An assessment of the clinical acceptability of direct acoustic cochlear implantation for adults with advanced otosclerosis in the United Kingdom
Hypothesis: Assess the clinical acceptability of direct acoustic cochlear implantation for patients with advanced otosclerosis and the support for conducting a controlled trial of its effectiveness in the United Kingdom. Background: Emerging evidence supports the efficacy of direct acoustic cochl...
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| Format: | Article |
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Lippincott Williams & Wilkins
2017
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| Online Access: | https://eprints.nottingham.ac.uk/42163/ |
| _version_ | 1848796435672203264 |
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| author | Kitterick, Pádraig T. Reddy-Kolanu, Guna Baguley, David Lavy, Jeremy Monksfield, Peter Banga, Rupan Ray, Jaydip Snik, Ad O'Donoghue, Gerard |
| author_facet | Kitterick, Pádraig T. Reddy-Kolanu, Guna Baguley, David Lavy, Jeremy Monksfield, Peter Banga, Rupan Ray, Jaydip Snik, Ad O'Donoghue, Gerard |
| author_sort | Kitterick, Pádraig T. |
| building | Nottingham Research Data Repository |
| collection | Online Access |
| description | Hypothesis: Assess the clinical acceptability of direct acoustic cochlear implantation for patients with advanced otosclerosis and the support for conducting a controlled trial of its effectiveness in the United Kingdom.
Background: Emerging evidence supports the efficacy of direct acoustic cochlear implantation in patients with advanced otosclerosis whose needs cannot be managed using the combination of stapes surgery and hearing aids. A controlled trial would provide evidence for its effectiveness and cost-effectiveness to healthcare commissioners.
Methods: An online survey of clinical professionals was constructed to characterise current standard of care for patients with advanced otosclerosis and to assess whether clinicians would be willing to refer patients into a trial to evaluate direct acoustic cochlear implantation. A consensus process was conducted to define inclusion criteria for the future trial.
Results: No survey respondent considered direct acoustic cochlear implantation to be inappropriate with a majority indicating that they would refer patients into a future trial. The consensus was that there is a lack of available treatment options for those patients with bone conduction thresholds worse than 55 dB HL and who did not meet current criteria for cochlear implantation.
Conclusions: The present study confirms that a controlled trial to evaluate the effectiveness of direct acoustic cochlear implantation would have the support of clinicians in the UK. A feasibility study would be required to determine whether patients who meet the inclusion criteria could be recruited in a timely manner and in sufficient numbers to conduct a formal evaluation of effectiveness. |
| first_indexed | 2025-11-14T19:47:56Z |
| format | Article |
| id | nottingham-42163 |
| institution | University of Nottingham Malaysia Campus |
| institution_category | Local University |
| last_indexed | 2025-11-14T19:47:56Z |
| publishDate | 2017 |
| publisher | Lippincott Williams & Wilkins |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | nottingham-421632020-05-04T18:59:15Z https://eprints.nottingham.ac.uk/42163/ An assessment of the clinical acceptability of direct acoustic cochlear implantation for adults with advanced otosclerosis in the United Kingdom Kitterick, Pádraig T. Reddy-Kolanu, Guna Baguley, David Lavy, Jeremy Monksfield, Peter Banga, Rupan Ray, Jaydip Snik, Ad O'Donoghue, Gerard Hypothesis: Assess the clinical acceptability of direct acoustic cochlear implantation for patients with advanced otosclerosis and the support for conducting a controlled trial of its effectiveness in the United Kingdom. Background: Emerging evidence supports the efficacy of direct acoustic cochlear implantation in patients with advanced otosclerosis whose needs cannot be managed using the combination of stapes surgery and hearing aids. A controlled trial would provide evidence for its effectiveness and cost-effectiveness to healthcare commissioners. Methods: An online survey of clinical professionals was constructed to characterise current standard of care for patients with advanced otosclerosis and to assess whether clinicians would be willing to refer patients into a trial to evaluate direct acoustic cochlear implantation. A consensus process was conducted to define inclusion criteria for the future trial. Results: No survey respondent considered direct acoustic cochlear implantation to be inappropriate with a majority indicating that they would refer patients into a future trial. The consensus was that there is a lack of available treatment options for those patients with bone conduction thresholds worse than 55 dB HL and who did not meet current criteria for cochlear implantation. Conclusions: The present study confirms that a controlled trial to evaluate the effectiveness of direct acoustic cochlear implantation would have the support of clinicians in the UK. A feasibility study would be required to determine whether patients who meet the inclusion criteria could be recruited in a timely manner and in sufficient numbers to conduct a formal evaluation of effectiveness. Lippincott Williams & Wilkins 2017-08-03 Article PeerReviewed Kitterick, Pádraig T., Reddy-Kolanu, Guna, Baguley, David, Lavy, Jeremy, Monksfield, Peter, Banga, Rupan, Ray, Jaydip, Snik, Ad and O'Donoghue, Gerard (2017) An assessment of the clinical acceptability of direct acoustic cochlear implantation for adults with advanced otosclerosis in the United Kingdom. Otology and Neurotology, 38 (7). pp. 924-930. ISSN 1537-4505 https://insights.ovid.com/crossref?an=00129492-900000000-96984 doi:10.1097/MAO.0000000000001450 doi:10.1097/MAO.0000000000001450 |
| spellingShingle | Kitterick, Pádraig T. Reddy-Kolanu, Guna Baguley, David Lavy, Jeremy Monksfield, Peter Banga, Rupan Ray, Jaydip Snik, Ad O'Donoghue, Gerard An assessment of the clinical acceptability of direct acoustic cochlear implantation for adults with advanced otosclerosis in the United Kingdom |
| title | An assessment of the clinical acceptability of direct acoustic cochlear implantation for adults with advanced otosclerosis in the United Kingdom |
| title_full | An assessment of the clinical acceptability of direct acoustic cochlear implantation for adults with advanced otosclerosis in the United Kingdom |
| title_fullStr | An assessment of the clinical acceptability of direct acoustic cochlear implantation for adults with advanced otosclerosis in the United Kingdom |
| title_full_unstemmed | An assessment of the clinical acceptability of direct acoustic cochlear implantation for adults with advanced otosclerosis in the United Kingdom |
| title_short | An assessment of the clinical acceptability of direct acoustic cochlear implantation for adults with advanced otosclerosis in the United Kingdom |
| title_sort | assessment of the clinical acceptability of direct acoustic cochlear implantation for adults with advanced otosclerosis in the united kingdom |
| url | https://eprints.nottingham.ac.uk/42163/ https://eprints.nottingham.ac.uk/42163/ https://eprints.nottingham.ac.uk/42163/ |