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Cochlear Implants International
An Interdisciplinary Journal for Implantable Hearing Devices
Volume 22, 2021 - Issue 1
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Original articles

A narrative review of the logistic and economic feasibility of cochlear implants in lower-income countries

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References

  • Al-Shaikh, A.H., Zakzouk, S.M., Metwalli, A.A., Dasugi, A.A. 2002. Cochlear implants in deaf children. Saudi Medical Journal, 23(4): 441–444.
  • An, S.K., Park, S.I., Jun, S.B., Lee, C.J., Byun, K.M., Sung, J.H., et al. 2007. Design for a simplified cochlear implant system. IEEE Transactions on Biomedical Engineering, 54: 973–982. doi: 10.1109/TBME.2007.895372
  • Barker, E., Pringle, M. 2008. Survey of prophylactic antibiotic use amongst UK cochlear implant surgeons. Cochlear Implants International, 9(2): 82–89. doi: 10.1179/cim.2008.9.2.82
  • Belal, A. 1986. Cochlear implantation in developing countries. American Journal of Otology, 7: 244–247.
  • Bilger, R.C., Black, F.O., Hopkinson, N.T., Myers, E.N., Payne, J.L., Stenson, N.R., et al. 1977. Evaluation of subjects presently fitted with implanted auditory prostheses. Annals of Otology Rhinology Laryngology, 86: 1–176.
  • Bond, M., Mealing, S., Anderson, R., Elston, J., Weiner, G., Taylor, R.S., et al. 2009. The effectiveness and cost-effectiveness of cochlear implants for severe to profound deafness in children and adults: a systematic review and economic model. Health Technology Assessment, 13(44): 1–330. doi: 10.3310/hta13440
  • Christell, H., Birch, S., Hedesiu, M., Horner, K., Ivanauskaite, D., Nackaerts, O., The SEDENTEXCT consortium. (2012). Variation in costs of cone beam CT examinations among healthcare systems. Dentomaxillofacial Radiology, 41(7): 571–577. doi: 10.1259/dmfr/22131776
  • Christensen, C.M. 1997. The innovator’s dilemma. Boston, Massachusetts: Harvard Business Review Press.
  • Chundu, S., Manchaiah, V.K., Stephens, D., Kumar, N. 2013. Parents reported benefits and shortcomings of cochlear implantation: Pilot study findings from Southeast Asia. Cochlear Implants International, 14(1): 22–27. doi: 10.1179/1754762811Y.0000000036
  • Cochlear Corporation 2013. Cochlear annual report. Sydney: Cochlear Corporation. [cited 2016]. Available from https://www.cochlear.com/25fd0b64-1c6b-4f0d-b34c-43b298bde072/corporate_2013annualreport_editorial_1.27MB.pdf?MOD=AJPERES&CONVERT_TO=url&CACHEID=ROOTWORKSPACE-25fd0b64-1c6b-4f0d-b34c-43b298bde072-l5rAmvD.
  • Cooper, H.R., Craddock, L.C. 2009. Cochlear implants: a practical guide. 2nd ed. London: Whurr Publishers.
  • Ding, X.Y., Tian, H., Wang, W.W., Zhang, D.X. 2009. Cochlear implantation in China: review of 1237 cases with an emphasis on complications. [Article]. Orl-Journal for Oto-Rhino-Laryngology and Its Related Specialties, 71(4): 192–195. doi:10.1159/000229297. Available from: <Go to ISI>://WOS:000269458800004.
  • Dunmade, A.D., Segun-Busari, S., Olajide, T.G., Ologe, F.E. 2007. Profound bilateral sensorineural hearing loss in Nigerian children: any shift in etiology? The Journal of Deaf Studies and Deaf Education, 12(1): 112–118. doi: 10.1093/deafed/enl019
  • Emmett, S.D., Tucci, D.L., Smith, M., Macharia, I.M., Ndegwa, S.N., Nakku, D., Saunders, J.E. 2015. GDP matters: cost effectiveness of cochlear implantation and deaf education in sub-Saharan Africa. Otology & Neurotology, 36(8): 1357–1365. doi: 10.1097/MAO.0000000000000823
  • Fagan, J.J., Jacobs, M. 2009. Survey of ENT services in Africa: need for a comprehensive intervention. Global Health Action, 2, doi:10.3402/gha.v2i0.1932.
  • Farinettia, A., Ben Gharbia, D., Mancini, J., Romana, S., Nicollasa, R., Trigliaa, J.-M. 2014. Cochlear implant complications in 403 patients: Comparative study of adults and children and review of the literature. European Annals of Otorhinolaryngology, Head and Neck Diseases, 131(3): 177–182. doi: 10.1016/j.anorl.2013.05.005
  • Fukuda, Y., Mangabeira Albernaz, P.L. 1998. The AllHear cochlear implant and tinnitus. International Tinnitus Journal, 4: 159–161.
  • Garg, S., Singh, R., Khurana, D. 2015. Infant hearing screening in India: current status and way forward. International Journal of Preventative Medicine, 6: 113. doi: 10.4103/2008-7802.170027
  • Giraldo, G. 2010. Breaking the sound barrier: Cuba’s cochlear implant program. Medicc Review, 12(1): 13–16. doi: 10.37757/MR2010.V12.N1.3
  • Glasscock III, M. E. 2011. Expenses keep cochlear implants out of reach for millions of individuals with profound hearing loss in poor and emerging countries. Otology & Neurotology, 32(5): 893–894. doi: 10.1097/MAO.0b013e31821e1952
  • Goffman, E. 2009. Stigma: Notes on the management of spoiled identity. New York: Simon and Schuster.
  • Grigg, A. 2017. Cochlear fails to win any part of $37 million Chinese government tender [cited 2017]. Available from: https://www.afr.com/business/health/cochlear-fails-to-win-any-part-of-37-million-chinese-government-tender-20170305-guqytl?&utm_source=social&utm_medium=twitter&utm_campaign=nc&eid=socialn:twi-14omn0055-optim-nnn:nonpaid-27/06/2014-social_traffic-all-organicpost-nnn-afr-o&campaign_code=nocode&promote_channel=social_twitter.
  • Hopkins, S. 2010. Health expenditure comparisons: low, middle and high income countries. The Open Health Services and Policy Journal, 3: 111–117. doi: 10.2174/1874924001003010111
  • Hormozi, M., Ansari-Moghaddam, A., Mirzaei, R., Haghighi, J.D., Eftekharian, F. 2017. The risk of hearing loss associated with occupational exposure to organic solvents mixture with and without concurrent noise exposure: a systematic review and meta-analysis. International Journal of Occupational Environmental Health, 30(4): 521–535.
  • House, W. F., Vinod, K. 2003. A practical cochlear implant for India. Indian Journal of Otolaryngology Head Neck Surg., 55: 55–61.
  • Jeyaraman, J. 2013. Practices in habilitation of pediatric recipients of cochlear implants in India. Cochlear Implants International, 14(1): 7–21. doi: 10.1179/1754762812Y.0000000005
  • Kerr, G.R., Tuomi, S., Müller, A. 2012. Costs involved in using a cochlear implant in South Africa. South African Journal of Communication Disorders, 59(1): 16–26. doi: 10.4102/sajcd.v59i1.18
  • Khan, M.I., Mukhtar, N., Saeed, S.R., Ramsden, R.T. 2007. The Pakistan (Lahore) CI programme: issues relating to implantation in a developing country. Journal of Laryngology and Otology, 20: 1–6.
  • Krishnamoorthy, K., Samy, R.N., Shoman, N. 2014. The challenges of setting up a cochlear implant program in a developing country. Current Opinion in Otolaryngology Head Neck Surgery, 22(5): 367–372. doi: 10.1097/MOO.0000000000000088
  • Kumar, S. 1997. Deafness and its prevention – Indian scenario. Indian Journal of Pediatrics, 64: 801–809. doi: 10.1007/BF02725502
  • Kumar, K.R., Ramaiah, P.S. 2010. Development of receiver stimulator for auditory prosthesis. International Journal of Computer Science Issues, 7(3): 23–29.
  • Kushalnagar, P., Mathur, G., Moreland, C.J., Napoli, D.K., Osterling, W., Padden, C., Rathmann, C. 2010. Infants and children with hearing loss need early language access. Journal of Clinical Ethics, 21(2): 143–154.
  • Kuzovkov, V., Yanov, Y., Levin, S., Bovo, R., Rosignoli, M., Eskilsson, G., Willbas, S. 2014. Remote programming of MED-EL cochlear implants: users’ and professionals’ evaluation of the remote programming experience. Acta Otolaryngologica, 134(7): 709–716. doi: 10.3109/00016489.2014.892212
  • Le Roux, T., Swanepoel, D., Louw, A., Vinck, B., Tshifularo, M. 2015. Profound childhood hearing loss in a South Africa cohort: risk profile, diagnosis and age of intervention. International Journal of Pediatric Otorhinolaryngology, 79(1): 8–14. doi:10.1016/j.ijporl.2014.09.033. Available from: <Go to ISI>://WOS:000349194600003.
  • Li, J.A., Ji, F., Chen, W., Zhao, H., Han, D.Y., Yang, S.M. 2014. Analysis of the performance of post-lingually deafened patients with nurotron (R) venus (TM) cochlear implants. Acta Oto-Laryngologica, 134: 609–614. doi: 10.3109/00016489.2014.894250
  • Liang, Q., Mason, B. 2013. Enter the dragon – China’s journey to the hearing world. Cochlear Implants International, 14(Suppl. 1): S26–S31. doi: 10.1179/1467010013Z.00000000080
  • Malwafu, W., Ensink, R., Kuper, H., Fagan, J. 2017. Survey of ENT services in sub-Saharan Africa: little progress between 2009 and 2015. Global Health Action, 10: 1289736. doi: 10.1080/16549716.2017.1289736
  • Mangus, B., Rivas, A., Tsai, B.S., Haynes, D.S., Roland Jr, J.T. 2012. Surgical techniques in cochlear implants. Otolaryngologic Clinics of North America, 45(1): 69–80. doi: 10.1016/j.otc.2011.08.017
  • Mathers, C.D., Loncar, D. 2006. Projections of global mortatilty and burden of disease from 2002 to 2030. PLoS Medicine, 3(11): e442. doi: 10.1371/journal.pmed.0030442
  • Mehta, P.K., Shenoy, S. 2011. Infinite vision: how Aravind became the world’s greatest business case for compassion. Noida: HarperCollins Publishers India.
  • Müller, J., Raine, C.H. 2013. Quality standards for adult cochlear implantation. Cochlear Implants International, 14(S2): S6–S12. doi: 10.1179/1467010013Z.00000000097
  • NICE. 2019. Cochlear implants for children and adults with severe to profound deafness, technology appraisal guidance [TA566]. Available from: https://www.nice.org.uk/guidance/TA566/chapter/1-Recommendations.
  • Olusanya, B.O. 2015. Screening for neonatal deafness in resource-poor countries: challenges and solutions. Research and Reports in Neonatology, 5: 51–64. doi: 10.2147/RRN.S61862
  • Olusanya, B.O., Neumann, K.J., Saunders, J.E. 2014. The global burden of disabling hearing impairment: a call to action. Bulletin of the World Health Organisation, 92(5): 367–373. doi: 10.2471/BLT.13.128728
  • Olusanya, B.O., Newton, V.E. 2007. Global burden of childhood hearing impairment and disease control priorities for developing countries. Lancet, 369: 1314–1317. doi: 10.1016/S0140-6736(07)60602-3
  • Ouellet, C., Cohen, H. 1999. Speech and language development following cochlear implantation. Journal of Neurolinguistics, 12(3–4): 271–288. doi: 10.1016/S0911-6044(99)00018-4
  • Power, D.J., Hyde, M.B. 1992. The cochlear implant and the deaf community. Medical Journal of Australia, 157(6): 421–422. doi: 10.5694/j.1326-5377.1992.tb137259.x
  • Raine, C. 2013. Cochlear implants in the United Kingdom: awareness and utilization. Cochlear Implants International, 14(Suppl. 1): S32–S37. doi: 10.1179/1467010013Z.00000000077
  • Ramos, A., Rodríguez, C., Martinez-Beneyto, P., Perez, D., Gault, A., Falcon, J.C., Boyle, P. 2009. Use of telemedicine in the remote programming of cochlear implants. Acta Otolaryngologica, 129(5): 533–540. doi: 10.1080/00016480802294369
  • Rout, M.R., Mohanty, D., Vijaylaxmi, Y., Kamalesh, B., Chakradhar, M. 2012. Prevalence of cholesteatoma in chronic suppurative otitis media with central perforation. Indian Journal of Otolology, 18: 7–10. doi: 10.4103/0971-7749.98280
  • Saeed, S.R., Selvadurai, D., Beale, T., Biggs, N., Murray, B., Gibson, P., et al. 2014. The use of cone-beam computed tomography to determine cochlear implant electrode position in human temporal bones. Otology & Neurotology, 35(8): 1338–1344. doi: 10.1097/MAO.0000000000000295
  • Saunders, J., Barrs, D. 2011. Cochlear implantation in developing countries as humanitarian service: physician attitudes and recommendations for best practice. Otolaryngology-Head and Neck Surgery, 145: 74–79. doi: 10.1177/0194599811401343
  • Saunders, J.E., Barrs, D.M., Gong, W.F., Wilson, B.S., Mojica, K., Tucci, D.L. 2015. Cost effectiveness of childhood cochlear implantation and deaf education in Nicaragua: a disability adjusted life year model. Otology & Neurotology, 36(8): 1349–1356. doi: 10.1097/MAO.0000000000000809
  • Sorkin, D.L. 2013. Cochlear implantation in the world’s largest medical device market: utilization and awareness of cochlear implants in the United States. Cochlear Implants International, 14(Suppl. 1): S4–S12.
  • Stenberg, K., Lauer, J.A., Gkountouras, G., Fitzpatrick, C., Stanciole, A. 2018. Econometric estimation of WHO-CHOICE country-specific costs for inpatient and outpatient health service delivery. Cost Effective Resource Allocation, 16(11): 1–15.
  • Stevens, G., Flaxman, S., Brunskill, E., Mascarenhas, M., Mathers, D.D., Finucane, M. 2013. Global and regional hearing impairment prevalence: an analysis of 42 studies in 29 countries. The European Journal of Public Health, 23: 146–152. doi: 10.1093/eurpub/ckr176
  • Suleiman, A.O., Suleiman, B.M., Abdulmajid, U.F., Suleiman, M.R., Mustapha, A.Y., Afolabi, O.A., et al. 2014. Paediatric cochlear implantation in north-western Nigeria case report and review of our challenges. [Review]. International Journal of Pediatric Otorhinolaryngology, 78(2): 363–365. doi:10.1016/j.ijporl.2013.10.061. Available from <Go to ISI>://WOS:000330916100037.
  • Summerfield, A.Q., Marshall, D.H. 1995. Cochlear implantation in the UK 1990-1994: report by the MRC Institute of Hearing Research on the evaluation of the national cochlear implant program.
  • Tarabichi, M.B., Todd, C., Khan, Z., Yang, X., Shehzad, B., Tarabichi, M.M. 2008. Deafness in the developing world: the place of cochlear implantation. Journal of Laryngology and Otology, 122(9): 877–880. doi: 10.1017/S0022215108002272
  • Tucci, D., Merson, M.H., Wilson, B.S. 2010. A summary of the literature on global hearing impairment: current status and priorities for action. Otology and Neurotology, 31(1): 31–41. doi: 10.1097/MAO.0b013e3181c0eaec
  • UNICEF. 2014. Towards a world without Measles and Rubella [cited 2014]. Available from: https://www.unicef.org/immunization/index_measles.html.
  • Varshney, S. 2016. Deafness in India. Indian Journal of Otology, 22: 73–76. doi: 10.4103/0971-7749.182281
  • Wesarg, T., Wasowski, A., Skarzynski, H., Rahmos, A., Falcon Gonzalez, J.C., Kyriafinis, G., et al. 2010. Remote fitting in Nucleus cochlear implant recipients. Acta Otolaryngologica, 130(12): 1379–1388. doi: 10.3109/00016489.2010.492480
  • Wilson, J., Jungner, G. 1968. Principles and practice of screening for disease. Geneva: World Health Organization. [cited 2016]. Available from: http://whqlibdoc.who.int/php/WHO_PHP_34.pdf.
  • Wilson, B.S., Rebscher, S.J., Zeng, F.-G., Shannon, R.V., Loeb, G.E., Lawson, D.T., Zerbi, M. 1998. Design for an inexpensive but effective cochlear implant. Otolaryngology Head Neck Surgery, 118: 235–241. doi: 10.1016/S0194-5998(98)80022-3
  • Wolfson, L.J., Gasse, F., Lee-Martin, S.-P., Lydon, P., Magan, A., Tibouti, A., et al. 2008. Estimating the costs of achieving the WHO–UNICEF global immunization vision and strategy, 2006–2015. Bulletin of the World Health Organisation, 86(1): 27–39. doi: 10.2471/BLT.07.045096
  • Wood, S.A., Sutton, G.J., Davis, A.C. 2015. Performance and characteristics of the newborn hearing screening programme in England: the first seven years. International Journal of Audiology, 54(6): 353–358. doi: 10.3109/14992027.2014.989548
  • World Bank. 2018. New country classifications by income level [cited 2016]. Available from: https://blogs.worldbank.org/opendata/category/tags/news.
  • World Health Organization. 2010a. Newborn and infant hearing screening: current issues and guiding principles for action. Available from: https://www.who.int/blindness/publications/Newborn_and_Infant_Hearing_Screening_Report.pdf.
  • World Health Organization. 2010b. The world health report: health systems financing: the path to universal coverage. Geneva: World Health Organization. [cited 2016]. Available from: https://apps.who.int/iris/bitstream/handle/10665/44371/9789241564021_eng.pdf?sequence=1.
  • World Health Organization. 2014. Deafness and hearing loss: Fact sheet No 300 [cited 2014]. Available from: https://www.who.int/mediacentre/factsheets/fs300/en/.
  • World Health Organization. 2016. Childhood hearing loss: strategies for prevention and care. Geneva: World Health Organization.
  • World Health Organization. 2017. Global costs of unaddressed hearing loss and cost-effectiveness of interventions [cited 2017]. Available from: https://www.who.int/pbd/deafness/world-hearing-day/CostOfUnaddressedHearingLossExecSummary.pdf?ua=1.
  • Yorston, D. 2005. High-volume surgery in developing countries. Eye, 19: 1083–1089. doi: 10.1038/sj.eye.6701966
  • Young, Y.Y., Ryan, M.E., Young, N.M. 2014. Preoperative imaging of sensorineural hearing loss in paediatric candidates for cochlear implantation. RadioGraphics, 34: E133–E149. doi: 10.1148/rg.345130083
  • Zakzouk, S. 2002. Consanguinity and hearing impairment in developing countries: a custom to be discouraged. Journal of Laryngology and Otology, 116: 811–816. doi: 10.1258/00222150260293628
  • Zeng, F.-G. 1995. Cochlear implants in China. Audiology, 34: 61–75. doi: 10.3109/00206099509071899
  • Zeng, F.-G. 2007. Cochlear implants: why don’t more people use them? Hearing Journal, 60: 48–49. doi: 10.1097/01.HJ.0000286715.37618.c1
  • Zeng, F.-G. 2017. Challenges in improving cochlear implant performance and accessibility. IEEE Transactions on Biomedical Engineering, 64(8): 1662–1664. doi: 10.1109/TBME.2017.2718939
  • Zeng, F.-G., Rebscher, S.J., Fu, Q.-J., Chend, H., Sund, X., Yind, L., et al. 2015. Development and evaluation of the Nurotron 26-electrode cochlear implant system. Hearing Research, 322: 188–199. doi: 10.1016/j.heares.2014.09.013
  • Zhao, S.Z., Mackenzie, I.J. 2011. Deafness: malaria as a forgotten cause. Annals of Tropical Paediatrics International Child Health, 31(1): 1–10.

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