Survey of the American Neurotology Society on Cochlear Implantation: Part 1, Candidacy Assessment and Expanding Indications
Survey of the American Neurotology Society on Cochlear Implantation: Part 1, Candidacy Assessment and Expanding Indications
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DOI：
10.1097/mao.0000000000001632
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发表时间：
2018-01-01
影响因子：
2.1
通讯作者：
Driscoll, Colin L.
中科院分区：
文献类型：
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作者：
Carlson, Matthew L.;Sladen, Douglas P.;Driscoll, Colin L.
目的：检查实践差异的人工耳蜗植入体候选人评估和标签外的适应症，在美国的中心。方法：美国神经耳学会（ANS）的横断面调查。结果：共有81个调查返回ANS成员报告定期参与人工耳蜗植入体护理。总体而言，年龄和临床经验分布广泛，大多数受访者报告ACGME在神经耳科和学术中心就业方面的认证。各中心每年人工耳蜗植入手术的数量差异很大。78%的受访者在过去2年内因以下至少一种适应症进行了人工耳蜗植入：12个月以下儿童的极重度听力损失（35，43%），不对称听力损失的儿童，其中至少一只耳朵优于年龄的性能截止值（25，31%），听力不对称的成年人，其中至少有一只耳朵优于成人标准的性能截止值（49，61%），单侧耳聋（37，46%）和同侧前庭神经鞘瘤（28，35%）。在所有查询的人群中，年植入量较高的中心更频繁地进行标签外植入（所有，p
Objective: To examine practice variance of cochlear implant candidacy assessment and off-label indications across centers in the United States.Methods: Cross-sectional survey of the American Neurotology Society (ANS).Results: A total of 81 surveys were returned from ANS members who report regular involvement in cochlear implant care. Overall there was a broad distribution in age and clinical experience, with most respondents reporting ACGME accreditation in neurotology and employment at an academic center. The annual volume of cochlear implant surgeries varied considerably across centers.Seventy-eight percent of respondents performed cochlear implantation for at least one of the following indications within the last 2 years: profound hearing loss in children less than 12 months of age (35, 43%), children with asymmetrical hearing loss where at least one ear was better than performance cutoff for age (25, 31%), adults with asymmetrical hearing where at least one ear was better than the performance cutoff for adult criteria (49, 61%), single-sided deafness (37, 46%), and ipsilateral vestibular schwannoma (28, 35%). Centers with a higher annual implant volume more frequently performed off-label implantation in all queried populations (all, p