Pediatric Cochlear Implantation—Why the Delay

Abstract

The aim of the study was to evaluate the factors that act as barriers and delay the process of cochlear implantation in children with congenital profound sensorineural hearing loss. This is a cross sectional observational study in which 154 children with profound sensorineural deafness attending ENT outdoor from Jan 2013 to June 2014 at Sri Aurobindo Institute of Medical College and PG Institute, Indore, were included in the study. Information was taken from the parents of the candidates regarding the reasons for the delay in reporting, the delay in intervention and a detailed history was also taken to evaluate the possible reason for the hearing loss with the help of open ended questions. The most common cause for the delay in reporting was lack of information about the availability of technique and procedure for cochlear implant. Financial constrain was the most common cause for the delay in getting the cochlear implant surgery.

Exploring patient experiences and concerns in the online Cochlear implant community: A cross‐sectional study and validation of automated topic modelling

“…Although the extant literature evaluating CI user experiences is limited, previous studies have suggested that the cost of devices, fear of complications from surgery, and worries about sound quality are among the barriers to CI uptake. [24][25][26][27] Similar concerns were identified in our analysis, with posts relating to surgery and sound quality consistently ranking among the top five most popular topics. When exploring the level of engagement of individual posts, discussions regarding which cochlear implant brand to go for received the highest number of comments.…”

Exploring patient experiences and concerns in the online Cochlear Implant community: a natural language processing approach

“…Although the extant literature evaluating CI user experiences is limited, previous studies have suggested that the cost of devices, fear of complications from surgery, and worries about sound quality/listening to music are among the barriers to CI uptake. [28][29][30][31] Similar topics were identified in our analysis, with posts relating to surgery and sound quality consistently ranking among the top five most popular topics.…”

Trends in Timing and Provision of Pediatric Cochlear Implant Care During COVID‐19

“…Patients may have multiple reasons why they would delay CI workup, regardless of COVID‐19, such as hesitancy toward CI, delayed acceptance of hearing loss, financial restraints, and problems with referrals to another professional after initial consultation. 34 Variability in these factors likely contributes to the wide range of intervals between care milestones seen among CI patients. Variability in families' safety concerns and willingness to engage in care during the COVID‐19 pandemic may have contributed to the even wider range of intervals observed in this study.…”

“…DeVries et al 33 reported a similarly wide range of intervals between SNHL confirmation and CI evaluation (mean 54.9 weeks, standard error of the mean 11.2 weeks, calculated 95% CI: 32.9‐76.8 weeks). Patients may have multiple reasons why they would delay CI workup, regardless of COVID‐19, such as hesitancy toward CI, delayed acceptance of hearing loss, financial restraints, and problems with referrals to another professional after initial consultation 34 . Variability in these factors likely contributes to the wide range of intervals between care milestones seen among CI patients.…”