European consensus statements on pediatric cochlear implantation

Existing European national guidelines agree to provide cochlear implantation to children with bilateral severe to profound hearing loss and to offer bilateral treatment depending on the hearing status of the best hearing ear and progression of hearing loss, and in the case of congenital hearing loss to do this at the youngest possible age. However, studies and reports demonstrate substantial and persistent disparities in the provision of pediatric cochlear implantation across Europe. Variations in national policies, service quality, and access to timely diagnosis and intervention continue to affect equitable care, even in high-income countries. These findings underscore the need for a coordinated, European-level approach to harmonize clinical practice and guidance. A group of European experts, professionals and patient representatives have set out to develop consensus statements to address the disparity in European provision. The consensus statements have been drawn up by the group in an iterative process of online and in-person group discussions. The European consensus statements may also contribute to awareness of cochlear implantation for children and to ensure effective services for children with severe to profound hearing loss who are eligible for cochlear implantation.