The effect of cochlear implantation on autonomy, participation and work in postlingually deafened adults: a scoping review
Autor: | Emmanuel A. M. Mylanus, Hugo G B Nijmeijer, Noud M Keijsers, Wendy J. Huinck |
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Rok vydání: | 2021 |
Předmět: |
Adult
Gerontology Work medicine.medical_specialty Hearing loss media_common.quotation_subject medicine.medical_treatment Review Article PsycINFO Cochrane Library Sensory disorders Donders Center for Medical Neuroscience [Radboudumc 12] 03 medical and health sciences 0302 clinical medicine Cochlear implant Humans Medicine Prospective Studies 030212 general & internal medicine 030223 otorhinolaryngology Prospective cohort study Autonomy Retrospective Studies media_common business.industry Clinical study design Participation General Medicine Cochlear Implantation Cochlear Implants Cross-Sectional Studies Treatment Outcome Otorhinolaryngology medicine.symptom business |
Zdroj: | European Archives of Oto-Rhino-Laryngology, 278, 9, pp. 3135-3154 European Archives of Oto-Rhino-Laryngology European Archives of Oto-Rhino-Laryngology, 278, 3135-3154 |
ISSN: | 0937-4477 |
Popis: | Purpose This scoping review examines the available evidence on the effect of unilateral cochlear implantation (CI) in adults with postlingual bilateral hearing loss on societal-related outcomes in terms of work, autonomy and participation. Methods Five databases were searched (Pubmed, Web of Science, Embase, PsycINFO and Cochrane Library). Publications were screened in three steps on inclusion criteria. Of the 4230 screened publications, 110 met the inclusion criteria and were assessed for data extraction regarding outcomes “work”, “autonomy”, “participation”. Study characteristics and key findings are presented and narratively described. Results Twenty-seven publications were included and categorized into retrospective (n = 3), cross-sectional (n = 18) or prospective (n = 6) study designs. Measurement or identification of number of outcomes (no) were related to work (no = 20), participation (no = 9) and autonomy or independency (no = 10). Most studies indicated benefits of CI on these outcomes. However, some studies did not or indicated additional barriers for benefits. Eleven publications primarily aimed to study one or more of our primary outcomes. Conclusion In this literature search, scientific databases are reviewed. The results indicate that there is a relatively small body of evidence regarding the effect of CI on the outcomes “work”, “autonomy” and “participation”. Even though there are some limitations of the current study including some overlap in outcome definitions, most included studies indicate a beneficial effect of CI on work, autonomy and participation. The lack of consensus in definitions and the small body of evidence indicates a need for additional prospective studies investigating the societal outcomes of CI in postlingually deafened adults. |
Databáze: | OpenAIRE |
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