Audit of local performance compared with standards recommended by the national guidelines for aetiologic investigation of permanent childhood hearing impairment

Yoong, S. Y.; Spencer, Nick

doi:10.1111/j.1365-2214.2005.00558.x

Cited by 9 publications

(5 citation statements)

References 15 publications

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“…Radiologic examination in small children often needs some form of anesthesia, which should be used to concurrently plan additional evaluations. However, the local setting might prevent any endeavour to optimize the organization of assessments [4,7].…”

Section: Resultsmentioning

confidence: 99%

Childhood Sensorineural Hearing Impairment: Unsolved Diagnostic Issues

Gürtler¹

2017

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With the successful implementation of the "Newborn Hearing Screening" program in many countries interest has been directed towards the etiologic search of childhood hearing impairment. Studies dealing with the diagnostic approach show substantial heterogeneity of the data complicating any formulation of guidelines. There is a need for a consensual, international approach in order to improve the diagnostic rate and reporting system. The various issues that arise when dealing with the etiologic evaluation of childhood hearing impairment are outlined in this opinion and actions for improvement proposed.

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Section: Resultsmentioning

confidence: 99%

Childhood Sensorineural Hearing Impairment: Unsolved Diagnostic Issues

Gürtler¹

2017

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“…The majority of the studies (31) employed computed tomography (CT) with, where indicated, 1 to 2 mm slice thickness. Magnetic resonance imaging (MRI) was additionally performed in 16 studies [24,26,32,33,37,45,50,53,54,[58][59][60][101][102][103] (table 3). Kimani et al reported MRI results only [47].…”

Section: Literature Analysis: Investigationsmentioning

confidence: 99%

“…This is especially true for genetic analysis, which is expensive. An audit in the UK found that guidelines for an aetiological investigation were only partially followed [60]. As in Switzerland, lack of funding and parental choice were key reasons why the guidelines were not followed.…”

Section: Analysis Of the Current Swiss Approach And Costsmentioning

confidence: 99%

Bilateral congenital deafness: What investigations should be performed?

Gürtler¹,

Gysin²,

Schmid

et al. 2017

Swiss Med Wkly

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The evidence in the literature regarding an appro-priate evaluation is mostly of low quality and difficult to assess owing to high heterogeneity. Nevertheless, imaging, genetic testing, neuropaediatric and ophthalmological evaluations, electrocardiograms and cytomegalovirus analysis have been identified as examinations to be included in the assessment of children with congenital SNHL. There is a need for international consensus on the various issues of such an evaluation, such as choice of investigations and diagnostic criteria.

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“…3, 4 Jervell-Lange-Nielsen syndrome is a recessively inherited association between long QT interval and congenital deafness, and is characterised by a risk of syncope and sudden death due to a variety of polymorphic ventricular tachycardia. 7,8 The current study aimed (1) to survey UK practice regarding ECG screening of deaf children referred to cochlear implant centres, and (2) to review our local practice. This is thought to be an underestimate, because of the failure to make a diagnosis before sudden death.…”

Section: Introductionmentioning

confidence: 99%

“…Previous studies of aetiological investigation of children with severe hearing loss have indicated a low compliance with ECG evaluation, despite recommendations 7 , 8 . The current study aimed (1) to survey UK practice regarding ECG screening of deaf children referred to cochlear implant centres, and (2) to review our local practice.…”

Section: Introductionmentioning

confidence: 99%