Meta-Analysis of Pediatric Cochlear Implant Literature
We analyzed published reports of the effect of age at implantation and the cause of and age at onset of deafness on speech perception benefit in children with cochlear implants, and compared these results with those of unreported trials of multichannel cochlear implants. Combining data from publishe...
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Veröffentlicht in: | Annals of otology, rhinology & laryngology rhinology & laryngology, 1999-04, Vol.108 (4_suppl), p.124-128 |
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creator | Grant, Ginger D. Cheng, André K. Niparko, John K. |
description | We analyzed published reports of the effect of age at implantation and the cause of and age at onset of deafness on speech perception benefit in children with cochlear implants, and compared these results with those of unreported trials of multichannel cochlear implants. Combining data from published and unpublished patient series was constrained by differences in test protocols between studies, but was made feasible by employing a meta-analysis in which data were converted into an ordinal classification scale that represented levels of communicative benefit. Results showed that more rapid gains in speech perception are associated with earlier age at implantation, and that speech perception results are independent of cause of or age at onset of deafness after 1 year of implant use. Moreover, with minor exceptions, there was no statistical difference between published and unpublished data, thereby indicating no publication bias in the literature. A meta-analytic approach is useful because it can clarify the quality of reported data and the direction of future research and, hopefully, foster collaboration in conducting and reporting future research. A standardized approach to reporting results in children is advised in order to produce a balanced interpretation of implant benefit and to facilitate wider understanding and dissemination of study conclusions. |
doi_str_mv | 10.1177/00034894991080S425 |
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Combining data from published and unpublished patient series was constrained by differences in test protocols between studies, but was made feasible by employing a meta-analysis in which data were converted into an ordinal classification scale that represented levels of communicative benefit. Results showed that more rapid gains in speech perception are associated with earlier age at implantation, and that speech perception results are independent of cause of or age at onset of deafness after 1 year of implant use. Moreover, with minor exceptions, there was no statistical difference between published and unpublished data, thereby indicating no publication bias in the literature. A meta-analytic approach is useful because it can clarify the quality of reported data and the direction of future research and, hopefully, foster collaboration in conducting and reporting future research. A standardized approach to reporting results in children is advised in order to produce a balanced interpretation of implant benefit and to facilitate wider understanding and dissemination of study conclusions.</description><identifier>ISSN: 0003-4894</identifier><identifier>ISSN: 0096-8056</identifier><identifier>EISSN: 1943-572X</identifier><identifier>DOI: 10.1177/00034894991080S425</identifier><identifier>PMID: 10214816</identifier><identifier>CODEN: AORHA2</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Age Factors ; Age of Onset ; Child, Preschool ; Cochlear Implantation ; Cochlear Implants ; Deafness - epidemiology ; Deafness - physiopathology ; Deafness - surgery ; Humans ; Pediatrics - methods ; Speech Perception - physiology</subject><ispartof>Annals of otology, rhinology & laryngology, 1999-04, Vol.108 (4_suppl), p.124-128</ispartof><rights>1999 SAGE Publications</rights><rights>Copyright Annals Publishing Company Apr 1999</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c500t-6a6395043ca226fbe833fb7e356cd2d25b09340b1fe4635344efbd0a6aad87583</citedby><cites>FETCH-LOGICAL-c500t-6a6395043ca226fbe833fb7e356cd2d25b09340b1fe4635344efbd0a6aad87583</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/00034894991080S425$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/00034894991080S425$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>315,782,786,21826,27931,27932,43628,43629</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10214816$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Grant, Ginger D.</creatorcontrib><creatorcontrib>Cheng, André K.</creatorcontrib><creatorcontrib>Niparko, John K.</creatorcontrib><title>Meta-Analysis of Pediatric Cochlear Implant Literature</title><title>Annals of otology, rhinology & laryngology</title><addtitle>Ann Otol Rhinol Laryngol Suppl</addtitle><description>We analyzed published reports of the effect of age at implantation and the cause of and age at onset of deafness on speech perception benefit in children with cochlear implants, and compared these results with those of unreported trials of multichannel cochlear implants. Combining data from published and unpublished patient series was constrained by differences in test protocols between studies, but was made feasible by employing a meta-analysis in which data were converted into an ordinal classification scale that represented levels of communicative benefit. Results showed that more rapid gains in speech perception are associated with earlier age at implantation, and that speech perception results are independent of cause of or age at onset of deafness after 1 year of implant use. Moreover, with minor exceptions, there was no statistical difference between published and unpublished data, thereby indicating no publication bias in the literature. A meta-analytic approach is useful because it can clarify the quality of reported data and the direction of future research and, hopefully, foster collaboration in conducting and reporting future research. A standardized approach to reporting results in children is advised in order to produce a balanced interpretation of implant benefit and to facilitate wider understanding and dissemination of study conclusions.</description><subject>Age Factors</subject><subject>Age of Onset</subject><subject>Child, Preschool</subject><subject>Cochlear Implantation</subject><subject>Cochlear Implants</subject><subject>Deafness - epidemiology</subject><subject>Deafness - physiopathology</subject><subject>Deafness - surgery</subject><subject>Humans</subject><subject>Pediatrics - methods</subject><subject>Speech Perception - physiology</subject><issn>0003-4894</issn><issn>0096-8056</issn><issn>1943-572X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1999</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp9kE1Lw0AQhhdRbK3-AQ8SvMfOfmePpfhRqCio4C1skllNSZu6uzn035uSgoLgaRh4nneGl5BLCjeUaj0FAC4yI4yhkMGLYPKIjKkRPJWavR-T8R5I98SInIWw6lchgZ2SEQVGRUbVmKhHjDadbWyzC3VIWpc8Y1Xb6OsymbflZ4PWJ4v1trGbmCzriN7GzuM5OXG2CXhxmBPydnf7On9Il0_3i_lsmZYSIKbKKm4kCF5axpQrMOPcFRq5VGXFKiYLMFxAQR0KxSUXAl1RgVXWVpmWGZ-Q6yF369uvDkPMV23n-29DzqjODNO9NyFsgErfhuDR5Vtfr63f5RTyfVP536Z66eqQ3BVrrH4pQzU9MB2AYD_w5-w_kd-0vW9S</recordid><startdate>19990401</startdate><enddate>19990401</enddate><creator>Grant, Ginger D.</creator><creator>Cheng, André K.</creator><creator>Niparko, John K.</creator><general>SAGE Publications</general><general>SAGE PUBLICATIONS, INC</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88I</scope><scope>8AF</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>S0X</scope></search><sort><creationdate>19990401</creationdate><title>Meta-Analysis of Pediatric Cochlear Implant Literature</title><author>Grant, Ginger D. ; Cheng, André K. ; Niparko, John K.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c500t-6a6395043ca226fbe833fb7e356cd2d25b09340b1fe4635344efbd0a6aad87583</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1999</creationdate><topic>Age Factors</topic><topic>Age of Onset</topic><topic>Child, Preschool</topic><topic>Cochlear Implantation</topic><topic>Cochlear Implants</topic><topic>Deafness - epidemiology</topic><topic>Deafness - physiopathology</topic><topic>Deafness - surgery</topic><topic>Humans</topic><topic>Pediatrics - methods</topic><topic>Speech Perception - physiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Grant, Ginger D.</creatorcontrib><creatorcontrib>Cheng, André K.</creatorcontrib><creatorcontrib>Niparko, John K.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Proquest Nursing & Allied Health Source</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Science Database (Alumni Edition)</collection><collection>STEM Database</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Science Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>SIRS Editorial</collection><jtitle>Annals of otology, rhinology & laryngology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Grant, Ginger D.</au><au>Cheng, André K.</au><au>Niparko, John K.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Meta-Analysis of Pediatric Cochlear Implant Literature</atitle><jtitle>Annals of otology, rhinology & laryngology</jtitle><addtitle>Ann Otol Rhinol Laryngol Suppl</addtitle><date>1999-04-01</date><risdate>1999</risdate><volume>108</volume><issue>4_suppl</issue><spage>124</spage><epage>128</epage><pages>124-128</pages><issn>0003-4894</issn><issn>0096-8056</issn><eissn>1943-572X</eissn><coden>AORHA2</coden><abstract>We analyzed published reports of the effect of age at implantation and the cause of and age at onset of deafness on speech perception benefit in children with cochlear implants, and compared these results with those of unreported trials of multichannel cochlear implants. Combining data from published and unpublished patient series was constrained by differences in test protocols between studies, but was made feasible by employing a meta-analysis in which data were converted into an ordinal classification scale that represented levels of communicative benefit. Results showed that more rapid gains in speech perception are associated with earlier age at implantation, and that speech perception results are independent of cause of or age at onset of deafness after 1 year of implant use. Moreover, with minor exceptions, there was no statistical difference between published and unpublished data, thereby indicating no publication bias in the literature. A meta-analytic approach is useful because it can clarify the quality of reported data and the direction of future research and, hopefully, foster collaboration in conducting and reporting future research. A standardized approach to reporting results in children is advised in order to produce a balanced interpretation of implant benefit and to facilitate wider understanding and dissemination of study conclusions.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>10214816</pmid><doi>10.1177/00034894991080S425</doi><tpages>5</tpages></addata></record> |
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subjects | Age Factors Age of Onset Child, Preschool Cochlear Implantation Cochlear Implants Deafness - epidemiology Deafness - physiopathology Deafness - surgery Humans Pediatrics - methods Speech Perception - physiology |
title | Meta-Analysis of Pediatric Cochlear Implant Literature |
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