SynthesisOtology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology2018
Meta-analysis of Cochlear Implantation Outcomes Evaluated With General Health-related Patient-reported Outcome Measures.
Synthesis in Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 2 of them syntheses that pooled 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.
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.
Who cites it
37 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Cochlear implantation impact on health service utilisation and social outcomes: a systematic review.BMC health services research · 2023Pooled it
- Meta-analysis of quality-of-life improvement after cochlear implantation and associations with speech recognition abilities.The Laryngoscope · 2018Pooled it
- Article
- 'Leave no one behind': cochlear implantation under regional anaesthesia in a humanitarian setting - a case series.Journal of global health · 2026Article
- Cochlear Implantation in Autoimmune Inner-Ear Disease: Outcome and Patient-Reported Benefit.The Laryngoscope · 2026Article
- Patient Characteristics Associated With Speech Recognition and Quality of Life Improvement After Cochlear Implantation.Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology · 2026Article
- The validity and reliability of the Thai version of the Cochlear Implant Quality of Life questionnaire.SAGE open medicine · 2026Article
- Health and social services utilisation of adults with a cochlear implant: evidence from a national person-level integrated data asset in Australia.BMC health services research · 2025Article
- Factors Associated with Preoperative Patient Expectations in the Cochlear Implant Evaluation Process.Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology · 2025Article
- Evaluating the Clinical- and Cost-Effectiveness of Cochlear Implant Sound Processor Upgrades in Older Adults: Outcomes from a Large Australian Multicenter Study.Journal of clinical medicine · 2025Article
- Unilateral Versus Bilateral Cochlear Implants in Adults: A Cross-Sectional Questionnaire Study Across Multiple Hearing Domains.Audiology research · 2025Article
- Article
- Evaluation of the Nijmegen Cochlear Implant Questionnaire in Danish.International archives of otorhinolaryngology · 2025Article
- Article
- Predictors of Short-Term Changes in Quality of Life after Cochlear Implantation.Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology · 2023Observational
- Listening effort and fatigue among cochlear implant users: a scoping review.Frontiers in neurology · 2023Article
- Models of service delivery in adult cochlear implantation and evaluation of outcomes: A scoping review of delivery arrangements.PloS one · 2023Article
- Development and Implementation of the Cochlear Implant Quality of Life (CIQOL) Functional Staging System.The Laryngoscope · 2022Article
- Article
- Understanding Patient Expectations Before Implantation Using the Cochlear Implant Quality of Life-Expectations Instrument.JAMA otolaryngology-- head & neck surgery · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
Abstract
objectiveDetermine the change in general health-related quality of life (HRQOL) after cochlear implantation and association with speech recognition. STUDY
designMeta-analysis.
methodsSearch was performed following the PRISMA statement using PubMed, Medline, Scopus, and CINAHL. Studies on adult cochlear implant (CI) patients measuring HRQOL before and after cochlear implantation were included. Standardized mean difference (SMD) for each measure and pooled effects were determined. A meta-analysis of correlations was also performed between all non-disease-specific patient-reported outcome measures (PROMs) and speech recognition after cochlear implantation.
resultsTwenty-two articles met criteria for meta-analysis of HRQOL improvement, but 15 (65%) were excluded due to incomplete statistical reporting. From the seven articles with 274 CI patients that met inclusion criteria, pooled analyses showed a medium positive effect of cochlear implantation on HRQOL (SMD = 0.79). Subset analysis of the HUI-3 measure showed a large effect (SMD = 0.84). Nine articles with 550 CI patients met inclusion criteria for meta-analysis of correlations between non-disease specific PROMs and speech recognition after cochlear implantation. Pooled analysis showed a low correlation between non-disease-specific PROMs and word recognition in quiet (r = 0.35), sentence recognition in quiet (r = 0.40), and sentence recognition in noise (r = 0.32).
conclusionAlthough regularly used, HRQOL measures are not intended to measure nor do they accurately reflect the complex difficulties facing CI patients. Only a medium positive effect of cochlear implantation on HRQOL was observed along with a low correlation between non-disease-specific PROMs and speech recognition. The use of such instruments in this population may underestimate the benefit of cochlear implantation.
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Registered trials
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.