Evidence map›Paper›PMID 40099446›Full record

GuidelineActa otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale2025

Cochlear implant procedure. Italian Clinical Practice Guidelines of the Italian Society of Otorhinolaryngology (SIOeChCF) and Italian Society of Audiology and Phoniatrics (SIAF). Part 1: cochlear implants in adults.

Stefano Berrettini, Domenico Cuda, Silvia Minozzi, Franca Artioli, Umberto Barbieri, Cristian Borghi, Eliana Cristofari, Giorgio Conte, Davide Cornolti, Diego di Lisi and 15 more

Abstract readPractice Guideline
In one paragraph

Guideline in Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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

25 authors.

Stefano BerrettiniOtolaryngology Audiology and Phoniatrics Unit, Pisa University Hospital, Pisa, Italy.
Domenico CudaDepartment of Otolaryngology, AUSL Piacenza, Italy.
Silvia MinozziLaboratory of Systematic Review Methodology and Guideline Development. Mario Negri Institute for Pharmacological Research IRCCS, Milan, Italy.
Franca ArtioliOtolaryngology Unit, Modena University Hospital, Modena, Italy.
Umberto BarbieriPatient representative.
Cristian BorghiAmplifon Italy SpA.
Eliana CristofariAudiovestibology Cochlear Implant Center, Department of Neurosciences - ASST Settelaghi, Varese, Italy.
Giorgio ConteNeuroradiology Unit, Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico, Milan, Italy.
Davide CornoltiAssociation for Deafness and Cochlear Implants - ODV (A.S.I.C.-ODV), Lucca, Italy.
Diego di LisiSection of Audiology and Cochlear Implant, Section of Otolaryngology 3, Martini Hospital,Torino, Italy.
Anna Rita FetoniDepartment of Neurosciences, Reproductive Sciences, and Odontostomatology; Unity of Audiology and Vestibology, University Hospital Federico II, University of Naples Federico II, Naples, Italy.
Simona FioriNeuroscience Department, Meyer Children's Hospital, Florence, Italy.
Elisabetta GenoveseDepartment of Maternal, Infant, and Adult Medical and Surgical Sciences, University of Modena and Reggio Emilia.
Giorgia GirottoDepartment of Medical, Surgical, and Health Sciences, University of Trieste, Trieste, Italy.
Marinella MajoranoDepartment of Human Sciences, University of Verona, Verona, Italy.
Pasquale MarsellaUOC of Audiology and Otosurgery, Cochlear Implant and Implantable Prosthesis Center, Pediatric Hospital "Bambino Gesù" - IRCCS Rome, Italy.
Emanuele MarzettiUniversity Hospital Foundation "A. Gemelli" IRCCS, Rome, Italy.
Maria NicastriUOC Otolaryngology-Cochlear Implant Centre; Policlinico Umberto I, Rome, Italy.
Gaetano PaludettiOtolaryngology Unit, University Hospital Foundation A. Gemelli, IRCCS, Università Cattolica del Sacro Cuore, Rome, Italy.
Nicola QuarantaDepartment of Translational Biomedicine and Neurosciences, University of Bari "Aldo Moro", Bari, Italy.
Patrizia TrevisiOtolaryngology Unit, Department of Neurosciences, University Hospital of Padua, Padua, Italy.
Diego ZanettiSection of Audiology; Foundation IRCCS Cà Granda Ospedale Maggiore Policlinico di Milano, Milan, Italy.
Michela CinquiniLaboratory of Systematic Review Methodology and Guideline Development. Mario Negri Institute for Pharmacological Research IRCCS, Milan, Italy.
Francesca ForliOtolaryngology Audiology and Phoniatrics Unit, Pisa University Hospital, Pisa, Italy.
Sara GhiselliDepartment of Otolaryngology, AUSL Piacenza, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: Cochlear implant (CI) is a well-established treatment for adults with sensorineural hearing loss and without benefit from hearing aids. The Italian guidelines date back 15 years; given the expansion of indications for CI, including single side deafness and asymmetrical hearing loss, it became necessary to establish updated guidelines. Methods: Thirteen experts and 2 patient representatives selected the key questions and drew up recommendations. The document was developed following GRADE methodology. The methodological team of the Mario Negri Pharmacological Research Institute performed systematic reviews for each question and supported the overall process. Results: Five key questions were identified and recommendations formulated, with subgroups and considerations on implementation. Conclusions: Though the systematic research of scientific literature found a scarcity of randomised trials and an overall poor conduct and reporting quality of primary studies and systematic reviews, strong or conditional recommendations in favour of CI have been formulated for different subgroups of patients. Further studies should enrol a larger number of participants and use consistent instruments to evaluate hearing outcomes, in order to increase the comparability of results and data pooling with meta-analysis.

Indexed as

Cochlear ImplantationCochlear ImplantsHearing Loss, SensorineuralAdultHumansItalyadult patientsclinical practice recommendationcochlear implantguidelineshearing loss

Identifiers

PMID40099446
PMCPMC11924192

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.