Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale · 2025
Cochlear Implant (CI) procedure. Italian Clinical Practice Guidelines of the Italian Society of Otorhinolaryngology (SIOeChCF) and Italian Society of Audiology and Phoniatrics (SIAF). Part 2: cochlear implants in children.
СтатьяКлинические рекомендацииНазвание и аннотация: Перевод пока не подготовлен
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Cuda Domenico, Berrettini Stefano, Minozzi Silvia, Artioli Franca, Barbieri Umberto, Borghi Cristian, Cristofari Eliana, Conte Giorgio, Cornolti Davide, di Lisi Diego, Fetoni Anna Rita, Fiori Simona, Genovese Elisabetta, Girotto Giorgia, Majorano Marinella, Marsella Pasquale, Marzetti Emanuele, Nicastri Maria, Paludetti Gaetano, Quaranta Nicola, Trevisi Patrizia, Zanetti Diego, Cinquini Michela, Ghiselli Sara, Forli Francesca
Аннотация
OBJECTIVE: Cochlear implant (CI) is a well-established treatment for children with sensorineural hearing loss 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 the GRADE methodology. The methodological team of the Mario Negri Pharmacological Research Institute performed systematic reviews for each question and supported the overall process.
RESULTS: Four key questions were identified and recommendation formulated, with subgroups and implementation considerations.
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, conditional recommendations in favour of CI have been formulated for different subgroups of children. Further studies should enrol a larger number of participants and use consistent instruments to evaluate hearing outcomes, in order to increase comparability of results and data pooling through meta-analysis.
METHODS: Thirteen experts and 2 patient representatives selected the key questions and drew up recommendations. The document was developed following the GRADE methodology. The methodological team of the Mario Negri Pharmacological Research Institute performed systematic reviews for each question and supported the overall process.
RESULTS: Four key questions were identified and recommendation formulated, with subgroups and implementation considerations.
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, conditional recommendations in favour of CI have been formulated for different subgroups of children. Further studies should enrol a larger number of participants and use consistent instruments to evaluate hearing outcomes, in order to increase comparability of results and data pooling through meta-analysis.