Evidence map›Paper›PMID 39327291›Full record

Observational studyEuropean 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 Surgery2025

Changes in participatory and societal outcomes during the waiting period for cochlear implantation - an observational study.

Hugo G B Nijmeijer, N Philpott, G J van der Wilt, A R T Donders, E George, R Boerboom, J H M Frijns, M Kaandorp, W J Huinck, E A M Mylanus

Registry-linked trialAbstract readObservational StudyMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Observational study in 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. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05525221 (Societal Merit of Intervention on Hearing Loss Evaluation - Investigating the Impact of), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
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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.

NCT05525221 unknown statusnot on this map

Societal Merit of Intervention on Hearing Loss Evaluation - Investigating the Impact of (Waiting for) Cochlear Implantation in People With Severe to Profound Sensorineural Hearing Loss on Societal Related Outcomes.

TypeobservationalSponsorRadboud University Medical CenterRan2020 to 2025Enrolled156ConditionsHearing Loss, Sensorineural, Hearing Loss, Bilateral, Hearing Loss, Adult-Onset, Hearing Loss, Bilateral Sensorineural, Progressive
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

10 authors.

Hugo G B NijmeijerDepartment of Otorhinolaryngology, Radboud university medical center, Nijmegen, The Netherlands. hugo.nijmeijer@radboudumc.nl.ORCID http://orcid.org/0000-0002-2184-1090
N PhilpottDepartment of Otorhinolaryngology, Radboud university medical center, Nijmegen, The Netherlands.
G J van der WiltDonders Institute for Brain, Cognition and Behaviour, Radboud University, Nijmegen, The Netherlands.
A R T DondersDepartment for Health Evidence, Radboud university medical center, Nijmegen, The Netherlands.
E GeorgeDepartment of ENT/Audiology, School for Mental Health and Neuroscience, Maastricht University Medical Centre, Maastricht, The Netherlands.
R BoerboomDepartment of Otorhinolaryngology, Head and Neck Surgery, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands.
J H M FrijnsDepartment of Otorhinolaryngology, Leiden University Medical Center, Leiden, The Netherlands.
M KaandorpDepartment of Otolaryngology - Head and Neck Surgery, section Ear & Hearing, Amsterdam University Medical Center location Vrije Universiteit, Amsterdam Public Health research institute, Amsterdam, The Netherlands.
W J HuinckDepartment of Otorhinolaryngology, Radboud university medical center, Nijmegen, The Netherlands.
E A M MylanusDepartment of Otorhinolaryngology, Radboud university medical center, Nijmegen, The Netherlands.

Funding

Stichting Het Heinsius-Houbolt Fonds Not applicable
6 · The paper itself

Abstract

introductionVarious factors, including an aging population and expanding eligibility criteria, may increase the demand for cochlear implants (CIs), potentially resulting in longer waiting times. In most Dutch CI centers, the time between referral and surgery exceeds 6 months. Clinical experience suggests that during the waiting period for cochlear implantation, hearing and communication difficulties increase. Simultaneously, there is an interest in outcomes more closely aligned with patient values and needs, which resulted in the SMILE (Societal Merit of Interventions on hearing Loss Evaluation) study. This paper presents results on observed changes in societal and participatory outcomes during waiting time in participants with a time to CI surgery exceeding 6 months.

methodsSMILE is a prospective multi-center study including 232 individuals who were referred for unilateral CI. Continuous and nominal data from multiple questionnaires, sent immediately after referral and shortly before surgery, were analyzed by computing differences, Cohen's D, and odds ratios.

resultsOf the total 232 participants, 102 had a time between inclusion and surgery exceeding 6 months. Of these, 89 had (partially) filled out surveys at both time points. Of all the domain scores 55% did not show differences between timepoints. All Cohen's D estimates were relatively small, ranging from - 0.298 to 0.388 for those outcomes that showed noteworthy changes.

conclusionWaiting time from referral to surgery, even though exceeding 6 months, was observed to not seriously affect non-clinically-prioritized patients in an adverse way. Future investigations should identify subgroups on tolerable waiting times regarding short- and long-term outcomes.

trial registrationTrial registration number at ClinicalTrials.gov: NCT05525221, 25-8-2022.

Indexed as

Cochlear ImplantationCochlear ImplantsHearing LossTime-to-TreatmentWaiting ListsAdolescentAdultAgedFemaleHumansMaleMiddle AgedNetherlandsProspective StudiesReferral and ConsultationSurveys and QuestionnairesCochlear implantationEmploymentHearing lossOutcomesQuality of lifeWaiting time

Identifiers

PMID39327291
PMCPMC11805756

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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.