Evidence map›Paper›PMID 19674798›Full record

ArticleInternational journal of pediatric otorhinolaryngology2009

Parent versus child assessment of quality of life in children using cochlear implants.

Andrea D Warner-Czyz, Betty Loy, Peter S Roland, Liyue Tong, Emily A Tobey

Open access · greenAbstract readComparative Study
In one paragraph

Article in International journal of pediatric otorhinolaryngology, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 3 pooled it
2.4field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 3 syntheses or guidelines pooled it, 127 citations in OpenAlex.

  1. Pooled it
  2. Quality of Life in Children with Hearing Impairment: Systematic Review and Meta-analysis.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2016
    Pooled it
  3. Pooled it
  4. Domains of Psychosocial Risk in School-Aged Cochlear Implant Users.Journal of speech, language, and hearing research : JSLHR · 2026
    Article
  5. Externalizing Behaviors in Preschool-Aged Children With Cochlear Implants.Journal of speech, language, and hearing research : JSLHR · 2025
    Article
  6. Effect of Age and Signal-to-Noise Ratio on Speech Perception in Noise in Pediatric Cochlear Implant Users.Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India · 2025
    Article
  7. Review
  8. Associated factors and outcomes for quality of life in children receiving cochlear implantation before seven years of age.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2025
    Article
  9. Article
  10. Capability of Children with Hearing Devices: A Mixed Methods Study.Journal of deaf studies and deaf education · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Andrea D Warner-CzyzThe University of Texas at Dallas, Callier Advanced Hearing Research Center, 1966 Inwood Road, Dallas, TX 75235, USA. warnerczyz@utdallas.edu
Betty Loy
Peter S Roland
Liyue Tong
Emily A Tobey
The University of Texas Southwestern Medical Center · USCochlear (United States) · US

Funding

NORTH AND CENTRAL TEXAS CTSA FOR PEDIATRIC RESEARCHUL1RR024982 · NCRR · UT SOUTHWESTERN MEDICAL CENTER · PI TOTO, ROBERT DANIEL · 2007 to 2011
$27.9M
NCRR NIH HHS 1 UL1 RR024982-01NCRR NIH HHS UL1 RR024982
6 · The paper itself

Abstract

objectiveChildren with hearing loss who use cochlear implants have lower quality of life (QoL) in social situations and lower self-esteem than hearing peers. The child's QoL has been assessed primarily by asking the parent rather than asking the child. This poses a problem because parents have difficulty judging less observable aspects like self-esteem and socio-emotional functioning, the domains most affected by hearing loss.

methodsThis case-control study evaluated QoL in 50 preschoolers using a cochlear implant and their parents with the Kiddy KINDL(®), an established QoL measure. Children's responses were compared to a hearing control group and correlated with demographic variables. We used a questionnaire for parents and a face-to-face interview with children. T-tests were used to compare (a) paired parent-child ratings and (b) children with cochlear implants versus normal hearing. Pearson rank correlations were used to compare QoL with demographic variables.

resultsChildren using cochlear implants rated overall QoL significantly more positively than their parents (M(Difference)=4.22, p=.03). Child rating of QoL did not differ significantly by auditory status (cochlear implant (82.8) vs. hearing (80.8), p=.42). Overall QoL correlated inversely with cochlear implant experience and chronologic age, but did not correlate with implantation age.

conclusionsPreschool children using cochlear implants can assess adequately their own QoL, but parents afford valuable complementary perspective on the child's socio-emotional and physical well-being. Preschool children using cochlear implants rate overall QoL measures similar to hearing peers. A constellation of QoL measures should be collected to yield a better understanding of general QoL as well as specific domains centered on hearing loss.

Indexed as

ParentsQuality of LifeSelf-AssessmentAdaptation, PhysiologicalAdaptation, PsychologicalAge FactorsCase-Control StudiesChild, PreschoolCochlear ImplantationCochlear ImplantsDeafnessFemaleHearing Loss, SensorineuralHumansMalePatient Satisfaction

Identifiers

PMID19674798
PMCPMC2891383
OpenAlexW1964605979

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.