{"title":"Impact of unilateral vs. bilateral evaluation on cochlear implant candidacy.","authors":"Ulrich Hoppe, Thomas Hocke, A. Hast","doi":"10.1080/00016489.2024.2336562","DOIUrl":null,"url":null,"abstract":"BACKGROUND\nThe indication criteria for cochlear implantation differ considerably across regions.\n\n\nOBJECTIVES\nTo estimate the effects of different candidacy criteria on the number of cochlear implant (CI) candidates.\n\n\nMETHODS\nWe analysed a very large clinical audiological database comprising pure-tone thresholds and speech-audiometric data in order to identify CI candidates on the basis of different audiometric candidacy criteria. In particular, we simulated the effects of three different CI candidacy criteria.\n\n\nRESULTS\nThe bilateral evaluation of CI candidacy has the strongest influence on the number of potential CI candidates. Additionally, the cut-off criteria for middle-ear implants have a large effect on numbers of candidates when air conduction has deteriorated.Conclusions and Significance: Expanding the indication criteria opens up the possibility of improving the accurate identification of individual cases suitable for cochlear-implant provision.","PeriodicalId":1,"journal":{"name":"Accounts of Chemical Research","volume":null,"pages":null},"PeriodicalIF":16.4000,"publicationDate":"2024-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Accounts of Chemical Research","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1080/00016489.2024.2336562","RegionNum":1,"RegionCategory":"化学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"CHEMISTRY, MULTIDISCIPLINARY","Score":null,"Total":0}
引用次数: 0
Abstract
BACKGROUND
The indication criteria for cochlear implantation differ considerably across regions.
OBJECTIVES
To estimate the effects of different candidacy criteria on the number of cochlear implant (CI) candidates.
METHODS
We analysed a very large clinical audiological database comprising pure-tone thresholds and speech-audiometric data in order to identify CI candidates on the basis of different audiometric candidacy criteria. In particular, we simulated the effects of three different CI candidacy criteria.
RESULTS
The bilateral evaluation of CI candidacy has the strongest influence on the number of potential CI candidates. Additionally, the cut-off criteria for middle-ear implants have a large effect on numbers of candidates when air conduction has deteriorated.Conclusions and Significance: Expanding the indication criteria opens up the possibility of improving the accurate identification of individual cases suitable for cochlear-implant provision.
背景人工耳蜗植入的适应症标准在不同地区有很大差异。目的估算不同的候选标准对人工耳蜗植入（CI）候选者数量的影响。方法我们分析了一个包含纯音阈值和言语听力数据的大型临床听力学数据库，以便根据不同的听力学候选标准确定 CI 候选者。结果双侧 CI 候选评估对潜在 CI 候选者数量的影响最大。此外，当气导恶化时，中耳植入的截止标准对候选者数量也有很大影响：扩大适应症标准为准确识别适合植入人工耳蜗的个体病例提供了可能。
期刊介绍：
Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance.
Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
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