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Standard of Care: International Consensus and Candidacy Evaluation for Cochlear Implant Use in Adults: An Audiological Perspective

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1.  The international Consensus Paper was written to reflect the current clinical evidence that exists for which group of individuals? Conductive Hearing Loss Bilateral Severe, Profound, or Moderate Sloping to Profound Sensorineural Hearing Loss Mixed Hearing Loss All of the above

2.  What is the study design of the 60/60 Guideline for Referring Adults for a Traditional Cochlear Implant Candidacy Evaluation? To identify a dB level for appropriate candidate referral. To evaluate the audiograms of adult patients who had received a CI referral. Retrospective review of data from adults who participated in a cochlear implant candidacy evaluation CICE. To design a new screening measure.

3.  How many consensus statements were agreed upon by the Delphi group? 25 30 20 15

4.  How many patients were included in the 60/60 study? 429 329 529 729

5.  How many consensus categories were selected from the research? 10 13 11 7

6.  What was the detection rate when using a 60/60 screening measure? 96% 94% 93% 92%

7.  What will the publication of these statements lead to? More scientific research Clinical practice guidelines Recommendations for referral All of the above

8.  How many papers on cochlear implants were identified during the systematic literature database review? 60 100 6492 1000

9.  Which of the following best reflects the findings from the awareness statement? Awareness is adequate amongst primary health care providers Awareness only needs to improve amongst patients, health care professionals are referring correctly. Awareness of cochlear implants among primary and hearing healthcare providers is inadequate, leading to under-identification of eligible candidates. Clearer referral and candidacy pathways would help increase access to cochlear implants. More evidence is needed to understand the current levels of awareness amongst the community.

10.  What can professionals in the hearing industry do to further the process? Raise awareness of the importance of treating hearing loss in adults through education Engagement of referring professionals and community Development of country-specific clinical practice guidelines through national medical academies All of the above