| _version_ | 1867011492911513600 |
|---|---|
| author | Mana Espahbodi Patricia Trautwein Daniel E. Bestourous Teresa A. Zwolan Ashley M. Nassiri Matthew L. Carlson Isaac D. Erbele Neil S. Patel Richard K. Gurgel |
| author_facet | Mana Espahbodi Patricia Trautwein Daniel E. Bestourous Teresa A. Zwolan Ashley M. Nassiri Matthew L. Carlson Isaac D. Erbele Neil S. Patel Richard K. Gurgel Mana Espahbodi Patricia Trautwein Daniel E. Bestourous Teresa A. Zwolan Ashley M. Nassiri Matthew L. Carlson Isaac D. Erbele Neil S. Patel Richard K. Gurgel |
| collection | Wiley Open Access |
| contents | Access to Cochlear Implantation: Trends in Surgeon Volume and Training Mana Espahbodi Patricia Trautwein Daniel E. Bestourous Teresa A. Zwolan Ashley M. Nassiri Matthew L. Carlson Isaac D. Erbele Neil S. Patel Richard K. Gurgel The Laryngoscope ObjectivesEvaluate the training background of surgeons performing high volumes of cochlear implants (CIs) and estimate the ratio of providers trained in otology/neurotology (O&N) to the number of traditional CI candidates and audiologists.MethodsA retrospective review of US surgeon registration data from a single CI manufacturer was performed to determine CI volume based on surgeon training. The prevalence of traditional candidates for CIs was estimated from US census population data and compared with the number of O&N providers. The ratio of audiologists to O&N providers was estimated from the Bureau of Labor and Statistics and American Speech‐Language‐Hearing Association databases.ResultsFrom 2021 to 2023, a mean of 88% of providers performing ≥25 CIs per year and 90% performing ≥40 per year had training in O&N. All surgeons registering ≥100 implants per year were O&N providers. The mean percentage of O&N providers performing ≥25 CIs per year and ≥ 40 per year was higher than the percentage of General and Pediatric Otolaryngology providers performing the same volume: mean difference = 76%, p < 0.001 and mean difference = 79%, p < 0.001, respectively. The mean estimated prevalence of traditional CI candidates per O&N provider is 3,354 with an estimated mean of 32 audiologists (3.5 trained in CIs) per O&N provider.Conclusion88% of high‐volume CI surgeons have fellowship training in O&N. To meet the current state of CI underutilization and anticipated growing population of CI candidates, we propose increasing the surgical capacity of O&N providers and the number of surgeons proficient in CIs.Level of EvidenceNA Laryngoscope, 135:2146–2153, 2025 10.1002/lary.32037 http://creativecommons.org/licenses/by-nc-nd/4.0/ |
| doi_str_mv | 10.1002/lary.32037 |
| format | Artículo Open Access |
| id | wiley_oa_10_1002_lary_32037 |
| institution | Wiley Open Access |
| license_str_mv | http://creativecommons.org/licenses/by-nc-nd/4.0/ |
| publishDate | 2025 |
| publisher | Wiley |
| record_format | wiley_oa |
| spellingShingle | Access to Cochlear Implantation: Trends in Surgeon Volume and Training Mana Espahbodi Patricia Trautwein Daniel E. Bestourous Teresa A. Zwolan Ashley M. Nassiri Matthew L. Carlson Isaac D. Erbele Neil S. Patel Richard K. Gurgel The Laryngoscope Access to Cochlear Implantation: Trends in Surgeon Volume and Training Mana Espahbodi Patricia Trautwein Daniel E. Bestourous Teresa A. Zwolan Ashley M. Nassiri Matthew L. Carlson Isaac D. Erbele Neil S. Patel Richard K. Gurgel The Laryngoscope ObjectivesEvaluate the training background of surgeons performing high volumes of cochlear implants (CIs) and estimate the ratio of providers trained in otology/neurotology (O&N) to the number of traditional CI candidates and audiologists.MethodsA retrospective review of US surgeon registration data from a single CI manufacturer was performed to determine CI volume based on surgeon training. The prevalence of traditional candidates for CIs was estimated from US census population data and compared with the number of O&N providers. The ratio of audiologists to O&N providers was estimated from the Bureau of Labor and Statistics and American Speech‐Language‐Hearing Association databases.ResultsFrom 2021 to 2023, a mean of 88% of providers performing ≥25 CIs per year and 90% performing ≥40 per year had training in O&N. All surgeons registering ≥100 implants per year were O&N providers. The mean percentage of O&N providers performing ≥25 CIs per year and ≥ 40 per year was higher than the percentage of General and Pediatric Otolaryngology providers performing the same volume: mean difference = 76%, p < 0.001 and mean difference = 79%, p < 0.001, respectively. The mean estimated prevalence of traditional CI candidates per O&N provider is 3,354 with an estimated mean of 32 audiologists (3.5 trained in CIs) per O&N provider.Conclusion88% of high‐volume CI surgeons have fellowship training in O&N. To meet the current state of CI underutilization and anticipated growing population of CI candidates, we propose increasing the surgical capacity of O&N providers and the number of surgeons proficient in CIs.Level of EvidenceNA Laryngoscope, 135:2146–2153, 2025 10.1002/lary.32037 http://creativecommons.org/licenses/by-nc-nd/4.0/ |
| title | Access to Cochlear Implantation: Trends in Surgeon Volume and Training |
| topic | The Laryngoscope |
| url | https://onlinelibrary.wiley.com/doi/10.1002/lary.32037 |