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An Umbrella Review of Cochlear Implant Outcomes in Children With Auditory Neuropathy.

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Title: An Umbrella Review of Cochlear Implant Outcomes in Children With Auditory Neuropathy.
Authors: Jafari, Zahra1, Fitzpatrick, Elizabeth M.1,2, Schramm, David R.1, Rouillon, Isabelle1,3, Koravanda, Amineh1
Source: Journal of Speech, Language & Hearing Research. Oct2023, Vol. 66 Issue 10, p4160-4176. 17p.
Subject Terms: *Speech perception, *Speech evaluation, *Hearing disorders, *Children, Auditory neuropathy, Cochlear implants, Ear diseases, Health outcome assessment, Sensorineural hearing loss, Pediatrics, Conceptual structures, Acoustic nerve diseases, Quality assurance
Abstract: Purpose: The objective of this overview of systematic reviews (SRs; umbrella review) was to systematically summarize and critically appraise current evidence of cochlear implant (CI) outcomes in children with auditory neuropathy spectrum disorder (ANSD). Method: This study was guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses 2020 statement. The methodological quality and the risk of bias in the included SRs were assessed using A MeaSurement Tool to Assess systematic Reviews 2 checklist and the Risk of Bias in Systematic Reviews tool, respectively. Results: According to eight included SRs, children with ANSD achieve CI outcomes (speech perception performance) similar to their peers with sensorineural hearing loss. In children with postsynaptic ANSD (cochlear nerve deficiency), cochlear nerve hypoplasia is associated with better speech recognition outcomes compared with cochlear nerve aplasia, especially in the absence of additional disabilities. Except for one study, the overall quality of the included SRs was critically low, and except for three studies, evidence of a high risk of bias was identified in other included SRs. Conclusions: Current evidence supports CI benefits for children with ANSD. To improve the quality of evidence, well-designed, prospective studies with appropriate sample sizes, using valid outcome measures, clarifying matching criteria, and taking into account the role of confounding factors are essential. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Speech, Language & Hearing Research is the property of American Speech-Language-Hearing Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Education Research Complete
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PubType: Academic Journal
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  Data: An Umbrella Review of Cochlear Implant Outcomes in Children With Auditory Neuropathy.
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  Data: <searchLink fieldCode="AR" term="%22Jafari%2C+Zahra%22">Jafari, Zahra</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Fitzpatrick%2C+Elizabeth+M%2E%22">Fitzpatrick, Elizabeth M.</searchLink><relatesTo>1,2</relatesTo><br /><searchLink fieldCode="AR" term="%22Schramm%2C+David+R%2E%22">Schramm, David R.</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Rouillon%2C+Isabelle%22">Rouillon, Isabelle</searchLink><relatesTo>1,3</relatesTo><br /><searchLink fieldCode="AR" term="%22Koravanda%2C+Amineh%22">Koravanda, Amineh</searchLink><relatesTo>1</relatesTo>
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  Data: <searchLink fieldCode="JN" term="%22Journal+of+Speech%2C+Language+%26+Hearing+Research%22">Journal of Speech, Language & Hearing Research</searchLink>. Oct2023, Vol. 66 Issue 10, p4160-4176. 17p.
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  Data: *<searchLink fieldCode="DE" term="%22Speech+perception%22">Speech perception</searchLink><br />*<searchLink fieldCode="DE" term="%22Speech+evaluation%22">Speech evaluation</searchLink><br />*<searchLink fieldCode="DE" term="%22Hearing+disorders%22">Hearing disorders</searchLink><br />*<searchLink fieldCode="DE" term="%22Children%22">Children</searchLink><br /><searchLink fieldCode="DE" term="%22Auditory+neuropathy%22">Auditory neuropathy</searchLink><br /><searchLink fieldCode="DE" term="%22Cochlear+implants%22">Cochlear implants</searchLink><br /><searchLink fieldCode="DE" term="%22Ear+diseases%22">Ear diseases</searchLink><br /><searchLink fieldCode="DE" term="%22Health+outcome+assessment%22">Health outcome assessment</searchLink><br /><searchLink fieldCode="DE" term="%22Sensorineural+hearing+loss%22">Sensorineural hearing loss</searchLink><br /><searchLink fieldCode="DE" term="%22Pediatrics%22">Pediatrics</searchLink><br /><searchLink fieldCode="DE" term="%22Conceptual+structures%22">Conceptual structures</searchLink><br /><searchLink fieldCode="DE" term="%22Acoustic+nerve+diseases%22">Acoustic nerve diseases</searchLink><br /><searchLink fieldCode="DE" term="%22Quality+assurance%22">Quality assurance</searchLink>
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  Data: Purpose: The objective of this overview of systematic reviews (SRs; umbrella review) was to systematically summarize and critically appraise current evidence of cochlear implant (CI) outcomes in children with auditory neuropathy spectrum disorder (ANSD). Method: This study was guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses 2020 statement. The methodological quality and the risk of bias in the included SRs were assessed using A MeaSurement Tool to Assess systematic Reviews 2 checklist and the Risk of Bias in Systematic Reviews tool, respectively. Results: According to eight included SRs, children with ANSD achieve CI outcomes (speech perception performance) similar to their peers with sensorineural hearing loss. In children with postsynaptic ANSD (cochlear nerve deficiency), cochlear nerve hypoplasia is associated with better speech recognition outcomes compared with cochlear nerve aplasia, especially in the absence of additional disabilities. Except for one study, the overall quality of the included SRs was critically low, and except for three studies, evidence of a high risk of bias was identified in other included SRs. Conclusions: Current evidence supports CI benefits for children with ANSD. To improve the quality of evidence, well-designed, prospective studies with appropriate sample sizes, using valid outcome measures, clarifying matching criteria, and taking into account the role of confounding factors are essential. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Journal of Speech, Language & Hearing Research is the property of American Speech-Language-Hearing Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=ehh&AN=172861977
RecordInfo BibRecord:
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      – Type: doi
        Value: 10.1044/2023_JSLHR-23-00128
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      – Code: eng
        Text: English
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        PageCount: 17
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        Type: general
      – SubjectFull: Speech evaluation
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      – SubjectFull: Hearing disorders
        Type: general
      – SubjectFull: Children
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      – SubjectFull: Auditory neuropathy
        Type: general
      – SubjectFull: Cochlear implants
        Type: general
      – SubjectFull: Ear diseases
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      – SubjectFull: Health outcome assessment
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      – SubjectFull: Acoustic nerve diseases
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      – SubjectFull: Quality assurance
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      – TitleFull: An Umbrella Review of Cochlear Implant Outcomes in Children With Auditory Neuropathy.
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              M: 10
              Text: Oct2023
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              Y: 2023
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