• Login
• Admin

Kitterick, Pádraig T., Reddy-Kolanu, Guna, Baguley, David, Lavy, Jeremy, Monksfield, Peter, Banga, Rupan, Ray, Jaydip, Snik, Ad and O'Donoghue, Gerard (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). pp. 924-930. ISSN 1537-4505

Full text not available from this repository.

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.

Item Type:	Article
RIS ID:	https://nottingham-repository.worktribe.com/output/876498
Schools/Departments:	University of Nottingham, UK > Faculty of Medicine and Health Sciences > School of Medicine > Division of Clinical Neuroscience University of Nottingham, UK > Faculty of Medicine and Health Sciences > School of Medicine
Identification Number:	10.1097/MAO.0000000000001450
Related URLs:	URL URL Type http://journals.lww.com/otology-neurotology/Abstract/2017/08000/An_Assessment_of_the_Clinical_Acceptability_of.2.aspx UNSPECIFIED
Depositing User:	Kitterick, Dr Padraig
Date Deposited:	24 Apr 2017 08:40
Last Modified:	04 May 2020 18:59
URI:	https://eprints.nottingham.ac.uk/id/eprint/42163

Actions (Archive Staff Only)

Edit View