Evidence map›Paper›PMID 40739146›Full record

SynthesisScientific reports2025

Cochlear implant re-mapping informed by measures of viability of the electrode-neural interface: a systematic review with meta-analysis.

Jason Tzu-Hsien Lien, Ben Williges, Deborah Vickers

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. 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

3 authors.

Jason Tzu-Hsien LienSOUND Lab, Department of Clinical Neurosciences, University of Cambridge, Cambridge, UK. thl44@cam.ac.uk.
Ben WilligesSOUND Lab, Department of Clinical Neurosciences, University of Cambridge, Cambridge, UK.ORCID http://orcid.org/0000-0002-7476-1334
Deborah VickersSOUND Lab, Department of Clinical Neurosciences, University of Cambridge, Cambridge, UK.

Funding

Cambridge Trust Taiwan Cambridge ScholarshipMedical Research Council MR/S002537/1
6 · The paper itself

Abstract

The electrode to auditory nerve interface (ENI) is often considered a bottleneck for information transmission for listeners using a cochlear implant (CI). Clinically, it could be beneficial to have a CI programming plan based on optimising information flow based on an individual's ENI status. This review explores whether re-mappings informed by the viability of ENI can improve the speech perception (noise and/or quiet) of adult CI users. Six databases (MEDLINE, EMBASE, TRIP, Scopus, Web of Science, CINAHL), were searched in April 2024 to identify studies that compared an experimental CI mapping method informed by an ENI measure with the routine clinical mapping among adult CI users. A customised questionnaire was created modified from established critical appraisal tools to assess the risk of bias. Data was extracted to compute a standardised mean difference between the control and experimental maps (Cohen's d) and its variance for each article. A mixed-effect model was used to estimate the combined Cohen's d. Linear Regressions were used to probe potential interactions. Thirty articles, mostly within-subject map crossover studies and one RCT, were included. Re-mappings informed by ENI yielded a moderate and significant effect size of 0.48 on speech-in-noise perception. Looking into subgroups, site selection interventions yielded a moderate and significant (p = 0.005) effect size of 0.59. Some site selection interventions were particularly successful while being informed by the low-rate threshold, modulation detection threshold, and electrode discrimination, yielding large and significant effect sizes around 1-1.5. Interventions aiming to reduce the Frequency-to-Place Mismatch by altering the frequency allocation yielded an insignificant (p = 0.32) effect size of 0.47 due to the large variability between and within studies. The variability of outcomes remains substantial both within and between studies. The same intervention is often conducted by the same research group and hence replications at different labs could further strengthen the result. Based on the synthesised result, re-mappings informed by ENI measure could provide better CI hearing to individuals.

Indexed as

Cochlear ImplantationCochlear ImplantsCochlear NerveHumansSpeech Perception

Identifiers

PMID40739146
PMCPMC12310961

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.