Cochlear Implant Programming: A Global Survey on the State of the Art

The programming of CIs is essential for good performance. However, no Good Clinical Practice guidelines exist. This paper reports on the results of an inventory of the current practice worldwide. A questionnaire was distributed to 47 CI centers. They follow 47600 recipients in 17 countries and 5 con...

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Main Authors: Bart Vaerenberg, Cas Smits, Geert De Ceulaer, Elie Zir, Sally Harman, N. Jaspers, Y. Tam, Margaret Dillon, Thomas Wesarg, D. Martin-Bonniot, L. Gärtner, Sebastian Cozma, Julie Kosaner, Sandra Prentiss, P. Sasidharan, Jeroen J. Briaire, Jane Bradley, J. Debruyne, R. Hollow, Rajesh Patadia, Lucas Mens, K. Veekmans, R. Greisiger, E. Harboun-Cohen, Stéphanie Borel, Dayse Tavora-Vieira, Patrizia Mancini, Helen Cullington, Amy Han-Chi Ng, Adam Walkowiak, William H. Shapiro, Paul J. Govaerts
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:The Scientific World Journal
Online Access:http://dx.doi.org/10.1155/2014/501738
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author Bart Vaerenberg
Cas Smits
Geert De Ceulaer
Elie Zir
Sally Harman
N. Jaspers
Y. Tam
Margaret Dillon
Thomas Wesarg
D. Martin-Bonniot
L. Gärtner
Sebastian Cozma
Julie Kosaner
Sandra Prentiss
P. Sasidharan
Jeroen J. Briaire
Jane Bradley
J. Debruyne
R. Hollow
Rajesh Patadia
Lucas Mens
K. Veekmans
R. Greisiger
E. Harboun-Cohen
Stéphanie Borel
Dayse Tavora-Vieira
Patrizia Mancini
Helen Cullington
Amy Han-Chi Ng
Adam Walkowiak
William H. Shapiro
Paul J. Govaerts
author_facet Bart Vaerenberg
Cas Smits
Geert De Ceulaer
Elie Zir
Sally Harman
N. Jaspers
Y. Tam
Margaret Dillon
Thomas Wesarg
D. Martin-Bonniot
L. Gärtner
Sebastian Cozma
Julie Kosaner
Sandra Prentiss
P. Sasidharan
Jeroen J. Briaire
Jane Bradley
J. Debruyne
R. Hollow
Rajesh Patadia
Lucas Mens
K. Veekmans
R. Greisiger
E. Harboun-Cohen
Stéphanie Borel
Dayse Tavora-Vieira
Patrizia Mancini
Helen Cullington
Amy Han-Chi Ng
Adam Walkowiak
William H. Shapiro
Paul J. Govaerts
author_sort Bart Vaerenberg
collection DOAJ
description The programming of CIs is essential for good performance. However, no Good Clinical Practice guidelines exist. This paper reports on the results of an inventory of the current practice worldwide. A questionnaire was distributed to 47 CI centers. They follow 47600 recipients in 17 countries and 5 continents. The results were discussed during a debate. Sixty-two percent of the results were verified through individual interviews during the following months. Most centers (72%) participated in a cross-sectional study logging 5 consecutive fitting sessions in 5 different recipients. Data indicate that general practice starts with a single switch-on session, followed by three monthly sessions, three quarterly sessions, and then annual sessions, all containing one hour of programming and testing. The main focus lies on setting maximum and, to a lesser extent, minimum current levels per electrode. These levels are often determined on a few electrodes and then extrapolated. They are mainly based on subjective loudness perception by the CI user and, to a lesser extent, on pure tone and speech audiometry. Objective measures play a small role as indication of the global MAP profile. Other MAP parameters are rarely modified. Measurable targets are only defined for pure tone audiometry. Huge variation exists between centers on all aspects of the fitting practice.
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spelling doaj-art-e9fa013cd3d44413a582179a7a61ee4d2025-02-03T01:30:17ZengWileyThe Scientific World Journal2356-61401537-744X2014-01-01201410.1155/2014/501738501738Cochlear Implant Programming: A Global Survey on the State of the ArtBart Vaerenberg0Cas Smits1Geert De Ceulaer2Elie Zir3Sally Harman4N. Jaspers5Y. Tam6Margaret Dillon7Thomas Wesarg8D. Martin-Bonniot9L. Gärtner10Sebastian Cozma11Julie Kosaner12Sandra Prentiss13P. Sasidharan14Jeroen J. Briaire15Jane Bradley16J. Debruyne17R. Hollow18Rajesh Patadia19Lucas Mens20K. Veekmans21R. Greisiger22E. Harboun-Cohen23Stéphanie Borel24Dayse Tavora-Vieira25Patrizia Mancini26Helen Cullington27Amy Han-Chi Ng28Adam Walkowiak29William H. Shapiro30Paul J. Govaerts31The Eargroup, Herentalsebaan 75, 2100 Antwerp-Deurne, BelgiumVU University Medical Center, 1081 HZ Amsterdam, The NetherlandsThe Eargroup, Herentalsebaan 75, 2100 Antwerp-Deurne, BelgiumHôpital Sacré Cœur, Beirut B.P.116, LebanonYorkshire CI Service, Bradford BD9 5HU, UKUniversity Hospital Saint-Luc, 1200 Brussels, BelgiumEmmeline Centre, Cambridge CB2 0QQ, UKUniversity of North Carolina at Chapel Hill, Chapel Hill, NC 27514, USAUniversity Medical Center Freiburg, 79106 Freiburg, GermanyCHU de Grenoble, 38701 Grenoble, FranceMedizinische Hochschule, 30625 Hannover, GermanyUniversity of Medicine and Pharmacy Grigore T. Popa, 95060 Iasi, RomaniaMeders Hearing and Speech Center, Istanbul, TurkeyUniversity of Kansas Medical Center, Kansas City, MO 66160, USADr Manoj’s ENT Superspeciality Institute & Research Centre, Calicut, Kerala 673005, IndiaLUMC, 2300 RC Leiden, The NetherlandsRoyal National Throat, Nose and Ear Hospital, London WC1X 8EE, UKUniversity Hospital, 6202 AZ Maastricht, The NetherlandsRoyal Victorian Eye and Ear Hospital, Melbourne, VIC 3002, AustraliaPD Hinduja Hospital National and MRC, Mumbai 400016, IndiaUMC St. Radboud, 6525 GA Nijmegen, The NetherlandsNottingham Auditory Implant Programme, Nottingham NG1 5DU, UKUniversity Hospital, 27 Oslo, NorwayHôpital Rothschild, 75012 Paris, FranceHôpital Beaujon, Paris, FranceMedical Audiology Services, Perth, WA 6005, AustraliaUniversity Sapienza, 185 Rome, ItalySouth of England CI Centre, Southampton SO17 1BJ, UKSunnybrook, Toronto, ON, M4N 3M5, CanadaWorld Hearing Center, 02-042 Warsaw, PolandNYU Langone Medical Center, New York, NY 10016, USAThe Eargroup, Herentalsebaan 75, 2100 Antwerp-Deurne, BelgiumThe programming of CIs is essential for good performance. However, no Good Clinical Practice guidelines exist. This paper reports on the results of an inventory of the current practice worldwide. A questionnaire was distributed to 47 CI centers. They follow 47600 recipients in 17 countries and 5 continents. The results were discussed during a debate. Sixty-two percent of the results were verified through individual interviews during the following months. Most centers (72%) participated in a cross-sectional study logging 5 consecutive fitting sessions in 5 different recipients. Data indicate that general practice starts with a single switch-on session, followed by three monthly sessions, three quarterly sessions, and then annual sessions, all containing one hour of programming and testing. The main focus lies on setting maximum and, to a lesser extent, minimum current levels per electrode. These levels are often determined on a few electrodes and then extrapolated. They are mainly based on subjective loudness perception by the CI user and, to a lesser extent, on pure tone and speech audiometry. Objective measures play a small role as indication of the global MAP profile. Other MAP parameters are rarely modified. Measurable targets are only defined for pure tone audiometry. Huge variation exists between centers on all aspects of the fitting practice.http://dx.doi.org/10.1155/2014/501738
spellingShingle Bart Vaerenberg
Cas Smits
Geert De Ceulaer
Elie Zir
Sally Harman
N. Jaspers
Y. Tam
Margaret Dillon
Thomas Wesarg
D. Martin-Bonniot
L. Gärtner
Sebastian Cozma
Julie Kosaner
Sandra Prentiss
P. Sasidharan
Jeroen J. Briaire
Jane Bradley
J. Debruyne
R. Hollow
Rajesh Patadia
Lucas Mens
K. Veekmans
R. Greisiger
E. Harboun-Cohen
Stéphanie Borel
Dayse Tavora-Vieira
Patrizia Mancini
Helen Cullington
Amy Han-Chi Ng
Adam Walkowiak
William H. Shapiro
Paul J. Govaerts
Cochlear Implant Programming: A Global Survey on the State of the Art
The Scientific World Journal
title Cochlear Implant Programming: A Global Survey on the State of the Art
title_full Cochlear Implant Programming: A Global Survey on the State of the Art
title_fullStr Cochlear Implant Programming: A Global Survey on the State of the Art
title_full_unstemmed Cochlear Implant Programming: A Global Survey on the State of the Art
title_short Cochlear Implant Programming: A Global Survey on the State of the Art
title_sort cochlear implant programming a global survey on the state of the art
url http://dx.doi.org/10.1155/2014/501738
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