Cochlear implant referral patterns in the UK suggest a postcode lottery with inequitable access for older adults; results of a pilot audit in five Audiology sites

References

• Bierbaum, M., C. M. McMahon, S. Hughes, I. Boisvert, A. Y. S. Lau, J. Braithwaite, and F. Rapport. 2020. “Barriers and Facilitators to Cochlear Implant Uptake in Australia and the United Kingdom.” Ear and Hearing 41 (2):374–385. https://doi.org/10.1097/AUD.0000000000000762
   PubMed Web of Science ®Google Scholar
• British Academy of Audiology. 2022. Cochlear Implant Champions. Retrieved 20 May 2022 from https://www.baaudiology.org/professional-information/cochlear-implant-champions/
   Google Scholar
• British Cochlear Implant Group. 2022. Annual UK Update. Retrieved 27 September 2022 from https://www.bcig.org.uk/annual-uk-update/
   Google Scholar
• British Society of Audiology. 2018. Recommended Procedure. Pure-tone air-conduction and Bone-conduction Threshold Audiometry with and Without Masking. https://www.thebsa.org.uk/wp-content/uploads/2018/11/OD104-32-Recommended-Procedure-Pure-Tone-Audiometry-August-2018-FINAL.pdf
   Google Scholar
• Buchman, C. A., R. H. Gifford, D. S. Haynes, T. Lenarz, G. O'Donoghue, O. Adunka, A. Biever, R. J. Briggs, M. L. Carlson, P. Dai, Jr., et al. 2020. “Unilateral Cochlear Implants for Severe, Profound, or Moderate Sloping to Profound Bilateral Sensorineural Hearing Loss: A Systematic Review and Consensus Statements.” JAMA Otolaryngology- Head & Neck Surgery 146 (10):942–953. https://doi.org/10.1001/jamaoto.2020.0998
   PubMed Web of Science ®Google Scholar
• Carlsson, P. I., J. Hjaldahl, A. Magnuson, E. Ternevall, M. Edén, Å. Skagerstrand, and R. Jönsson. 2015. “Severe to Profound Hearing Impairment: Quality of Life, Psychosocial Consequences and Audiological Rehabilitation.” Disability and Rehabilitation 37 (20):1849–1856. https://doi.org/10.3109/09638288.2014.982833
   PubMed Web of Science ®Google Scholar
• Chundu, S., and R. Buhagiar. 2013. “Audiologists’ Knowledge of Cochlear Implants and their Related Referrals to the Cochlear Implant Centre: Pilot Study Findings from UK.” Cochlear Implants International 14 (4):213–224. https://doi.org/10.1179/1754762812y.0000000025
   PubMedGoogle Scholar
• Crowson, M. G., Y. R. Semenov, D. L. Tucci, and J. K. Niparko. 2017. “Quality of Life and Cost-Effectiveness of Cochlear Implants: A Narrative Review.” Audiology & Neuro-Otology 22 (4–5):236–258. https://doi.org/10.1159/000481767
   PubMed Web of Science ®Google Scholar
• Cullington, H. E., A. M. Dickinson, U. Martinez de Estibariz, and M. O’Driscoll. 2022. 27 April 2022). Improving adult CI referral in the UK [oral presentation]. British Cochlear Implant Group Annual Conference, Cardiff. https://drive.google.com/file/d/1Hck0WnFvZU7I3D1n_pn_E459C3DBT3YX/view?usp=drive_link
   Google Scholar
• De Raeve, L. 2016. “Cochlear Implants in Belgium: Prevalence in Paediatric and Adult Cochlear Implantation.” European Annals of Otorhinolaryngology, Head and Neck Diseases 133 (1):S57–S60. https://doi.org/10.1016/j.anorl.2016.04.018
   PubMedGoogle Scholar
• Ebrahimi-Madiseh, A., R. H. Eikelboom, R. J. Bennett, G. S. Upson, P. L. Friedland, W. Swanepoel, C. Psarros, W. K. Lai, and M. D. Atlas. 2020. “What Influences Decision-Making for Cochlear Implantation in Adults? Exploring Barriers and Drivers from a Multistakeholder Perspective.” Ear and Hearing 41 (6):1752–1763. https://doi.org/10.1097/AUD.0000000000000895
   PubMed Web of Science ®Google Scholar
• Gaylor, J. M., G. Raman, M. Chung, J. Lee, M. Rao, J. Lau, and D. S. Poe. 2013. “Cochlear Implantation in Adults: A Systematic Review and Meta-analysis.” JAMA Otolaryngology- Head & Neck Surgery 139 (3):265–272. https://doi.org/10.1001/jamaoto.2013.1744
   PubMed Web of Science ®Google Scholar
• gov.uk. 2019. English Indices of Deprivation 2019. https://www.gov.uk/government/statistics/english-indices-of-deprivation-2019
   Google Scholar
• INTEGRATE, The UK ENT Trainee Research Network. 2020. CIRCA: Cochlear Implant Referral Criteria Audit. Retrieved 1 November 2022 from https://entintegrate.co.uk/circa
   Google Scholar
• Kim, S. Y., H. J. Kim, E. K. Park, J. Joe, S. Sim, and H. G. Choi. 2017. “Severe Hearing Impairment and Risk of Depression: A National Cohort Study.” PLoS One 12 (6):e0179973. https://doi.org/10.1371/journal.pone.0179973
   PubMed Web of Science ®Google Scholar
• Livingston, G., J. Huntley, A. Sommerlad, D. Ames, C. Ballard, S. Banerjee, C. Brayne, A. Burns, J. Cohen-Mansfield, C. Cooper, et al. 2020. “Dementia Prevention, Intervention, and Care: 2020 Report of the Lancet Commission.” Lancet (London, England) 396 (10248):413–446. https://doi.org/10.1016/S0140-6736(20)30367-6
   PubMed Web of Science ®Google Scholar
• Looi, V., C. Bluett, and I. Boisvert. 2017. “Referral Rates of Postlingually Deafened Adult Hearing Aid Users for a Cochlear Implant Candidacy Assessment.” International Journal of Audiology 56 (12):919–925. https://doi.org/10.1080/14992027.2017.1344361
   PubMed Web of Science ®Google Scholar
• Nassiri, A. M., J. P. Marinelli, D. L. Sorkin, and M. L. Carlson. 2021. “Barriers to Adult Cochlear Implant Care in the United States: An Analysis of Health Care Delivery.” Seminars in Hearing 42 (4):311–320. https://doi.org/10.1055/s-0041-1739281
   PubMedGoogle Scholar
• Nassiri, A. M., D. L. Sorkin, and M. L. Carlson. 2022. “Current Estimates of Cochlear Implant Utilization in the United States.” Otology & Neurotology 43 (5):e558–e562. https://doi.org/10.1097/MAO.0000000000003513
   PubMed Web of Science ®Google Scholar
• National Institute for Health and Care Excellence. 2019. Cochlear Implants for Children and Adults with Severe to Profound Deafness. https://www.nice.org.uk/guidance/TA566
   Google Scholar
• National Institute for Health and Care Excellence. 2021. Shared Decision Making. https://www.nice.org.uk/guidance/ng197
   Google Scholar
• Ng, Z. Y., B. Lamb, S. Harrigan, S. Archbold, S. Athalye, and S. Allen. 2016. “Perspectives of Adults with Cochlear Implants on Current CI Services and Daily Life.” Cochlear Implants International 17 (1):89–93. https://doi.org/10.1080/14670100.2016.1157314
   PubMedGoogle Scholar
• NHS England and NHS Improvement 2019. Shared Decision Making: Summary Guide. https://www.england.nhs.uk/publication/shared-decision-making-summary-guide/
   Google Scholar
• O’Neill, C., B. Lamb, and S. Archbold. 2016. “Cost Implications for Changing Candidacy or Access to Service Within a Publicly Funded Healthcare System?” Cochlear Implants International 17 Suppl 1 (sup1):31–35. https://doi.org/10.1080/14670100.2016.1161123
   PubMedGoogle Scholar
• Raine, C. 2013. “Cochlear Implants in the United Kingdom: Awareness and Utilization.” Cochlear Implants International 14 (1):S32–S37. https://doi.org/10.1179/1467010013Z.00000000077
   PubMedGoogle Scholar
• Raine, C., H. Atkinson, D. R. Strachan, and J. M. Martin. 2016. “Access to Cochlear Implants: Time to Reflect.” Cochlear Implants International 17 (1):42–46. https://doi.org/10.1080/14670100.2016.1155808
   PubMedGoogle Scholar
• Rapport, F., S. E. Hughes, I. Boisvert, C. M. McMahon, J. Braithwaite, M. Faris, and M. Bierbaum. 2020. “Adults’ Cochlear Implant Journeys through Care: A Qualitative Study.” BMC Health Services Research 20 (1):457. https://doi.org/10.1186/s12913-020-05334-y
   PubMed Web of Science ®Google Scholar
• Turton, L., P. Souza, L. Thibodeau, L. Hickson, R. Gifford, J. Bird, M. Stropahl, L. Gailey, B. Fulton, N. Scarinci, et al. 2020. “Guidelines for Best Practice in the Audiological Management of Adults with Severe and Profound Hearing Loss.” Seminars in Hearing 41 (3):141–246. https://doi.org/10.1055/s-0040-1714744
   PubMedGoogle Scholar
• Wong, D. J., M. Moran, and S. J. O’Leary. 2016. “Outcomes After Cochlear Implantation in the Very Elderly.” Otology & Neurotology 37 (1):46–51. https://doi.org/10.1097/MAO.0000000000000920
   PubMed Web of Science ®Google Scholar
• World Health Organisation. 2021. World Report on Hearing. https://www.who.int/publications/i/item/9789240020481
   Google Scholar