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Cochlear implantation compliance among minorities at high risk for hearing impairment following universal newborn hearing screening

  • Otology
  • Published:
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Abstract

Introduction

The universal newborn hearing screening (UNHS) allows for early detection of hearing impairment (HI). The goal of this current study was to evaluate the impact of cultural background involving consanguineous marriage on newborn HI diagnosed using UNHS, and compliance with hearing rehabilitation.

Materials and methods

This is a retrospective cohort study that included all children born at a single tertiary medical center between 2011 and 2017 who did not pass the UNHS (oto-acoustic emission and auditory brainstem response), and were diagnosed with HI. The study group included children from consanguineous marriage cultural background which were compared to a control group—all other children. Data were retrieved from the computerized medical charts and included epidemiological, audiological, and pregnancy/delivery-related data, and known risk factors for congenital HI.

Results

A total of 238 (196 study and 42 control) neonates were diagnosed with HI. Family history of HI was significantly more prevalent in the study group in mild–severe and profound HI subgroups (p = 0.03 and 0.01, respectively). Study group demonstrated lower rates of cochlear implantation (CI) compliance (p = 0.079), performed at a significantly older age (23 months (IQR 17–36.5) vs. 16 (IQR 12–26) months, p = 0.021). When recommended, bilateral CI compliance was significantly lower in the study group (94.1 vs.48.9%, p < 0.001).

Conclusion

UNHS allows for early HI detection among minority populations at higher risk for CI, yet compliance rates remain lower compared with control. Familiarity of families with the importance of early detection and HI risk may result in higher compliance rates for cochlear implantation. Health providers should aim to improve education and communication with this unique group of patients and consider health promotion programs.

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References

  1. Israeli Ministry of Health. Guidelines for newborn screening for identification of congenital hearing loss (2009) [Hebrew]. http://www.health.gov.il/hozer/mr33_2009.pdf. Accessed 27 Dec 2016

  2. Data and Statistics About Hearing Loss in Children | CDC [Internet]. [cited 2020 Feb 25]. Available from: https://www.cdc.gov/ncbddd/hearingloss/data.html

  3. Joint Committee on Infant Hearing (2019). Year 2019 position statement: Principles and Guidelines for Early Hearing Detection and Intervention Programs. J Early Hearing Detection and Intervention Programs 4:1–44. 120: 898–921.

  4. Neonatal Hearing Screening Working Group (2013) National framework for neonatal hearing screening. Department of Health, Canberra

    Google Scholar 

  5. Matulat P, Parfitt R (2018) The newborn hearing screening programme in Germany. Int J Neonat Screen 4:29

    Article  Google Scholar 

  6. Berrettini S, Ghirri P, Lazzerini F, Lenzi G, Forli F (2016) New Zealand Government. Universal Newborn Hearing national policy and quality standards. Ministry of Health, Wellington

    Google Scholar 

  7. Pimperton H, Blythe H, Kreppner J et al (2016) The impact of universal newborn hearing screening on long-term literacy outcomes: a prospective cohort study. Arch Dis Child 101:9–15

    Article  PubMed  Google Scholar 

  8. World Health Organization. Newborn and infant hearing screening: current issues and guiding principles [Internet]. Geneva: World Health Organization, 2009. Available at: http://www.who.int/blindness/publications/Newborn_and_Infant_Hearing_Screening_Report.pdf. (Accessed 2 Sep 2020).

  9. Busa J, Harrison J, Chappell J, Yoshinaga-Itano C, Grimes A, Brookhouser PE et al (2007) Year 2007 position statement: Principles and guidelines for early hearing detection and intervention programs. Pediatrics 120(4):898–921

    Article  Google Scholar 

  10. Warner-Czyz AD, Roland JT Jr, Thomas D, Uhler K, Zombek L (2022) American Cochlear Implant Alliance Task Force Guidelines for Determining Cochlear Implant Candidacy in Children. Ear Hear 43(2):268–282. https://doi.org/10.1097/AUD.0000000000001087

    Article  PubMed  PubMed Central  Google Scholar 

  11. Armstrong M, Maresh A, Buxton C, Craun P, Wowroski L, Reilly B, Preciado D (2013) Barriers to early pediatric cochlear implantation. Int J Pediatr Otorhinolaryngol 77(11):1869–1872. https://doi.org/10.1016/j.ijporl.2013.08.031. (Epub 2013 Sep 5 PMID: 24035734)

    Article  PubMed  Google Scholar 

  12. Panda S, Sikka K, Singh V, Agarwal S, Kumar R, Thakar A, Sharma SC (2019) Comprehensive Analysis of Factors Leading to Poor Performance in Prelingual Cochlear Implant Recipients. Otol Neurotol 40(6):754–760. https://doi.org/10.1097/MAO.0000000000002237. (PMID: 31135664)

    Article  PubMed  Google Scholar 

  13. Dham R, Dharmarajan S, Kurkure R, Sampath Kumar RN, Kameswaran M (2021) Socio-demographic profile and its influences on rehabilitation in children undergoing revision cochlear implantation—MERF experience. Int J Pediatr Otorhinolaryngol 151:110919. https://doi.org/10.1016/j.ijporl.2021.110919. (Epub 2021 Sep 10 PMID: 34560572)

    Article  PubMed  Google Scholar 

  14. Goldblat E, Rivkin D, Konstantinov V (2020) Associations between ethnicity, place of residence, hearing status of family and habilitation of children with hearing impairment. Isr J Health Policy Res 9:36. https://doi.org/10.1186/s13584-020-00394-1

    Article  PubMed  PubMed Central  Google Scholar 

  15. Na’amnih W, Romano-Zelekha O, Kabaha A, Rubin LP, Bilenko N, Jaber L et al (2014) Prevalence of consanguineous marriages and associated factors among Israeli Bedouins. J Commun Genet 5(4):395

    Article  Google Scholar 

  16. Oren Tirosh, Dr. Yonatan Eyal (2018) Socio-Economic Measures for the Bedouin Population in the Negev [Internet]. [cited 2020 Nov 17]. Available from: https://brookdale.jdc.org.il/wp-content/uploads/2018/10/Heb_Report_774_18_update.pdf

  17. Rudnitzky A, Ras TA (2012) The Bedouin Population in the Negev. Abraham Fund Inititatives. https://books.google.co.il/books?id=X480lwEACAAJ

  18. Melamed Y, Bashiri A, Shoham-Vardi I, Furman B, Hackmon-Ram R, Mazor M (2000) Differences in preterm delivery rates and outcomes in Jews and Bedouins in southern Israel. Eur J Obstet Gynecol Reprod Biol 93(1):41–46

    Article  CAS  PubMed  Google Scholar 

  19. Greiner RC, Rubinstein JT, Kohlberg GD (2023) Investigating Socioeconomic Barriers to Cochlear Implantation. Otol Neurotol 44(9):e660–e666. https://doi.org/10.1097/MAO.0000000000003985. (Epub 2023 Aug 19 PMID: 37604510)

    Article  PubMed  Google Scholar 

  20. Yoshinaga-Itano C, Sedey AL, Coulter DK, Mehl AL (1998) Language of early- and later-identified children with hearing loss. Pediatrics 102(5):1161–1171

    Article  CAS  PubMed  Google Scholar 

  21. Yoshinaga-Itano C (2003) Early Intervention after Universal Neonatal Hearing Screening: Impact on Outcomes. Ment Retard Dev Disabil Res Rev 9(4):252–266

    Article  PubMed  Google Scholar 

  22. Kothari S, Keshree NK, Bhatnagar S (2015) Pediatric cochlear implantation—why the delay. Indian J Otolaryngol Head Neck Surg 67(2):165

    Article  PubMed  PubMed Central  Google Scholar 

  23. Arumugam SV, Paramasivan VK, Murali S, Natarajan K, Sudhamaheswari, Kameswaran M (2015) Syndromic deafness-prevalence, distribution and hearing management protocol in Indian scenario. Ann Med Surg 4(2):143–150

    Article  Google Scholar 

  24. Kumar RN, Kameswaran M (2017) Cochlear implantation in the developing world: perspectives from the Indian subcontinent. ENT Audiol News 26(4):1–2

    CAS  Google Scholar 

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Authors and Affiliations

  1. Department of Otolaryngology-Head and Neck Surgery, Soroka University Medical Center, POB 151, Beer-Sheva, Israel

    Oren Ziv, Mattan Danovitch, Daniel M. Kaplan, Sofia Kordeluk, Sabri El-Saied, Yuval Slovik & Oded Cohen

  2. Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel

    Oren Ziv, Mattan Danovitch, Daniel M. Kaplan, Muhammad Abu Tailakh, Sofia Kordeluk, Sabri El-Saied, Yuval Slovik & Oded Cohen

  3. Department of Nursing, Recanati School for Community Health Professions, Beer-Sheva, Israel

    Muhammad Abu Tailakh

  4. Speech and Hearing Institute, Soroka University Medical Center, Beer-Sheva, Israel

    Revital Gorali & Lea Kurtzman

Authors
  1. Oren Ziv
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  2. Mattan Danovitch
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  3. Daniel M. Kaplan
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  4. Muhammad Abu Tailakh
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  5. Revital Gorali
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  6. Lea Kurtzman
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  7. Sofia Kordeluk
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  8. Sabri El-Saied
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  9. Yuval Slovik
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  10. Oded Cohen
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Contributions

All authors read and approved the final manuscript. MD + OZ + DK + OC—wrote the paper, designed the study, wrote the Helsinki proposal. LK + RG—analyzed the audiologic data. EL + SK + YS + SES—data collection and discussion. MAT—statistical analysis.

Corresponding author

Correspondence to Oren Ziv.

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Conflict of interest

No conflict of interests.

Ethics approval and consent to participate

The study was approved by the institutional Helsinki approval-SOR 17-0362. The need for consent to participate was waived by the Helsinki committee.

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Ziv, O., Danovitch, M., Kaplan, D.M. et al. Cochlear implantation compliance among minorities at high risk for hearing impairment following universal newborn hearing screening. Eur Arch Otorhinolaryngol 281, 2877–2882 (2024). https://doi.org/10.1007/s00405-023-08371-5

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