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Cochlear Implantation: Phoniatric perspective

"last update: 27 August 2024"  

- Annexes

Editorial  Independence:

▪️  This  guideline  was  developed  without  any  external  funding.

▪️   All  the  guideline  development  group  members  have  declared  that  they  do  not  have  any  competing  interests.


Annex1:  Guideline  Flowchart   



Annex2:  Tables  of  appraisal  of  selected  guidelines:Currency  (table  1),  Content  (table  2)  and  Quality  (table  3)  of  the  selected  guidelines.



Criteria

Guideline 1

Guideline 2

Guideline 3

Guideline 4

Clinical practice guidelines  2019

Neuroscience 2011

(Pediatrics)

Neuroscience 2013

(Adults)

British CI 2018

Credibility

9

6

6

8

Observability

6

3

3

5

Relevance

7

8

8

8

Relative advantage

7

7

7

7

Easy to install and understand

8

7

7

8

Compatibility

8

6

6

8

Testability

8

8

8

8

Total

53

45

45

52



Domain

CPG1

CPG2

CPG3

CPG4

Transparency

A

A

A

A

Conflict of Interest

NR

NR

NR

NR

Development Group

A

C

C

B

Systematic Review

A

B

B

A

Grade of Evidence

A

B

B

B

Recommendations

A

B

B

B

External Review

C

C

C

A

Update

B

B

B

A

CPG1: 5A, 1B, 1C, 1NR


Annex3:  The  risks  and  benefits  of  added  and/or  modified  statements

Statement

Risk

Benefit

The progress of children with other comorbidities  should be measured by criteria that are unique to them and that reflect the goals of the family.

Low family goals expected from implanting those children, can affect the outcomes.

Those children should not be excluded from candidacy. They can benefit from implantation, with counselling given towards realistic expectations.

Bilateral stimulation should be considered for all individuals who use a cochlear implant, if not otherwise contraindicated.

No risk

Bilateral stimulation should be considered for all individuals who use a cochlear implant,  all of its benefits.