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New-born Hearing Screening Programmes in 2020: CODEPEH Recommendations
Faustino Núñez-Batalla1, Carmen Jáudenes-Casaubón1, Jose Miguel Sequí-Canet1
1Comisión para la detección precoz de la hipoacusia, Madrid, Spain.
Insights
Early detection programs for congenital hearing loss face challenges like late-onset cases and lost follow-ups. Continuous interdisciplinary team training is crucial for improving these vital public health initiatives.
Area of Science:
- Pediatrics
- Audiology
- Public Health
Background:
- Early detection of congenital hearing loss programs are established in developed nations.
- Challenges persist, including late-onset hearing loss and high rates of children lost to follow-up in diagnosis and treatment.
- Addressing these weaknesses is critical for program efficacy.
Purpose of the Study:
- To analyze existing challenges in congenital hearing loss detection programs.
- To identify areas for improvement and emphasize essential principles for program success.
- To provide updated recommendations based on recent evidence.
Main Methods:
- Review of existing literature and program data.
- Analysis of challenges in screening, diagnosis, and treatment follow-up.
- Incorporation of recent scientific advancements and technological impacts.
Main Results:
- Identified specific weaknesses in current early detection programs.
- Highlighted the importance of continuous interdisciplinary team training.
- Synthesized evidence from the last decade for program enhancement.
Conclusions:
- Programmatic improvements are necessary to address late-onset hearing loss and lost follow-up cases.
- Continuous training for interdisciplinary teams is a fundamental principle for success.
- Updated recommendations incorporate new technologies, cytomegalovirus knowledge, genetic research, and follow-up systems.
Abstract:
Programmes for early detection of congenital hearing loss have been successfully implemented mainly in developed countries, after overcoming some conceptual errors argued against their implementation and some criticism of their efficacy. However, some difficulties and weaknesses are still identified in these programmes: the detection of late-onset hearing loss and the percentage of children who did not pass the screening and did not complete the process of diagnosis and treatment, these being cases that are lost in the process. The purpose of this Document is to analyse these problems to determine areas for improvement and to emphasize one of the basic principles for the success of the programmes: continuous training for the interdisciplinary team. The result of the review process carried out by CODEPEH has been drafted as Recommendations for updating the Programmes with the evidence of the last decade, including advances in screening technology, the impact of the present knowledge on congenital infection by cytomegalovirus, genetic hearing loss research and control systems of lost to follow-up cases, treatment and follow up.
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