Prevalence of severe-to-Profound hearing loss in the adult Swedish population and comparison with cochlear implantation rate

Löfvenberg, Christian; Carlsson, Peder; Barrenäs, Marie Louise; Skagerstrand, Åsa; Simic, David; Carlsson, Jonas; Wigdén, Jessica; Westman, Eva

doi:10.1080/00016489.2022.2073388

Cited by 4 publications

(4 citation statements)

References 15 publications

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“…Incidence rates among the Medicare-aged population were similar to those calculated by Fakurnejad et al (13) in 2016; specifically, the incidence for patients 80 years and older was 11.6 per 100,000 individuals, compared with 10.9 in the current study. Although CI incidence data for other countries are limited, the overall incidence of CI among US adults parallels that of Sweden, reported to be 2.9 per 100,000 person-years in 2022, compared with 3.4 in 2019 in the current study (14). When considering incidence among audiometric candidates, the true incidence likely falls between the two extremes of candidacy criteria outlined in this study, specifically between 115 and 350 per 100,000 person-years in 2019 (Table 2).…”

Section: Discussionsupporting

confidence: 58%

Incidence of Cochlear Implantation Among Adult Candidates in the United States

et al. 2023

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ObjectivesTo investigate the associations of age and year of cochlear implantation (CI) with CI incidence among adults 20 years and older residing in the US.Study DesignDeidentified cochlear implant data were acquired from prospective patient registries from two cochlear implant manufacturers (Cochlear Americas and Advanced Bionics), which supply an estimated 85% of cochlear implants in the US. Population estimates for severe-to-profound sensorineural hearing loss by age group were extracted from Census and National Health and Nutrition Examination Survey data.SettingUS CI centers.PatientsAdults 20 years and older who underwent CI.InterventionsCI.Main Outcome MeasuresCI incidence.ResultsThe study cohort included 30,066 adults 20 years and older who underwent CI from 2015 to 2019. When combining actual and estimated data from all three manufacturers, the annual number of cochlear implants increased 5,406 in 2015 to 8,509 in 2019. Overall, the incidence of CI among adult traditional (bilateral severe-to-profound hearing loss) CI candidates increased from 244 per 100,000 person-years in 2015 to 350 in 2019 (p < 0.001). Although the elderly (80 years and older) population had the lowest incidence of CI, this cohort experienced the largest growth from an incidence of 105 per 100,000 person-years to 202 during the study period.ConclusionsDespite growing incidence among those with qualifying hearing loss, cochlear implants remain widely underutilized. Elderly adults continue to exhibit the lowest relative cochlear implant utilization rates; however, trends over the last half-decade suggest a shift has occurred, resulting in improved access among this underserved subset.

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Section: Discussionsupporting

confidence: 58%

Incidence of Cochlear Implantation Among Adult Candidates in the United States

et al. 2023

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“…In Sweden, the prevalence of adult patients with STPHL is 0.28%, which corresponds to 22,000 patients [ 7 ]. A limitation of studies based on the national registry for adults with STPHL is that different numbers of patients have been included in the published studies.…”

Section: Discussionmentioning

confidence: 99%

“…A previous definition of STPHL, which is still commonly used in Europe, defines it as a hearing level ≥70 dB in the better ear [ 6 ]. In Sweden, the prevalence of patients with a hearing level ≥70 dB is 0.28% [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

Rehabilitation of Severe-to-Profound Hearing Loss in Adults in Sweden

et al. 2022

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Severe-to-profound hearing loss (STPHL) can affect a person negatively in many ways. Audiological rehabilitation is important for these patients. Patients receiving cochlear implants make up less than 10% of this group but have been studied extensively. In 2005, a national registry for adult patients with STPHL was introduced in Sweden. Its purpose was to evaluate and improve rehabilitation for all patients with STPHL. Data from the Swedish registry for adult patients with STPHL were used to evaluate variables affecting the audiological rehabilitation. Previous published data from the registry were reviewed, and new data from the follow-up questionnaire were presented. More than 90% of patients rehabilitated with hearing aids experienced a good or very good benefit of audiological rehabilitation. Tinnitus and vertigo affected quality of life negatively and were reported by many patients with STPHL (41% and 31%) at follow-up. To maintain the high number of patients who find audiological rehabilitation beneficial, individualized treatment plans and timely re-evaluations are crucial. Tinnitus and vertigo need to be addressed repeatedly in the rehabilitation process.

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“…In Sweden, approximately 18.3%, corresponding to 1.5 million people over 16 years age report hearing loss of varying degrees [ 3 ] (estimation: http://www.statistikdatabasen.scb.se/sq/73088 ). The estimated prevalence of adult patients with severe-to-profound hearing impairment is approximately 0.28%, corresponding to 22.000 of the population in Sweden [ 4 , 5 ].…”

Section: Introductionmentioning

confidence: 99%

Combined severe-to-profound hearing and vision impairment—Experiences of daily life and need of support, an interview study

et al. 2023

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Objectives The purpose of the present study was to describe experiences of disabilities and factors affecting daily life from the perspective of adult persons with severe-to-profound hearing impairment in combination with severe vision impairment. Furthermore, the study also investigated which kind of support individuals with dual sensory loss received, and their experiences as citizens in the society. Methods Semi-structured qualitative interviews were performed, analyzed, and categorized using content analysis. Results Fourteen interviews were performed, with equal number of both sexes. Mean age was 70.1 years (47–81 years). Analysis of the data resulted in 22 categories, six sub-themes and two main themes. Two main themes emerged as Isolation and The Ability to control one’s own daily life. Surprisingly, most of the participants did not think of their vision and hearing impairment as a combined disability. The interviews showed various kind of strategies to handle daily life. The Deafblind-team unit was reported to offer excellent health care. Companion services for persons with disabilities proved to have become more difficult to get support from and created lack of independence and control over their own lives. However, it was also obvious that the participants felt a positive outlook on life and were more solution-oriented in order to adjust their everyday life to their life-situation. Conclusions The combination of vision and hearing impairment demonstrated isolation, and the respondents in the study have a need of support in everyday lives. At the same time, they struggle to have the ability to control their own lives.

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Prevalence of severe-to-Profound hearing loss in the adult Swedish population and comparison with cochlear implantation rate

Cited by 4 publications

References 15 publications

Incidence of Cochlear Implantation Among Adult Candidates in the United States

Incidence of Cochlear Implantation Among Adult Candidates in the United States

Rehabilitation of Severe-to-Profound Hearing Loss in Adults in Sweden

Combined severe-to-profound hearing and vision impairment—Experiences of daily life and need of support, an interview study

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