Evidence map›Paper›PMID 37339839›Full record

ArticleBMJ open2023

Children using a unilateral cochlear implant and contralateral hearing aid: bimodal hearing outcomes when one ear is outside the UK (NICE 2009) audiological criteria for cochlear implantation - a single site case-control study.

Iain Bruce, Simone Schaefer, Karolina Kluk, Jaya Nichani, Martin Odriscoll, Azita Rajai, Mark Sladen

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 53% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. Article
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.

Iain BrucePaediatric ENT Department, Manchester University Hospitals NHS Foundation Trust, Manchester, UK.
Simone SchaeferPaediatric ENT Department, Manchester University Hospitals NHS Foundation Trust, Manchester, UK.
Karolina KlukManchester Centre for Audiology and Deafness, University of Manchester, Manchester, UK.ORCID 0000-0003-3638-2787
Jaya NichaniPaediatric ENT Department, Manchester University Hospitals NHS Foundation Trust, Manchester, UK.
Martin OdriscollAudiology, Manchester Royal Infirmary, Manchester, UK.
Azita RajaiMedical Statistician, Institute of Population Health, Faculty of Medical and Human Sciences, Department of Research & Innovation, Manchester Academic Health Sciences Centre, Central Manchester University Hospitals NHS Foundation Trust, University of Manchester, Manchester, UK.
Mark SladenManchester University NHS Foundation Trust, Manchester, UK mark.sladen@mft.nhs.uk.ORCID 0000-0002-9269-9474
University of Manchester · GBManchester Academic Health Science Centre · GBManchester Royal Infirmary · GBManchester University NHS Foundation Trust · GB

Funding

Department of Health CPMS ID 52833
6 · The paper itself

Abstract

introductionIn the new revised National Institute for Health & Care Excellence (NICE, TA566, 2019) guidelines for cochlear implantation (CI) have clearly stipulated that the hearing loss must be bilateral. Prior to this revision, children and young people (CYP) with asymmetrical thresholds have been considered for unilateral CI when one ear was in audiological criteria. Children with asymmetrical hearing loss represent an important cohort of potential CI candidates, who will continue to be prevented from benefiting from CI unless evidence is produced to support implantation and maximise subsequent benefit.The aim of this study is to evaluate the 'real-life' hearing performance in a group of children who have received a unilateral CI and who have hearing thresholds in the contralateral ear that are outside the current UK NICE 2019 audiological criteria for CI. The contralateral ear will be aided using a conventional hearing aid (HA). The outcomes from this 'bimodal' group will be compared with a group of children who have received bilateral CI, and a group of children using bilateral HA, to extend the current knowledge about the different performance levels between bilateral CI, bilateral HA and bimodal hearing in CYP. METHODS AND ANALYSIS: Thirty CYP aged 6-17 years old, 10 bimodal users, 10 bilateral HA users and 10 bilateral cochlear implant users will be subjected to a test battery consisting of: (1) spatial release from masking, (2) complex pitch direction discrimination, (3) melodic identification, (4) perception of prosodic features in speech and (5) TEN test. Subjects will be tested in their optimal device modality. Standard demographic and hearing health information will be collected. In the absence of comparable published data to power the study, sample size was determined on pragmatic grounds. Tests are exploratory and for hypothesis generating purposes. Therefore, the standard criterion of p<0.05 will be used. ETHICS AND DISSEMINATION: This has been approved by the Health Research Authority and NHS REC within the UK (22/EM/0104). Industry funding was secured via a competitive researcher-led grant application process. Trial results will be subject to publication according to the definition of the outcome presented in this protocol.

Indexed as

Cochlear ImplantationCochlear ImplantsHearing AidsSpeech PerceptionAdolescentCase-Control StudiesChildHearingHumansUnited KingdomAudiologyPaediatric otolaryngologyPAEDIATRICS

Identifiers

PMID37339839
PMCPMC10314481
OpenAlexW4381434931

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.