Cochlear implants in adults over 60: A study of communicative benefits and the impact on quality of life

Ramos, Ángel; Guerra-Jiménez, Gloria; Rodriguez, Carina A.; Borkoski, Silvia; Falcón, Juan Carlos Suárez; Pérez, Daniel

doi:10.1179/1754762812y.0000000028

Cited by 30 publications

(36 citation statements)

References 11 publications

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“…Older patients experienced a higher subjective satisfaction after cochlear implantation, regardless of their CI audiometric benefit. Similar and consistent results had been previously observed by different studies in the past [8,[25][26][27][28] . Numerous large scale studies have demonstrated that several previous patient attributes condition cochlear implantation outcomes.…”

Section: Discussionsupporting

confidence: 81%

“…Accordingly to previous studies [6,8] , older patients obtained poorer results in terms of SR. Significant changes in QoL have been demonstrated in our sample according to GBI (Table 2, Figure 1) and SQ.…”

Section: Discussionmentioning

confidence: 67%

“…Numerous large scale studies have demonstrated that several previous patient attributes condition cochlear implantation outcomes. In fact, our linear regression reassert that age, time of hearing impairment, previous use of a hearing aid [4][5][6][7][8] , and substantial preoperative residual hearing improves CI benefits [29] .…”

Section: Discussionmentioning

confidence: 99%

“…There are recognizable factors that determine cochlear implantation results before implantation, such as profound hearing loss duration [4] , age at implantation [5][6][7][8] , amount of residual hearing, support from family, demographic factors, and educational factors [9] .…”

Section: Introductionmentioning

confidence: 99%

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Cochlear Implant Evaluation: Prognosis Estimation by Data Mining System

Guerra-Jiménez¹,

Á²,

Jc³

et al. 2016

Int Adv Otol

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OBJECTIVE:Prediction of speech recognition (SR) and quality of life (QoL) outcomes after cochlear implantation is one of the most important challenges for otologists. By sifting through very large amounts of data, data mining reveals trends, patterns, and relationships that might otherwise have remained undetected. There are identifiable pre-implantational factors that condition the cochlear implantation outcome. Our objective is to design a data mining system to predict and classify cochlear implant (CI) predictable benefits in terms of SR and QoL in each patient. MATERIALS and METHODS:This is an observational study of CI users for at least one year. Audiological benefits and its relation to QoL are analyzed using the Glasgow Benefit Inventory (GBI) and the Specific Questionnaire (SQ). Sociodemographic and medical variables are processed in SPSS Statistics 19.0, MatLab® and Weka®. Classifiers are designed using the nearest neighbour and decision tree algorithms. Estimators are created by linear logistic regression. RESULTS:A total of 29 patients (mean age, 55.3 years; 52% female and 48% male) including 48% unilateral CI users and 51% bimodal CI users were included in the study. GBI improved by 36 points and SQ by 1.7 (p<0.05). Using Nearest Neighbour (IB1) algorithm for classifiers, interesting attributes were identified for SR and SQ result classification (success rate: 80.7%). Decision tree algorithm (J48) showed influencing variables for GBI (success rate: 81%). Estimators by linear logistic regression analysis disclosed a precision of 85%, 68%, and 71% for SR, GBI, and SQ, respectively. CONCLUSION:Our study proposes a systematized system to classify and estimate SR and QoL improvement based on our initial evaluation to complement decision making and patients' information.

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Section: Discussionsupporting

confidence: 81%

Section: Discussionmentioning

confidence: 67%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Cochlear Implant Evaluation: Prognosis Estimation by Data Mining System

Guerra-Jiménez¹,

Á²,

Jc³

et al. 2016

Int Adv Otol

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“…Two studies reported on disease-specific QoL instruments in adults, including the Specific Questionnaire (SQ) [Ramos et al, 2013], the NCIQ [Olze et al, 2012], and the Hearing Handicap Inventory -Adults (HHIA) [Vermeire et al, 2005]. The SQ evaluates 6 different aspects related [Faber and Grøntved, 2000;Ramos et al, 2013].…”

Section: Disease-specific Instruments In Older Adultsmentioning

confidence: 99%

Quality of Life and Cost-Effectiveness of Cochlear Implants: A Narrative Review

et al. 2017

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Objectives: To review evidence regarding the health-related quality of life (HRQoL) and cost-effectiveness of unilateral and bilateral cochlear implantation (CI) among children and adults with severe-to-profound hearing loss. Study Design: Narrative review. Methods: Publications related to quality of life (QoL) and costs of care in CI were acquired through searches in English-language databases. Studies were included if they had identified the HRQoL attainment, cost of care, cost-utility, or cost-effectiveness associated with CI. Results: 57 studies were critically reviewed. The QoL outcome metrics used in these articles were divided into 2 categories - generic and condition specific. In studies investigating children, many reported no significant difference in QoL attainment between CI recipients and normal-hearing peers. In adults, significant improvements in QoL after implantation and higher QoL than in their nonimplanted (hearing-aided) peers were frequently reported. Studies involving an older adult cohort reported significant improvement in QoL after implantation, which was often independent of audiological performance. Overall, the calculated cost-utility ratios consistently met the threshold of cost acceptance, indicating acceptable values for expenditures on CI. Conclusions: Considerable work has been done on the QoL attainment and health economic implications of CI. Unilateral CI across all age groups leads to reported sustained benefits in the recipients' overall and disease-specific QoL. With increased cost associated with bilateral CI, further study is needed to characterize its costs and benefits with respect to the recipients' health, well-being, and contributions to society.

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Hearing Loss and Cochlear Implants

Morris¹,

Velde²

2021

The Handbook of Language and Speech Disorders

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Cochlear implants in adults over 60: A study of communicative benefits and the impact on quality of life

Cited by 30 publications

References 11 publications

Cochlear Implant Evaluation: Prognosis Estimation by Data Mining System

Cochlear Implant Evaluation: Prognosis Estimation by Data Mining System

Quality of Life and Cost-Effectiveness of Cochlear Implants: A Narrative Review

Hearing Loss and Cochlear Implants

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