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An assessment of the clinical acceptability of direct acoustic cochlear implantation for adults with advanced otosclerosis in the United Kingdom

Kitterick, P�draig T.; Reddy-Kolanu, Guna; Baguley, David; Lavy, Jeremy; Monksfield, Peter; Banga, Rupan; Ray, Jaydip; Snik, Ad; O'Donoghue, Gerard

Authors

P�draig T. Kitterick

Guna Reddy-Kolanu

David Baguley

Jeremy Lavy

Peter Monksfield

Rupan Banga

Jaydip Ray

Ad Snik

Gerard O'Donoghue



Abstract

Hypothesis: Assess the clinical acceptability of direct acoustic cochlear implantation for patients with advanced otosclerosis and the support for conducting a controlled trial of its effectiveness in the United Kingdom.

Background: Emerging evidence supports the efficacy of direct acoustic cochlear implantation in patients with advanced otosclerosis whose needs cannot be managed using the combination of stapes surgery and hearing aids. A controlled trial would provide evidence for its effectiveness and cost-effectiveness to healthcare commissioners.

Methods: An online survey of clinical professionals was constructed to characterise current standard of care for patients with advanced otosclerosis and to assess whether clinicians would be willing to refer patients into a trial to evaluate direct acoustic cochlear implantation. A consensus process was conducted to define inclusion criteria for the future trial.

Results: No survey respondent considered direct acoustic cochlear implantation to be inappropriate with a majority indicating that they would refer patients into a future trial. The consensus was that there is a lack of available treatment options for those patients with bone conduction thresholds worse than 55 dB HL and who did not meet current criteria for cochlear implantation.

Conclusions: The present study confirms that a controlled trial to evaluate the effectiveness of direct acoustic cochlear implantation would have the support of clinicians in the UK. A feasibility study would be required to determine whether patients who meet the inclusion criteria could be recruited in a timely manner and in sufficient numbers to conduct a formal evaluation of effectiveness.

Citation

Kitterick, P. T., Reddy-Kolanu, G., Baguley, D., Lavy, J., Monksfield, P., Banga, R., …O'Donoghue, G. (2017). An assessment of the clinical acceptability of direct acoustic cochlear implantation for adults with advanced otosclerosis in the United Kingdom. Otology and Neurotology, 38(7), https://doi.org/10.1097/MAO.0000000000001450

Journal Article Type Article
Acceptance Date Mar 28, 2017
Online Publication Date May 22, 2017
Publication Date Aug 3, 2017
Deposit Date Apr 24, 2017
Publicly Available Date Mar 29, 2024
Journal Otology and Neurotology
Print ISSN 1531-7129
Electronic ISSN 1537-4505
Publisher Lippincott, Williams & Wilkins
Peer Reviewed Peer Reviewed
Volume 38
Issue 7
DOI https://doi.org/10.1097/MAO.0000000000001450
Public URL https://nottingham-repository.worktribe.com/output/876498
Publisher URL https://insights.ovid.com/crossref?an=00129492-900000000-96984
Related Public URLs http://journals.lww.com/otology-neurotology/Abstract/2017/08000/An_Assessment_of_the_Clinical_Acceptability_of.2.aspx

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