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Criteria versus guidelines: Are we doing the best for our paediatric patients?

Kate Hanvey1, Marette Ambler1, Justine Maggs1

  • 1a The Midlands Hearing Implant Programme - Children's Service , Birmingham Children's Hospital NHS Foundation Trust , Birmingham , UK.

Cochlear Implants International
|April 22, 2016
PubMed

Insights

National Institute for Health and Care Excellence (NICE) guidance for cochlear implants is often applied too rigidly. A flexible interpretation considering individual needs and functional development is recommended for optimal outcomes in children.

Area of Science:

  • Audiology and Otolaryngology
  • Health Technology Assessment
  • Pediatric Health

Background:

  • The National Institute for Health and Care Excellence (NICE) Technology Appraisal Guidance 166 provides guidelines for cochlear implant provision in the UK.
  • Current application of NICE guidance by public health bodies often involves strict adherence to audiometric thresholds.
  • This rigid interpretation may overlook individual performance variability and a child's developmental context.

Keywords:
BorderlineCandidacyCochlear implantCriteriaNICE guidanceNon-traditionalReverse slope

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