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Estimating Performance Using Tonotopic Measurements of Intracochlear Electrocochleography: Comparison of Lateral Wall and Perimodiolar Arrays.

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Cochlear Implant Access in Six Developed Countries.

Donna L Sorkin1, Craig A Buchman

  • 1*American Cochlear Implant Alliance, McLean, Virginia †Department of Otolaryngology-Head and Neck Surgery, Washington University School of Medicine, St. Louis, Missouri, U.S.A.

Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [And] European Academy of Otology and Neurotology
|January 1, 2016
PubMed
Summary
This summary is machine-generated.

Cochlear implantation access varies globally, with excellent pediatric rates except in Germany and the US. Adult cochlear implant (CI) utilization remains low worldwide due to poor screening and lack of awareness among healthcare providers.

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Area of Science:

  • Otolaryngology
  • Audiology
  • Public Health

Background:

  • Global access to cochlear implantation (CI) is inconsistent.
  • Healthcare systems, public awareness, and societal views on deafness significantly impact CI availability.

Purpose of the Study:

  • To explore and discuss variations in cochlear implant access and utilization across six developed countries.
  • To identify the underlying causes for disparities in CI access for pediatric and adult populations.

Main Methods:

  • Expert clinicians and researchers from Australia, Austria, Germany, Sweden, the UK, and the US collaborated.
  • Discussions focused on country-specific healthcare factors influencing cochlear implant utilization.

Main Results:

  • Pediatric CI utilization varied significantly, from 50% in the US to 97% in Australia.
  • Adult CI utilization was consistently below 10% across all participating developed nations.

Conclusions:

  • Pediatric CI access is generally strong, but referral system deficiencies in Germany and the US limit utilization.
  • Low adult CI uptake stems from insufficient screening and limited provider knowledge of CI candidacy criteria and outcomes.