Mana Espahbodi, Patricia Trautwein, Daniel E Bestourous, Teresa A Zwolan, Ashley M Nassiri, Matthew L Carlson, Isaac D Erbele, Neil S Patel, Richard K Gurgel
{"title":"Access to Cochlear Implantation: Trends in Surgeon Volume and Training.","authors":"Mana Espahbodi, Patricia Trautwein, Daniel E Bestourous, Teresa A Zwolan, Ashley M Nassiri, Matthew L Carlson, Isaac D Erbele, Neil S Patel, Richard K Gurgel","doi":"10.1002/lary.32037","DOIUrl":null,"url":null,"abstract":"<p><strong>Objectives: </strong>Evaluate the training background of surgeons performing high volumes of cochlear implants (CIs) and estimate the ratio of providers trained in otology/neurotology (O&N) to the number of traditional CI candidates and audiologists.</p><p><strong>Methods: </strong>A retrospective review of US surgeon registration data from a single CI manufacturer was performed to determine CI volume based on surgeon training. The prevalence of traditional candidates for CIs was estimated from US census population data and compared with the number of O&N providers. The ratio of audiologists to O&N providers was estimated from the Bureau of Labor and Statistics and American Speech-Language-Hearing Association databases.</p><p><strong>Results: </strong>From 2021 to 2023, a mean of 88% of providers performing ≥25 CIs per year and 90% performing ≥40 per year had training in O&N. All surgeons registering ≥100 implants per year were O&N providers. The mean percentage of O&N providers performing ≥25 CIs per year and ≥ 40 per year was higher than the percentage of General and Pediatric Otolaryngology providers performing the same volume: mean difference = 76%, p < 0.001 and mean difference = 79%, p < 0.001, respectively. The mean estimated prevalence of traditional CI candidates per O&N provider is 3,354 with an estimated mean of 32 audiologists (3.5 trained in CIs) per O&N provider.</p><p><strong>Conclusion: </strong>88% of high-volume CI surgeons have fellowship training in O&N. To meet the current state of CI underutilization and anticipated growing population of CI candidates, we propose increasing the surgical capacity of O&N providers and the number of surgeons proficient in CIs.</p><p><strong>Level of evidence: </strong>NA Laryngoscope, 2025.</p>","PeriodicalId":49921,"journal":{"name":"Laryngoscope","volume":" ","pages":""},"PeriodicalIF":2.2000,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Laryngoscope","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1002/lary.32037","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"MEDICINE, RESEARCH & EXPERIMENTAL","Score":null,"Total":0}
引用次数: 0
Abstract
Objectives: Evaluate the training background of surgeons performing high volumes of cochlear implants (CIs) and estimate the ratio of providers trained in otology/neurotology (O&N) to the number of traditional CI candidates and audiologists.
Methods: A retrospective review of US surgeon registration data from a single CI manufacturer was performed to determine CI volume based on surgeon training. The prevalence of traditional candidates for CIs was estimated from US census population data and compared with the number of O&N providers. The ratio of audiologists to O&N providers was estimated from the Bureau of Labor and Statistics and American Speech-Language-Hearing Association databases.
Results: From 2021 to 2023, a mean of 88% of providers performing ≥25 CIs per year and 90% performing ≥40 per year had training in O&N. All surgeons registering ≥100 implants per year were O&N providers. The mean percentage of O&N providers performing ≥25 CIs per year and ≥ 40 per year was higher than the percentage of General and Pediatric Otolaryngology providers performing the same volume: mean difference = 76%, p < 0.001 and mean difference = 79%, p < 0.001, respectively. The mean estimated prevalence of traditional CI candidates per O&N provider is 3,354 with an estimated mean of 32 audiologists (3.5 trained in CIs) per O&N provider.
Conclusion: 88% of high-volume CI surgeons have fellowship training in O&N. To meet the current state of CI underutilization and anticipated growing population of CI candidates, we propose increasing the surgical capacity of O&N providers and the number of surgeons proficient in CIs.
目标：评估大量实施人工耳蜗植入术（CI）的外科医生的培训背景，并估算接受过耳科/神经科（O&N）培训的医疗人员与传统 CI 候选者和听力学家人数的比例：方法：我们对一家 CI 制造商提供的美国外科医生注册数据进行了回顾性审查，以根据外科医生的培训情况确定 CI 数量。根据美国人口普查数据估算了传统 CI 候选者的患病率，并与 O&N 提供者的数量进行了比较。听力学家与耳鼻喉科医生的比例是根据美国劳工和统计局以及美国言语-语言-听力协会的数据库估算的：从 2021 年到 2023 年，每年平均有 88% 的 CI ≥25 例和 90% 的 CI ≥40 例的听力提供者接受过 O&N 培训。所有每年注册植入物≥100 例的外科医生都是 O&N 提供者。每年进行≥25 例 CI 和≥40 例 CI 的耳鼻喉科医生的平均比例高于进行相同手术量的普通耳鼻喉科和小儿耳鼻喉科医生的比例：平均差异 = 76%，P 结论：88% 的高手术量 CI 外科医生接受过耳鼻喉科研究员培训。为了应对目前 CI 利用率不足的现状和预期不断增长的 CI 候选人群，我们建议提高耳鼻喉科医疗机构的手术能力，并增加精通 CI 的外科医生数量：NA 《喉镜》，2025 年。
期刊介绍：
The Laryngoscope has been the leading source of information on advances in the diagnosis and treatment of head and neck disorders since 1890. The Laryngoscope is the first choice among otolaryngologists for publication of their important findings and techniques. Each monthly issue of The Laryngoscope features peer-reviewed medical, clinical, and research contributions in general otolaryngology, allergy/rhinology, otology/neurotology, laryngology/bronchoesophagology, head and neck surgery, sleep medicine, pediatric otolaryngology, facial plastics and reconstructive surgery, oncology, and communicative disorders. Contributions include papers and posters presented at the Annual and Section Meetings of the Triological Society, as well as independent papers, "How I Do It", "Triological Best Practice" articles, and contemporary reviews. Theses authored by the Triological Society’s new Fellows as well as papers presented at meetings of the American Laryngological Association are published in The Laryngoscope.
• Broncho-esophagology
• Communicative disorders
• Head and neck surgery
• Plastic and reconstructive facial surgery
• Oncology
• Speech and hearing defects
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
