Cochlear implantation impact on health service utilisation and social outcomes: a systematic review
Abstract Background Hearing loss can have a negative impact on individuals’ health and engagement with social activities. Integrated approaches that tackle barriers and social outcomes could mitigate some of these effects for cochlear implants (CI) users. This review aims to synthesise the evidence...
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| Format: | Article |
| Language: | English |
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BMC
2023-08-01
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| Series: | BMC Health Services Research |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12913-023-09900-y |
| _version_ | 1797453383974518784 |
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| author | Tolesa Bekele Okuba Reidar P. Lystad Isabelle Boisvert Anne McMaugh Robyn Cantle Moore Ramya Walsan Rebecca J. Mitchell |
| author_facet | Tolesa Bekele Okuba Reidar P. Lystad Isabelle Boisvert Anne McMaugh Robyn Cantle Moore Ramya Walsan Rebecca J. Mitchell |
| author_sort | Tolesa Bekele Okuba |
| collection | DOAJ |
| description | Abstract Background Hearing loss can have a negative impact on individuals’ health and engagement with social activities. Integrated approaches that tackle barriers and social outcomes could mitigate some of these effects for cochlear implants (CI) users. This review aims to synthesise the evidence of the impact of a CI on adults’ health service utilisation and social outcomes. Methods Five databases (MEDLINE, Scopus, ERIC, CINAHL and PsychINFO) were searched from 1st January 2000 to 16 January 2023 and May 2023. Articles that reported on health service utilisation or social outcomes post-CI in adults aged ≥ 18 years were included. Health service utilisation includes hospital admissions, emergency department (ED) presentations, general practitioner (GP) visits, CI revision surgery and pharmaceutical use. Social outcomes include education, autonomy, social participation, training, disability, social housing, social welfare benefits, occupation, employment, income level, anxiety, depression, quality of life (QoL), communication and cognition. Searched articles were screened in two stages ̶̶̶ by going through the title and abstract then full text. Information extracted from the included studies was narratively synthesised. Results There were 44 studies included in this review, with 20 (45.5%) cohort studies, 18 (40.9%) cross-sectional and six (13.6%) qualitative studies. Nine studies (20.5%) reported on health service utilisation and 35 (79.5%) on social outcomes. Five out of nine studies showed benefits of CI in improving adults’ health service utilisation including reduced use of prescription medication, reduced number of surgical and audiological visits. Most of the studies 27 (77.1%) revealed improvements for at least one social outcome, such as work or employment 18 (85.7%), social participation 14 (93.3%), autonomy 8 (88.9%), education (all nine studies), perceived hearing disability (five out of six studies) and income (all three studies) post-CI. None of the included studies had a low risk of bias. Conclusions This review identified beneficial impacts of CI in improving adults’ health service utilisation and social outcomes. Improvement in hearing enhanced social interactions and working lives. There is a need for large scale, well-designed epidemiological studies examining health and social outcomes post-CI. |
| first_indexed | 2024-03-09T15:22:02Z |
| format | Article |
| id | doaj.art-0538542f75aa48b0ae8e107e98981c47 |
| institution | Directory Open Access Journal |
| issn | 1472-6963 |
| language | English |
| last_indexed | 2024-03-09T15:22:02Z |
| publishDate | 2023-08-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Health Services Research |
| spelling | doaj.art-0538542f75aa48b0ae8e107e98981c472023-11-26T12:42:44ZengBMCBMC Health Services Research1472-69632023-08-0123112310.1186/s12913-023-09900-yCochlear implantation impact on health service utilisation and social outcomes: a systematic reviewTolesa Bekele Okuba0Reidar P. Lystad1Isabelle Boisvert2Anne McMaugh3Robyn Cantle Moore4Ramya Walsan5Rebecca J. Mitchell6Australian Institute of Health Innovation, Macquarie UniversityAustralian Institute of Health Innovation, Macquarie UniversitySydney School of Health Sciences, Faculty of Medicine and Health, University of SydneyMacquarie School of Education, Faculty of Arts, Macquarie UniversityNextSense InstituteAustralian Institute of Health Innovation, Macquarie UniversityAustralian Institute of Health Innovation, Macquarie UniversityAbstract Background Hearing loss can have a negative impact on individuals’ health and engagement with social activities. Integrated approaches that tackle barriers and social outcomes could mitigate some of these effects for cochlear implants (CI) users. This review aims to synthesise the evidence of the impact of a CI on adults’ health service utilisation and social outcomes. Methods Five databases (MEDLINE, Scopus, ERIC, CINAHL and PsychINFO) were searched from 1st January 2000 to 16 January 2023 and May 2023. Articles that reported on health service utilisation or social outcomes post-CI in adults aged ≥ 18 years were included. Health service utilisation includes hospital admissions, emergency department (ED) presentations, general practitioner (GP) visits, CI revision surgery and pharmaceutical use. Social outcomes include education, autonomy, social participation, training, disability, social housing, social welfare benefits, occupation, employment, income level, anxiety, depression, quality of life (QoL), communication and cognition. Searched articles were screened in two stages ̶̶̶ by going through the title and abstract then full text. Information extracted from the included studies was narratively synthesised. Results There were 44 studies included in this review, with 20 (45.5%) cohort studies, 18 (40.9%) cross-sectional and six (13.6%) qualitative studies. Nine studies (20.5%) reported on health service utilisation and 35 (79.5%) on social outcomes. Five out of nine studies showed benefits of CI in improving adults’ health service utilisation including reduced use of prescription medication, reduced number of surgical and audiological visits. Most of the studies 27 (77.1%) revealed improvements for at least one social outcome, such as work or employment 18 (85.7%), social participation 14 (93.3%), autonomy 8 (88.9%), education (all nine studies), perceived hearing disability (five out of six studies) and income (all three studies) post-CI. None of the included studies had a low risk of bias. Conclusions This review identified beneficial impacts of CI in improving adults’ health service utilisation and social outcomes. Improvement in hearing enhanced social interactions and working lives. There is a need for large scale, well-designed epidemiological studies examining health and social outcomes post-CI.https://doi.org/10.1186/s12913-023-09900-yCochlear implantsHealth service utilisationSocial outcomesAdults |
| spellingShingle | Tolesa Bekele Okuba Reidar P. Lystad Isabelle Boisvert Anne McMaugh Robyn Cantle Moore Ramya Walsan Rebecca J. Mitchell Cochlear implantation impact on health service utilisation and social outcomes: a systematic review BMC Health Services Research Cochlear implants Health service utilisation Social outcomes Adults |
| title | Cochlear implantation impact on health service utilisation and social outcomes: a systematic review |
| title_full | Cochlear implantation impact on health service utilisation and social outcomes: a systematic review |
| title_fullStr | Cochlear implantation impact on health service utilisation and social outcomes: a systematic review |
| title_full_unstemmed | Cochlear implantation impact on health service utilisation and social outcomes: a systematic review |
| title_short | Cochlear implantation impact on health service utilisation and social outcomes: a systematic review |
| title_sort | cochlear implantation impact on health service utilisation and social outcomes a systematic review |
| topic | Cochlear implants Health service utilisation Social outcomes Adults |
| url | https://doi.org/10.1186/s12913-023-09900-y |
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