Evidence map›Paper›PMID 36001854›Full record

ArticleJournal of speech, language, and hearing research : JSLHR2022

Younger Age at Cochlear Implant Activation Results in Improved Auditory Skill Development for Children With Congenital Deafness.

Shannon R Culbertson, Margaret T Dillon, Margaret E Richter, Kevin D Brown, Melissa R Anderson, Sandra L Hancock, Lisa R Park

Open access · greenAbstract read
In one paragraph

Article in Journal of speech, language, and hearing research : JSLHR, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
4.8field-weighted citation impact, top 4% 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

19 citing papers in PubMed, 47 citations in OpenAlex.

  1. Article
  2. Review
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  6. Congenital deafness: from screening to management.Annals of medicine and surgery (2012) · 2025
    Review
  7. Article
  8. Article
  9. The German cochlear implant registry: one year experience and first results on demographic data.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 · 2024
    Article
  10. Article
  11. Review
  12. Article
  13. Review
  14. Temperament in Toddlers With and Without Prelingual Hearing Loss.Journal of speech, language, and hearing research : JSLHR · 2024
    Article
  15. Article
  16. Article
  17. Article
  18. Article
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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 1 institution in 1 country.

Shannon R CulbertsonDivision of Speech and Hearing Sciences, Department of Allied Health Sciences, University of North Carolina at Chapel Hill.
Margaret T DillonDepartment of Otolaryngology/Head and Neck Surgery, University of North Carolina at Chapel Hill.ORCID 0000-0003-4344-283X
Margaret E RichterDepartment of Otolaryngology/Head and Neck Surgery, University of North Carolina at Chapel Hill.
Kevin D BrownDepartment of Otolaryngology/Head and Neck Surgery, University of North Carolina at Chapel Hill.ORCID 0000-0002-5709-8702
Melissa R AndersonDepartment of Otolaryngology/Head and Neck Surgery, University of North Carolina at Chapel Hill.
Sandra L HancockDepartment of Otolaryngology/Head and Neck Surgery, University of North Carolina at Chapel Hill.
Lisa R ParkDepartment of Otolaryngology/Head and Neck Surgery, University of North Carolina at Chapel Hill.ORCID 0000-0001-9804-2425
University of North Carolina at Chapel Hill · US

Funding

Re-Entry Supplement: Investigation of Oral Microbial Enzymes for the Detection and Treatment of Periodontal DiseaseUL1TR002489 · NCATS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BUSE, JOHN BERNARD, SHAHEEN, NICHOLAS J · 2018 to 2022
$48.6M
NCATS NIH HHS UL1 TR002489
6 · The paper itself

Abstract

purposeThe U.S. Food and Drug Administration indications for cochlear implantation in children is currently 9 months of age and older for children with bilateral profound sensorineural hearing loss (SNHL). Studies have shown that earlier activation of a cochlear implant (CI) can lead to better spoken language outcomes. As auditory skills are a precursor to the development of spoken language, this study was developed to investigate the influence of age at CI activation on auditory skill acquisition in young children. A secondary aim was to describe the auditory skills of children implanted prior to 9 months of age as compared to children with older ages of activation.

methodFunctional Listening Index (FLI) scores obtained during routine clinical visits were reviewed for 78 pediatric CI recipients with congenital bilateral profound hearing loss who were activated before 2 years of age. A linear mixed-effects model assessed the effect of age at CI activation on cumulative FLI scores over time.

resultsThere was a significant interaction between age at activation and chronological age at the time of evaluation, indicating that children with earlier access to sound achieved a greater number of auditory skills than those with later CI activations when measured at the same chronological age. Children activated before the age of 9 months approximated scores expected of children with typical hearing, whereas children activated between 9 and 24 months of age did not.

conclusionsYounger age at CI activation is associated with increased auditory skills over time. Children who undergo cochlear implantation and CI activation before 9 months achieve more auditory skills by 4 years of age than children who are activated at later ages. These data suggest that reducing the approved age at cochlear implantation for children with congenital bilateral profound SNHL may support optimal auditory skill acquisition.

Indexed as

Cochlear ImplantationCochlear ImplantsDeafnessHearing Loss, SensorineuralChildChild, PreschoolHearing Loss, BilateralHumansInfantLanguage Development

Identifiers

PMID36001854
PMCPMC9913281
OpenAlexW4292979223

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.