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

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., Ray, J., Snik, A., & 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: May 22, 2017
• 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
• Contract Date: Apr 24, 2017