“…Factors associated with poorer QoL outcomes included use of hearing aids (rather than a CI) [Meyer et al, 2013;Necula et al, 2013], shorter experience with an implant [Loy et al, 2010], older age at implantation [Necula et al, 2013;Schorr et al, 2009;Stacey et al, 2006;Warner-Czyz et al, 2011], additional developmental comorbidities [Sach and Barton, 2007;Edwards et al, 2012], male gender [Sach and Barton, 2007], lower auditory perception [Sach and Barton, 2007], lower parental educational level [Sach and Barton, 2007], and reduced oral communication by the child [FortunatoTavares et al, 2012].…”