Cochlear Implantation in Australia: A Retrospective Analysis of 23 Years of Activity

IF 1.5 4区医学 Q2 OTORHINOLARYNGOLOGY

Clinical Otolaryngology Pub Date : 2025-05-24 DOI:10.1111/coa.14334

Robert H. Eikelboom, Catherine M. Sucher, Sandra R. Bellekom, Marcus D. Atlas

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Abstract

Objectives

To report the number of cochlear implantation procedures and recipients in Australia since 2000 by age, and to estimate the adult uptake of cochlear implants.

Methods

This was a retrospective analysis of data, using publicly available data on private and public hospital procedures undertaken in Australia between 2000/01 and 2022/23. The main outcome measures were: (i) Number of cochlear implants per financial year, by paediatric, adult, or 10-year age groups, and population adjusted. (ii) Adult uptake rate of cochlear implants, adjusted for explantation and replantation rates, and bilateral implantation rates. This study followed STROBE guidelines for reporting.

Results

25 611 devices were implanted between July 2000 and June 2023, with annual numbers rising from 200 per year to over 1400 per year. Despite females having a 50% lower prevalence of hearing loss than males, approximately an equal number of males and females are implanted. Paediatric implantation has declined since 2016. The adult uptake rate of cochlear implants is estimated to be 10.5%.

Conclusions

Despite the known economic and social benefits of cochlear implants, and the rising number of people with hearing loss, the initial increase in rates of implantation appeared to have slowed, and the uptake rate remains low. Public health and hospital policy should be directed to improving public education, awareness, and referral and assessment pathways, especially for males.

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澳大利亚人工耳蜗植入：23年活动的回顾性分析。

目的：报告2000年以来澳大利亚按年龄划分的人工耳蜗植入手术和受术者的数量，并估计成人人工耳蜗植入的摄入量。方法：这是一项回顾性数据分析，使用2000/01至2022/23年间澳大利亚私立和公立医院程序的公开数据。主要结局指标为：(i)每个财政年度按儿童、成人或10岁年龄组和人口调整的人工耳蜗植入数量。成人人工耳蜗的吸收率，根据人工耳蜗外植和再植率以及双侧人工耳蜗植入率进行调整。本研究遵循STROBE报告准则。结果：2000年7月至2023年6月，共植入器械25 611台，从每年200台增加到每年1400多台。尽管女性的听力损失发生率比男性低50%，但植入人工耳蜗的男性和女性数量大致相同。自2016年以来，儿科植入有所下降。成人人工耳蜗的吸收率估计为10.5%。结论：尽管人工耳蜗的经济效益和社会效益是众所周知的，听力损失的人数也在不断增加，但人工耳蜗植入率的最初增长似乎已经放缓，吸收率仍然很低。公共卫生和医院政策应着眼于改善公众教育、认识以及转诊和评估途径，特别是针对男性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical Otolaryngology 医学-耳鼻喉科学

CiteScore

4.00

自引率

4.80%

发文量

106

审稿时长

>12 weeks

期刊介绍： Clinical Otolaryngology is a bimonthly journal devoted to clinically-oriented research papers of the highest scientific standards dealing with: current otorhinolaryngological practice audiology, otology, balance, rhinology, larynx, voice and paediatric ORL head and neck oncology head and neck plastic and reconstructive surgery continuing medical education and ORL training The emphasis is on high quality new work in the clinical field and on fresh, original research. Each issue begins with an editorial expressing the personal opinions of an individual with a particular knowledge of a chosen subject. The main body of each issue is then devoted to original papers carrying important results for those working in the field. In addition, topical review articles are published discussing a particular subject in depth, including not only the opinions of the author but also any controversies surrounding the subject. • Negative/null results In order for research to advance, negative results, which often make a valuable contribution to the field, should be published. However, articles containing negative or null results are frequently not considered for publication or rejected by journals. We welcome papers of this kind, where appropriate and valid power calculations are included that give confidence that a negative result can be relied upon.