The role of a graded profile analysis in determining candidacy and outcome for cochlear implantation in children

Use of a Graded Profile Analysis to assess cochlear implant candidacy: recent findings

“…2; children who scored under 5 were generally not implanted, children who scored higher than 7 were mostly implanted and another group, children who had GPA scores of 6 or 7, continued to be assessed on a caseby-case basis. These three groups were identified in the original study by Daya et al [1]. The middle group, marked by box B in Fig.…”

“…As a result, cochlear implant programs have to determine and prioritize the candidates which would best benefit from implantation. In 1999, Daya et al [1] reported on a Graded Profile Analysis (GPA) which was used to quantify candidacy evaluations and guide decisions regarding cochlear implant candidacy. Daya's study of the first 4 years of GPA use showed that three distinct groups of children emerged from the GPA scores.…”

Integrated Profile to Assess Auditory Nerve-Auditory Pathway Integrity

“…Value of Speech Development Level Assessment of the API Speech development level, which is also valuable for assessing the API, is an important criterion when selecting cochlear implant candidates [7][8][9] . Speech is acquired through learning after birth.…”

“…Hellman et al [7] reported the Children's Implant Profile (ChIP), which was used to systematically select the candidates for cochlear implantation. Since then, the ChIP or a variant of it has now been widely used by many cochlear implant centers [8,9] . The original ChIP included 11 parameters such as chronological age, duration of deafness, medical and radiological factors, multiple handicaps, functional hearing, speech and language abilities, family structure and support, expectations, educational environment, availability of support services, and cognitive learning style, which affect the efficacy of cochlear implantation.…”

Cochlear implantation in adolescents and adults with prelinguistic deafness: outcomes and candidacy issues

“…However, cochlear implant centres continue to grapple with candidacy decisions for this patient population. The use of candidacy profiles such as the Children's Implant Profile (ChIP) has been proposed to assist with the assessment of potential paediatric candidates for cochlear implantation [6,7]. Daya et al [7] examined the relationship between graded profile analysis scores and speech perception outcomes in children and found a relationship between the individual graded profile and growth in speech perception.…”