Cochlear Implant Outcomes and Quality of Life in the Elderly

Saeed, S. R.; Mawman, D. J.

doi:10.1007/978-0-387-78665-0_155

S. R. Saeed³ &
D. J. Mawman³

236 Accesses
1 Citations

Abstract:

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.

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Abbreviations

AB:: Arthur Boothroyd
BKB:: Bamford Kowal Bench
CID:: Central Institute for the Deaf
CNC:: consonant vowel consonant
CUNY:: City University New York
GBI:: Glasgow Benefit Inventory
GHSI:: Glasgow Health Status Inventory
HINT:: Hearing in Noise Test

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University Department of Otolaryngology Head-Neck Surgery, Manchester Royal Infirmary, Oxford Road, Manchester, UK
S. R. Saeed & D. J. Mawman

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S. R. Saeed
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D. J. Mawman
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Dept. Nutrition and Dietetics Nutritional Sciences Research Division School of Biomedical & Health Sciences, King's College London, Franklin‐Wilkins Building 150 Stamford Street, SE1 9NH, London, UK
Victor R. Preedy (Prof.) (Prof.)
Mel and Enid Zuckerman College of Public Health, University of Arizona, Health Science Center 1295 N. Martin, P.O. Box 245155, 85724-5155, Tucson, AZ
Ronald R. Watson (Prof.) (Prof.)

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Saeed, S.R., Mawman, D.J. (2010). Cochlear Implant Outcomes and Quality of Life in the Elderly. In: Preedy, V.R., Watson, R.R. (eds) Handbook of Disease Burdens and Quality of Life Measures. Springer, New York, NY. https://doi.org/10.1007/978-0-387-78665-0_155

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DOI: https://doi.org/10.1007/978-0-387-78665-0_155
Publisher Name: Springer, New York, NY
Print ISBN: 978-0-387-78664-3
Online ISBN: 978-0-387-78665-0
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