Evidence map›Paper›PMID 35607935›Full record

ArticlePediatrics2022

Cochlear Implants for Deaf Children With Early Developmental Impairment.

John S Oghalai, Heather Bortfeld, Heidi M Feldman, Niharika Chimalakonda, Claudia Emery, Janet S Choi, Shane Zhou

Open access · bronzeAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Pediatrics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
3.9field-weighted citation impact, top 5% 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

5 citing papers in PubMed, 34 citations in OpenAlex.

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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

7 authors at 4 institutions in 1 country.

John S OghalaiCaruso Department of Otolaryngology-Head and Neck Surgery, University of Southern California, Los Angeles, California.
Heather BortfeldDepartment of Psychological Sciences, University of California, Merced, Merced, California.
Heidi M FeldmanDepartment of Pediatrics, Stanford University, Stanford, California.
Niharika ChimalakondaThe Doctors Clinic, Port Orchard, Washington.
Claudia EmeryTexas Children's Hospital, Houston, Texas.
Janet S ChoiCaruso Department of Otolaryngology-Head and Neck Surgery, University of Southern California, Los Angeles, California.
Shane ZhouCaruso Department of Otolaryngology-Head and Neck Surgery, University of Southern California, Los Angeles, California.
University of Southern California · USStanford University · USTexas Children's Hospital · USUniversity of California, Merced · US

Funding

Outcomes in Children with Developmental Delay and Deafness: a Randomized TrialR01DC010075 · NIDCD · STANFORD UNIVERSITY · PI OGHALAI, JOHN S · 2009 to 2013
$2.0M
NIDCD NIH HHS R01 DC010075
6 · The paper itself

Abstract

BACKGROUND AND

objectivesInfants with profound hearing loss are typically considered for cochlear implantation. Many insurance providers deny implantation to children with developmental impairments because they have limited potential to acquire verbal communication. We took advantage of differing insurance coverage restrictions to compare outcomes after cochlear implantation or continued hearing aid use.

methodsYoung children with deafness were identified prospectively from 2 different states, Texas and California, and followed longitudinally for an average of 2 years. Children in cohort 1 (n = 138) had normal cognition and adaptive behavior and underwent cochlear implantation. Children in cohorts 2 (n = 37) and 3 (n = 29) had low cognition and low adaptive behavior. Those in cohort 2 underwent cochlear implantation, whereas those in cohort 3 were treated with hearing aids.

resultsCohorts did not substantially differ in demographic characteristics. Using cohort 2 as the reference, children in cohort 1 showed more rapid gains in cognitive, adaptive function, language, and auditory skills (estimated coefficients, 0.166 to 0.403; P ≤ .001), whereas children in cohort 3 showed slower gains (-0.119 to -0.243; P ≤ .04). Children in cohort 3 also had greater increases in stress within the parent-child system (1.328; P = .02), whereas cohorts 1 and 2 were not different.

conclusionsCochlear implantation benefits children with deafness and developmental delays. This finding has health policy implications not only for private insurers but also for large, statewide, publicly administered programs. Cognitive and adaptive skills should not be used as a "litmus test" for pediatric cochlear implantation.

Indexed as

Cochlear ImplantationCochlear ImplantsDeafnessHearing AidsSpeech PerceptionChildChild, PreschoolDevelopmental DisabilitiesHumansInfantLanguage Development

Identifiers

PMID35607935
PMCPMC9648123
OpenAlexW4282942671

What OpenQuestion holds

Textmetadata
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.