Rehabilitation of adult patients with severe-to-profound hearing impairment: why not cochlear implants?
2019 (English)In: Acta Oto-Laryngologica, ISSN 0001-6489, E-ISSN 1651-2251, Vol. 139, no 7, p. 604-611Article in journal (Refereed) Published
Abstract [en]
BACKGROUND: In Sweden, an estimated prevalence of adult patients with severe-to-profound hearing loss is 0.2%, which corresponds to roughly 20,000. We know little about the use of cochlear implants (CIs) in this population and why not most of them are not offered CI.
OBJECTIVES: To investigate the reasons for no rehabilitation with CI among this patient group.
MATERIALS AND METHODS: Data were collected from 1076 patients in the Swedish Quality Register of Otorhinolaryngology. A baseline questionnaire and the reason for no CI, was evaluated.
RESULTS: Only 14.5% of the patients started a CI investigation, and 8.5% were rehabilitated with CI. Significantly more women (56.5%) than men received CI. The most common reasons for not receiving CI, were hearing reason (30.5%), indicating satisfaction with technical equipment, and unknown reason (25%). The oldest patient group (81-100 years old) had the highest risk for unknown reasons. Patients receiving extended audiological rehabilitation (53.5%) had a significantly lower risk for unknown reasons.
CONCLUSIONS: It is worrying that the oldest patient group (81-100 years old) seemed to have fewer chances to start a CI investigation. An extended audiological rehabilitation increased the chances that professionals would discuss CI.
SIGNIFICANCE: This study shows that surprisingly few patients are offered CI despite their severe-to-profound hearing loss.
Place, publisher, year, edition, pages
Taylor & Francis, 2019. Vol. 139, no 7, p. 604-611
Keywords [en]
Swedish quality register, audiological rehabilitation, cochlear implants, gender, quality-of-life, severe-to-profound hearing loss
National Category
Otorhinolaryngology General Practice
Identifiers
URN: urn:nbn:se:oru:diva-74348DOI: 10.1080/00016489.2019.1607976ISI: 000468672000001PubMedID: 31107122Scopus ID: 2-s2.0-85066097806OAI: oai:DiVA.org:oru-74348DiVA, id: diva2:1317080
Note
Funding Agencies:
Stiftelsen Mo Gards Forskningsfond (MoFoF)
Gunnar Arnbrinks Stiftelse
Stiftelsen Tornspiran
Stiftelsen Tysta Skolan
2019-05-212019-05-212023-12-08Bibliographically approved