Cochlear Implant Outcomes and Quality of Life in the Elderly

  • S. R. Saeed
  • D. J. Mawman
Reference work entry


Cochlear Implantation is an established safe and effective treatment for patients with severe-profound sensori neural hearing loss. Demand for implants in the UK has increased over time partly as a result of the population living for a longer time and  life expectancy is also increasing. The prevalence of severe-profound hearing loss in the 60–80 year old age group is estimated to be 1.3% rising to 16.8% in the over 80 year old group and so the demand for  cochlear implants in this group of patients is higher.

The evaluation of the clinical effectiveness of cochlear implantation in the elderly population utilizes tests of speech discrimination ability and the outcome scores are compared to the scores of younger patients. The studies find that there is no significant difference in outcomes between the two groups (p > 0.05).

Health related quality of life questionnaires administered to elderly patients show a statistically significant benefit when the pre operative health status is compared to the post operative health status (p < 0.001).

In conclusion the evidence indicates that cochlear implantation in elderly patients will allow them to gain significant hearing and quality of life benefits that are comparable to the benefits that younger patients experience. These outcomes should encourage  healthcare purchasers to ensure that funding is allocated for implantation in the elderly population.


Hearing Loss Elderly Group Cochlear Implant Cochlear Implantation Healthy Life Expectancy 
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List of Abbreviations:


Arthur Boothroyd


Bamford Kowal Bench


Central Institute for the Deaf


consonant vowel consonant


City University New York


 Glasgow Benefit Inventory


 Glasgow Health Status Inventory


Hearing in Noise Test


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Copyright information

© Springer Science+Business Media LLC 2010

Authors and Affiliations

  • S. R. Saeed
    • 1
  • D. J. Mawman
    • 1
  1. 1.University Department of Otolaryngology Head-Neck SurgeryManchester Royal InfirmaryManchesterUK

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