Examining the Impact of Race, Ethnicity, and Language on Pursuit of Cochlear Implantation.

IF 1.5 4区医学 Q2 OTORHINOLARYNGOLOGY

Clinical Otolaryngology Pub Date : 2025-08-20 DOI:10.1111/coa.70020

Aneesh A Patel, Jessica R Levi, Peter C Weber

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引用次数: 0

Abstract

Introduction: It is unclear whether primary language impacts decision to pursue cochlear implantation (CI) and which factors seen in White patients may account for higher odds of implantation. The aim of this study was to further define factors that contribute to decision to pursue or decline cochlear implantation.

Methods: Retrospective chart review of patients older than 18 years who underwent cochlear implant evaluation (CPT 92626/92627), from January 1, 2017 to October 31, 2023 and were determined to be cochlear implantation candidates was completed. Those who pursued CI were compared to those who did not, in addition to White and non-White patients. T-testing, Chi-square analysis, and multivariate analysis were used to compare the groups.

Results: From January 1, 2017 to October 31, 2023, a total of 93 patients met inclusion criteria, of which 46 (49.5%) underwent CI. White candidates had 4.33 the odds of pursuing cochlear implantation compared to those who were not White (95% CI: 1.15, 1.86; p = 0.04). White candidates and those who did not need interpreters were noted to have significantly higher preoperative scores for bilateral (p < 0.0001) and unilateral AZBio in quiet (p < 0.0001), unilateral Consonant-Nucleus-Consonant (CNC) words, and unilateral CNC phonemes (p < 0.0001) compared to non-White candidates.

Conclusion: White patients had significantly higher odds of pursuing cochlear implantation compared to non-White patients. White patients were noted to have significantly higher preoperative AzBio in quiet and CNC word/phoneme scores compared to non-White patients.

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考察种族、民族和语言对人工耳蜗植入的影响。

目前尚不清楚母语是否会影响人工耳蜗植入（CI）的决定，以及白人患者中哪些因素可能导致人工耳蜗植入的几率更高。本研究的目的是进一步确定决定是否进行人工耳蜗植入的因素。方法：回顾性回顾2017年1月1日至2023年10月31日接受人工耳蜗植入评估（CPT 92626/92627）的年龄大于18岁且确定为人工耳蜗植入候选人的患者。除了白人和非白人患者外，研究人员还将那些接受CI治疗的患者与没有接受CI治疗的患者进行了比较。采用t检验、卡方分析和多变量分析进行组间比较。结果：2017年1月1日至2023年10月31日，共93例患者符合纳入标准，其中46例（49.5%）行CI。白人候选人与非白人候选人相比，进行人工耳蜗植入的几率为4.33 （95% CI: 1.15, 1.86; p = 0.04）。结论：白人患者与非白人患者相比，寻求人工耳蜗植入术的几率明显更高。与非白人患者相比，白人患者在安静和CNC单词/音素评分方面的术前AzBio明显更高。

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.