% after implantation. Selfreported benefit improved by 21.5 percentage points. At the individual level, 82.0% of adults with postlingual hearing loss and 53.4% of adults with prelingual hearing loss improved their speech perception ability by 15 percentage points or more. A small proportion had poorer ability after implantation or had stopped using the cochlear implant. ConclusionsDespite broad inconsistencies in measurement, research design, and reporting across articles, it is evident that cochlear implantation is beneficial to the majority of adults of any age who have limited aided speech perception abilities. While many adults with severe-to-profound hearing loss may also have poor speech perception abilities with hearing aids, the validity of using hearing loss severity as a criterion for cochlear implantation has not been demonstrated. Clinical and...

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Section: Introductionmentioning

confidence: 99%

Cochlear implantation outcomes in adults: A scoping review

et al. 2020

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“…Yet another explanation for the CI users being less emotional lonely than their hearing‐impaired peers (with or without hearing aids) may be their stable hearing status post‐implantation. This is in stark contrast to the hearing status of people with hearing loss with or without HAs. It is most likely that their hearing status further declines with age.…”

Section: Discussionmentioning

confidence: 65%

Psychosocial health of cochlear implant users compared to that of adults with and without hearing aids: Results of a nationwide cohort study

Bosdriesz

Stam

Smits

et al. 2018

Clinical Otolaryngology

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Psychosocial health of CI users is not worse than that of hearing-impaired adults with or without hearing aids. CI users' level of emotional loneliness is even lower than that of their hearing-impaired peers using hearing aids. A possible explanation is that CI patients receive more professional and family support, and guidance along their patient journey than adults who are fitted with hearing aids.

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“…19,20 When investigating the elderly group of CI users (!70 years), the same stable results regarding SR and HRQoL are shown. 21,22 Previous results suggest different predictive factors for post-CI performance, such as age, 23,24 gender, 25 duration of deafness, 26 residual hearing, 27 cognitive parameters, 23 etiology 24 and psychosocial factors. 28…”

Section: Introductionmentioning

confidence: 99%

The Outcome of Unilateral Cochlear Implantation in Adults: Speech Recognition, Health-Related Quality of Life and Level of Anxiety and Depression: a One- and Three-Year Follow-Up Study

Bergman

Lyxell

Harder³

et al. 2019

Int Arch Otorhinolaryngol

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Introduction Hearing impairment is a common disease worldwide, with a comprehensive impact, and cochlear implantation (CI) is an intervention for profound hearing impairment. Objective To study the outcome one and three years after unilateral CI on hearing, health-related quality of life and level of depression and anxiety, and the correlation between the outcomes. Second, to study whether age, gender, etiology, operated side, residual hearing or cognitive performance can predict the outcome. Methods A prospective longitudinal study including adults with profound postlingual hearing impairment, with respect to hearing (speech recognition), health-related quality of life (Health Utilities Index 3) and level of depression and anxiety (Hospital Anxiety and Depression scale), pre-CI, and one and three years post-CI. The total sample was composed of 40 participants (40% of men), with a mean age of 71 years. Results Speech recognition and the overall health-related quality of life improved one year post-CI (p = 0.000), without correlation (ρ= 0.27), and with no difference three years post-CI. The hearing attribute (in the health-related quality of life instrument) improved one and three years post-CI (p = 0.000). The level of anxiety did not change one and three years post-CI. The level of depression improved one year post-CI (p = 0.036), and deteriorated three years post-CI (p = 0.031). Age, etiology, operated side, residual hearing and cognitive performance did not predict the outcome, but the female gender did significantly improve speech recognition compared with men (p = 0.009). Conclusion The CI significantly improved speech recognition, health-related quality of life and level of depression one year post-CI without mutual correlation, and women performed significantly better than men. There were no further improvements three years post-CI, apart from the hearing attribute.

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Cochlear implantation in elderly patients: stability of outcome over time

Abstract: Cochlear implantation improves both audiometric outcome and quality of life in elderly patients. These benefits are stable over time.

Cited by 37 publications

References 34 publications

Cochlear implantation outcomes in adults: A scoping review

Cochlear implantation outcomes in adults: A scoping review

Psychosocial health of cochlear implant users compared to that of adults with and without hearing aids: Results of a nationwide cohort study

The Outcome of Unilateral Cochlear Implantation in Adults: Speech Recognition, Health-Related Quality of Life and Level of Anxiety and Depression: a One- and Three-Year Follow-Up Study

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